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,i t�� <br />_ _1 <br />"'r'"�"�"�`�" '=�4NSTRUCTION � p <br />arv or <br />everett PERMiT PERMITNO. �`)� `+2 <br />259-8810 <br />-,J DEMOLITION ❑ COMBINATION O BUILDING QMECHANICAL ❑ PLUMBING ❑ SIGN <br />�.�:vyE� MnLLa0fME55 C�iv .'iP r,�q^rt <br />Rolando t9orales 820 N. Broadaay Evcrett 98201 <br />-�qqy1 MRILROD�i[SS GTY Ilf` �vONE <br />eq-vRECTORDCbIGNE� MRIlA0d1E55 CITY ZIP AIONE <br />��•fN[R�LCONTIUCTOR MRILAOORE65 CITY Z�P ✓�ON[ UCENSE• <br />VECMTNIC�LCO�ifR�CiOR MRILADd1E35 CITY :i�' i'NONE IICENSE� <br />Phillips Distributing Co. Znc. 4020 198th NE Redmond 98052 881-3095 <br />�lU4BINGCONTMCTOF MhIL40�RE55 CITV Zi�� ��D� I�, 1��� <br />�� <br />r,i.q�50� woRl <br />C"p,NEW ❑ ADDITION ❑ ALTENRTION ❑ REPAIR O DEMOLITION \l BUILDING RELOCATION <br />OONTRACT PRICE OF WORK: � <br />DF:SCFIp[WOReRNOSOU�REfOOT�GEINVOLVEO <br />Inst�ll boiler and steam lines <br />r�nocoseo use or euaowc <br />Dry Cleaners <br />iEr.n�oescaicrior+o� �norearr�sHowsaowoanr..:u+ <br />ior — oi.ocrc _ oF <br />�oe nooaess <br />820 N. S�i67tA0CM7f}� Broad <br />TPLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATGR CLOSETITO�LET� <br />BATHTUB <br />KITCHEN SINK 8 DISG. <br />DISMWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTFIN <br />�LOOR DRAIIJ <br />BACKFLOW Pil[VENTEBS <br />ROOF ORAINS– RAVJLEAC <br />$INN �SEFVICE – BAR ETC <br />�qONTSETBhi <br />USEIOHE <br />fY1f pf CONSiP�J <br />SIIE Of BIOG <br />OCCUPANCYI <br />REASONFOR! <br />bUBTOTRL <br />PENMIT <br />LOTnRCn <br />RIIOWPPL� iYK 0[ LONSiRULiqNPCill�l <br />NO OF STOPIES <br />(IPE SPRI4NLEP5 REOD <br />❑ rEs o No <br />ACG <br />S.H. <br />UJHTNCT PERSON RND M10NE NO 6 OTHER <br />MECHANICAL <br />FEE NO. TYV!.OF EOUIPMENT. <br />A'C – NHN�Lf. UNITS – H P. <br />FORGEDAIRSYSTEMS–BTU. MEA <br />UNITNEATERS–BTL. M <br />GLOTMES �RVERS <br />VENTILPT�ON FAN n io . �n <br />PAIJGE HUOD i <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPIACE 8 CHIM Y;� � <br />FIREPLACEINSERT <br />li[AT PUMP <br />GAS PIPING <br />E%MAUSTFAN <br />1 Doiler 630.000 BTU <br />IE SETBPCK <br />CRNT SiTE <br />YES ❑ NO <br />PLA� <br />SUBTOTRL <br />PEIIMIT <br />TOTALFEE <br />FEE <br />���„�"�,:'' NOaUwElllxcuNn6 BUILDING $ <br />PLUM1I�ING <br />pRSEMENT <br />❑ VES ❑ NO N,.CHANICAL <br />HEIGHTUNITATION OTHEF7 <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHAHGE <br />CITY OF FVERETT pU6LIC WORKS <br />LOCALSALES <br />TAX CODE IS rorn� <br />3105 :...._.. -----_. ., .... . <br />PERMITS EXFIRE IF WORK IS NOT COMMENCED WITF V �pURESS I iI F <br />180 DAYS OR CEASES F�R MORE THAN 180 DAYS. <br />FEE <br />� <br />S <br />t <br />RECEIPT NO <br />IS YOUR <br />�:31 �'?. <br />37 <br />37 <br />1 <br />i4 <br />.� <br />