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nc�F.t�� '� �ONSTRUCTION - � <br /> CITV OF ' <br /> everett PERMIT PERMITNO. ? `17 � 0 <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION L] BUILDING �}0.1ECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MMLAOORESti CItV T�P P��ONE <br /> Brian Van Tine 2501 Chestnut Everett 98201 259-4G40 <br /> TENANI UA�Lq00qE5ti f.rtV liP 1'��ONE i <br /> •11CMrtECT 011 DES�ONER Mul�OO�E55 CiTv ZiP PHONE �I <br /> OCNER�LCONTR�CTOR MeIL�00AE55 CITV IIP f'NONF LICENSF� <br /> AIEf.M�Nlql CONTR�CTOR M.1�1��DI1E55 Clrv IiP P��ONF LICCNSE� <br /> Valley Nat Gas. 2605 Mcdougall Everett 98201 259-5492 VALLENG153L1 <br /> HUM�iNGCONTR�CTOf1 MeLLnDONE55 CITY Zi� M�ON[ IICENSC� <br /> CL�SS OF WORM <br /> ❑ NEW ❑ ADDITION �ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIN6 RELOCATION <br /> coNr�ci rcnsor��r�o rHONe No �r on�er+*Har�noovc <br /> CONTRRCT PRICE OF WORK�. E 210.00 <br /> DESCRiBE WORN�NO SOU�PE IOOT�GE INVOI vE0 <br /> inetall hot water heater <br /> anovos¢o use or eunoiNc <br /> Single family residence <br /> IEO�L OESCPIPTION Of�ROPERtY�SMOW BEIOW OR�iT�CN fOUR CO�'IF51 <br /> lOT� OLOCN-O� <br /> J09AODRE55 <br /> 2501 Cheatnut <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FIIfTURE OR ITEM FEE NO. TYPE OF EOUIPMENi FEE <br /> WATER CLOSEi(iOILET) AiC��A�MNDLG UNIiS-�M P <br /> BATHTUB FORCED AIR SVSTEMS—8 TL M EA <br /> UV�TORV(WASH BASIN) UNIT HEATERS--0 T U M <br /> SHOWER CLOTMES�RYERS <br /> KITCHEN SINN 8 DISP. VENTILATION FAN 0 qb942 :kk## <br /> OISHWASMER RANCE HOOD <br /> LAUNDRY TNAV WATER HEATER <br /> CLOTMESWASHER WOODSTOVE <br /> i URINRL METAL FIREPLACE 8 CHIM <br />� DRINKINO FOUNTAIN FIPEPLACE INSERT <br /> I <br /> FLOORORAIN NEATPUMP � <br /> f B�CKFLOWPqEVENTERS GASPIPING <br />� _ ROOF DRAINS—R�INLEA�ERS ENMqUST FAN <br /> SINN(SERVICE—BI1R,ETC� <br /> BUBTOTAL f BUBTOTAL' f 15 <br /> IPERMIT f PERMIT f <br /> TOTALFEE f TOT�LFEE t <br /> FRONTSETB�CN FE�RSETB�CN S�OESETP�CK PLANCHECKNUMBER FEE RECEIPTNO <br /> I <br /> use zor+e ior�aer, v.c.r�r srtc FEEg suuoiwo eooc �E <br /> I ❑vE5 ❑ NO <br /> lYROifANSfRUC`qN.U:OW4Rlt 1YPFOfCON51RU[LqN�CIWI ,,,,,,,,'�," MOIXpWTIIMfUHi�S BUILDING S <br /> I PLUMBING <br /> SIIE Of BLOG NO Of STORIES 9ASE1AEN1 <br /> I ❑YES ❑ NO MECHANICAL <br /> OCCUP�NCVIO�p lIRESPPINh;FRSRE00 I�EIGIRIIMIT�TION OTHER <br /> ❑ YE5 C�NO <br /> RF�so�+ron srAive�Ens S7A7E�UILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPIICRTIONACC f3Y PlAN5�VP110VE0BV CITY OF EVERETT <br /> LOCAL SALES PUBUC WORNS <br /> TAX CODE IS TOTAL <br /> 3105 WHEN PHOPERLY VALIDATED THIS IS YOUR PERMIT <br /> u � <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN pDDfiEiS FlLE �� � �� (? �!� <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />