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��� <br />C � <br />y <br />K � <br />pf? Sp <br />'4MrO <br />G <br />ZQ <br />H <br />� H p <br />o y� <br />QH�X <br />>9E y <br />t� � <br />�a M <br />A � <br />��� <br />'� � <br />I '� ^► <br />�''°''�"�`'+"' C=�NSTRUCTlON n <br />CITY OI- <br />P�V�r��l� PERMIT PERMITNO.. f»n�`� <br />259-8810 <br />❑ DElAOL1710N ❑ COMBINATION ❑ BUILDING ?'.i� M@CHANICAL ❑ PLUMBING ❑ SIGN <br />nvivca ++ainoon�s�: crtr :�r r���u�rt <br />Rolan3o Morales 820 N. Broadway Everett 5G8-1953 <br />`Ir.qqr MAILqOpf69 QiY ZIP i'HONE <br />cq6�ITKTONOCSIGNCR M�I�qD�(16S GRV ZIO PHONE <br />.fNCRMCU��iRnf,tOq MAIL�OPRE£5 CITY ZIP MONE i�:.(r.-f.� <br />Natural Gas �4uip Co Inc 1625 E Marine View Everett 98201 250-2441 NATURGE <br />MFM4NIC�LCONTR�GtOR MqL�pORE55 CITV Zlt` ('MONE 3ZQ[Q�`ISC� <br />5/90 <br />r�umeiNccm+*nncror� Mni�aonr+css r.rtv zir reor+e ucEr+sr. <br />fV.S50F WORK � <br />Y� NEW ❑ A�DITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION i <br />f.ONTACT PC�150N AHD PHONE HO If OTHF.R 1MRN ABOVE <br />CONTRACTPRICEOFN'ORK�.$ Bob Perkins 258-2491 � <br />OCSGRiBEWORKANO50UAREFOOT0.GEINVOLVED I <br />i <br />IIoiler svstems <br />� <br />i'nonoSED u5E or BuiLowr <br />Commercial Buildinq <br />ii�ni oescnirrior+or rnorEnrv i,How nc�ow on nr*nc� voun covi¢si I <br />ioi — niocK — or - — <br />i <br />JOO /•��R65 <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WAfER CIOSET �TOLLEt� <br />BATNTUB <br />USEZONE <br />KITLHEN SINK 6 DISP. <br />DISHWASHER <br />LAUN�RVIRAY <br />CLOTHES WASHER <br />URINAL <br />[tRINKING FOUNTAIN <br />FLOOR DRAIN <br />BAGKFLOW PREVEMERS <br />ROOf DRAMS — FAMLE< <br />SINK �SERVICE — DAR. ET <br />ALIOWABIi <br />SIZE OF BIOG <br />occuParvc�iono <br />nrnsor�voa srniNrc�Ei <br />FPVUCnTION/CC �V <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />REFRSETpAGN <br />LOT PBfA <br />na� av roxnnucrimu aauni <br />NO.OF STORiES <br />fIRE SPRINKLERS REO 0 <br />] YES ❑ NO <br />� <br />S <br />S <br />Slp[ SLTB/IX <br />VnCnNT Sit[ <br />MECHANICAI <br />NO. TYPE OF EOUIPMENT <br />A-C — A'HNDLG UNITS -- N P. <br />FORCED AIR SYSTFMS— B T.U. M EA. <br />UNIT HEATE�S — B.T.U. M <br />CLOTHESDRYERS <br />VENTILATION FAIJ <br />RANGEI100D <br />4VATER HEATEH <br />1NOOD STOVE <br />METAL FlREPLACE 8 LHIMNEY <br />FIREPLACE WSERT <br />HEAT PUMP <br />j{ GAS PIPING <br />E%HAUSiFAN <br />SUBTOTAL <br />PEPMIT <br />TOTAL FEE <br />FEE <br />❑ vEs ❑ NO FEES <br />« o��� noarow�uixcunirs BUILDING <br />PLUMOING <br />BASEAttNT <br />❑ VES O NO MECHANICAL <br />r+EiGH*uuiintiorv OTHER <br />STATE 9UILGING SURCHARGE <br />ST�TEENERGVSURCHARGE <br />CITY OF EVERETT pU�LIC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 ....._.. __...._....,- <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AUDRESS FILE <br />7B� DAYS OR CEASES FOfi MORE THAN 180 DAYS. <br />i�L'H <br />{i���%'�_.'J <br />FEE <br />f 17 UV <br />f QZ 0� <br />RECEIPT NO. <br />__.��j -1� Ll.'�:'��.kii.Ui:� .. . <br />DE FEE <br />4bO JO <br />THIS IS <br />az po <br />23[l��' <br />;, <br />