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fhcF.r�rmn C 1NSTRUCTION <br /> :.ifi p� <br /> everett PERMIT PERMIT NO. � � � � � <br /> 259 - 8810 <br /> � DEMOLITICN ❑ COMBINAT�ON ❑ BUILDING $1 MECHANICAL CJ PLVMBING U SIGN <br /> owHva r+�n,wi:�css arr e� i���<�a� <br /> Robert DeGroot 2409 Baker Ave Fverett, WA 98201 259-1098 <br /> ifN�1Nl 4RIl A(ll1RF�:i C�IV III' 1'l1UNC <br /> •HCHIIEC!ON OEtiI(:NER M�il�DCAEtiS C��v ZIP CNONE <br /> UENEP�I CONIP�CTOH RRIL�DONESS CIiV 21P P110NE UCENSE• <br /> uELM.1NICAL CONIRACTOR MAIL�DORE55 .:ItY Zln %10NE UCENSE• <br /> Valley Natural Gas 2605 McDouqal Everatt, WA 98201 259-5492 VALLENG153LI <br /> 1`WMBINGCONTB�Ct04 MAR�D�f1E55 Giv .IP P`�ONE LICENSE• <br /> f.U554:WORK <br /> O NEW ❑ADDITION k7 AITERATION ❑ REPAIR ❑ DEMOLITtON ❑ BUIIDINf:RELOCATION <br /> CONTFLT PERSON�NO PnONE NO II O�MER iN�N POOV! <br /> CONTRACT PRICE OF WORN�E I <br /> DESCNIg�M ORM�ND SUUARE�00 i eGE INVOlVEO <br /> Install conv. burner & water heatar <br /> m�ovoseo us[or eunoirvc <br /> Single family feaidencP _ <br /> LE@�L DESLRICTION OF PRpP[RTY I SMO W Bf lOW CR�TTACN IOUR CO�I[51 <br /> IOT� BLOCN—Of — <br /> ��P2��JSSBaker Ave - -- <br /> PLUMBING MECMANICAL <br /> NO. TYPF OF FI%7URE OR ITfM fEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIIET) A�C—A�NN[]LG UNITS�-M F <br /> BATMTUB L FOFCED AIR S�STEMS- B iL M EA 9 OO <br /> LAVATOPY�WASMBASIN� UNITMEATERS—BTII M <br /> SMOWER CLOTNHSD5YEP5 <br /> NITCMEN SINN 6 DISP VENTILATION FAN <br /> DIShWASHER �ANGE HOOD <br /> LAUNDRVTRAV 1 W/TER HEATER 6 O <br /> CLOTHES WASMER �.'OOD SiOVE <br /> URINAL b'ETAL FlP.[VLACE 6 CNIMNEY <br /> D41hNING FOUN7AW �IREPLACE INS[RT <br /> F�OON OFAIN HE4T PUMP <br /> BACKFLOWPREVEIJiEPS X uASP:PING x <br /> ROOf DRAINS— RAINLEACIERS ERNAl15T fAN <br /> SINK iSEFVI:E - BAR ETC� <br /> SUB TOTAL { SUB TOTAL f LS O <br /> PEIIMIT S PERMIT s 15 � <br /> 10TAL FEE i TOT�L FEE { 3O O <br /> inONisf•aecM nE��SFineCrc r.ioEs[t,uCn VLANCMECKNl1M5EF �EE RECEIPTNO <br /> 4ii7i�s io:o An 000anss?o �1�� <br /> 1'SE20NE I.OT�R:d vnGNiSiIF <br /> ❑ YES '] NO <br /> FEES ew�oi caoc FEE <br /> IVHdiLpI51RUf.Li]NAlI0WRA4 fYttO�LONSIRUCbONeGiliEl ,,, ,,;.^ M10rp�lu•;i,oNnS �UILDING �00021981 <br /> _ _ PWMPING CHECI: S3 .;0 <br /> Si1E Of BioG No of 'On�ES ff�sCniENI <br /> ❑ �ES ❑ NO MECHANICAL JO SO <br /> OrCUP�NCVLOn� F�RESVRiNKLER5RE0� ��PGNt���eTnTiON V7NER <br /> ❑ YES ❑ N(1 <br /> neewrv ron svnir�•iens STATE BUILDING SURCHARGE <br /> _ STATEENERGYSURCNAPGE <br /> ��ruc,�nor+,�cc er ni.oN,nrvnovenrr CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 30 50 <br /> �'�'n�• 3105 -- <br /> ----- -- --- - ------------- - WHEN PROPERLV VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ' i <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. �O�RESSFII[ � ,' , <br />