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`�c�'�"R'�'�"' ^ C`�1NSTRUCTiON <br />riT� n� <br />evereot- � PERMIT PERMITNO. �1941 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING (R MECHANICAL J PLUMBING ❑ SIGN <br />ownen 1 ueii �nnnrss cnv nv i�r�oac <br />Larry Poor 403 Cabot Rd. Everett 98203 353-0853 <br />.[N�Hr unii �onncss c�rr zm rr�oH[ <br />OESiCNfn A�ui�noRE55 � LAV I�p PHONE <br />GENCR�I CONTR�CTOR �� IA��L�ODNf55 CITY Z�C PHOHC �ICENSE• <br />MECH�NiUi CONip�CfOR I,+nit eppnE55 f.Rv 1�� pr�ONC UCENSE � <br />Valley Nat. Gas 2605 McDougal Everett 98201 259-5992 VAL FN 15'+*I <br />PWMBNdCON1R�fT0 Mnn epDnESS Crtv tlf` vHONE uCENSEr <br />cuss or wonrc <br />❑ NEW ❑ ADDITION �j ALTERATION <br />CONTRACT VRICE OF Y.'ORK� a <br />Of SCRIPE WORK �ND SOUAqE fOUT��......,..�., - <br />_ Inatall furnace and N}ik water heater <br />O REPAIR ❑ DEMi)LITION ❑ BUILDINO RELOCATION <br />CONT�CI PFRSON �N� VYIOIIE NO 6 OTHEiI TIUN APOVF <br />nnowseo usE or nw�nn�a - <br />SFR <br />LEO�L DESLRIVTION Of P80PENIY �SHOW flf.lOW OR �TT�fRlOUR COPIES� <br />lOT � BLOCN � Of _ <br />JOBAOdiE55 � <br />403 Cabc <br />PLUMBINO <br />NO. TYPE OF <br />SHOWER <br />NITCMEN SINN 6 DISP <br />DISHWASMER <br />UUNORY TRAY <br />CLOTHES WASHEN <br />URIN�L <br />URINKINO FOUNTAIN <br />FLOOR DR�IN <br />B�CKFLOW PREVENTEPS <br />ROOF ORAINS - RAINLEAOERS <br />SINN �SERVICE - AAR. ETC � <br />!UB TOTAL � <br />PERMIT { <br />TOTALfEE { <br />iPONiSETB�Cn REeRSETAnCK SipESCtP�CK <br />rrrt a coxs�mx;ran <br />912E Of BLOG <br />OCCUPqNCYIORb <br />LOT�RE• V<CANiSrtE <br />❑ VES ❑ NO <br />�l1UV>Rl( IVRIXCprySIp�IqN�C1Uµ �.q���^ H00lON4l�ING <br />NOOlSTORIGS �eSEMENT <br />❑ YES ❑ NO <br />fIRESPPINeI.EI15PEOD ME�pM1UMIt�iIpN <br />❑ YES ❑ NO <br />flY �f'14N: <br />S.H. <br />CITY OF EVERET' <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />TYPE OF EOUI <br />A'C - A�NNDLG UNITS - H P <br />FORCED AIR SVSTEMS - B T <br />UNIT HEATERS � B T U <br />CLOT/IES DRVERS <br />VENTILATION FAN <br />RANGF.MOOO <br />WATEN HEATER <br />WOODSTOVE <br />METAL fIREPLACF.B CHIMNE\ <br />FIREPLACE WSENi <br />HEAT PUMP <br />GAS PIPING <br />E%HAVSTfAN <br />M EA <br />8US � { <br />PERI� <br />TOT � { <br />NUMBER �`H S3 .{�EIPTNO <br />q00��1940 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7MEF <br />STATE BUILDING SURCHqRG <br />STATE ENERGYSURCHARGE <br />PUE3UC WORKS <br />:OTAL <br />WHEN PROPEHLY V <br />CHEG; <br />IS YOUR <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN /� i J�} I <br />180 DAYS OR CEASES FOR MOliE THAN 180 DAYS. �DDRESS FILE <br />30 <br />30 <br />