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�,�,.,��.�,;�..,:, C-�(VSTRUCTIQN ,_ ; <br /> atv c� C �7�7 i <br /> everett PERMIT PERMITNO. 2JQ ( t i <br /> 259 -8810 <br /> ;7 OEMOLITION O COMBINATION ❑ BUILDING �tMECHANICAL ❑ PLUP+7BING O SiGN ; <br /> pnNCP L4alADOPE55 ❑tY ZIP MIONE <br /> Carolyn Krnsek & Don tCadhams 2115 Colby Everett 98201 782-6195 <br /> i[4:YT 1M�LADDR65 UTv ZIP PNONE <br /> neC�rtECTOR�ESiGNER MA�LMOHE55 CiTv ZiP �HOnff <br /> y M _ <br /> t�U� � <br /> F] CCI:EMLCONINAGTOR MNL��diE55 dTY IIP �'MONE LICEf1=.E• <br /> IO C <br /> � y y MetI�ODl1E55 GiY ItP I'NONE LIGENSi• <br /> e.^ECHI1NiUl LONTRAQOR <br /> K � (H� Valley Nat. Gas 2605 Mcdougall Everett 98201 259-5492 V1�i.i.8NG153L1 <br /> �-] :�7 �LU�CMGCCM1T�A�TOA M4iLA�DliE55 CITY IIP �'HONC L�CENS[� <br /> '�7 M �q <br /> N H <br /> � anss o�worK <br /> �q p ❑ NEW ❑ADDITION $Jfl�LTENATION ❑REPAIN ❑DEMOLITION ❑BUILDING flEIOCATION <br /> O M CONTACT FERSON AND PHONE NO IF OTNEH TiIAN R80VE <br /> H � O CONTRACT PRICE OF WORK'S � <br /> Lf . f1 <br /> M pESCOrBEWOPKAND50UAAEFOOT�GEMVOLVE� <br /> � y � *nstall fumace a water tank <br /> N <br /> N <br /> O m <br /> � c .-noocscoussorouaomc <br /> ro1-� y SFR <br /> O N LCG�LOESGRIGiIONOFPROttIi1Yi51101YGElOWONAttACNiOURCOF�E5) <br /> im_ o�ocK—or <br /> ^�_ng 4C�f1� �� , <br /> � <br /> t,��a{� 565.00 <br /> JOA R ess h[CH .E5.00 <br /> 21g� Colby _ _ <br /> ur.��i1 ♦a 4• <br /> PLUMBING MECNANICAL <br /> NO. 7YPE OF FIXTURE OR ITEM FEE NO. TYPE OF EdUIPMENT FEE <br /> WA7EP CLOSEi(TOILEiI A�C—/-HNDLG UNITS—H P. <br /> BATMTUB 1 FORCED AIF SYS7EMS—B T U. M EA. <br /> �' LAVATOflY(WASHDASIN) UNITHEATERS—BTU. M <br /> � I�_I� SHOWER GLOTMESDRVEFS <br /> 'a�'� NITCHENSINN60ISP. VENTIL�TIONFAH <br /> 1 p15MWASNER RANGEIi00D <br /> LAUNDRYTRFY 1 WATERIiEAT[R <br /> '��� 1VOOD iTOVE <br /> CLOTMES WASHER <br /> s�� UPINAL 61[TALfIREPLACEBCHIMNEY <br /> ' OR�NNWGFOUNTAM fIREPLAGEINSEFT <br /> � FLOOR DRAIN I1EM1T PUMP <br /> �ACNFLOWPREVENTERS Z GASPIPING <br /> � ��1 O ROOF ORAINS—RAINLCA�ERS E%MAUST FAN <br /> SINN�SEFVICE—BA0.ETC� <br /> !'�I SUBTOTAL f SUBTOTAL i <br /> PERMIT f PEPMIT f SS OO <br /> TOTAL FEE f TOTRL FEE f BS OO <br /> � lnONT5El6ate �[<n4[ienr,n SiDESETBAr,N PLANCNECNNUMpER �EE HECEIPTNO <br /> 'U111' <br /> USEIONE lO1AAEl1 VPCANTSITE pEES BNLDINOCOOE FEE <br /> � ❑YES ❑NO <br /> I�� -� ivROFCONSiNUL110NAllOWAq;F ttRIXfAMSiRUCIqNACiU4l '�pa'w' NU00wElLIHGUNitS BUILDING � <br /> �'`, PLUMBING <br /> 512EOFOL�G NOOF.TORiES 9n5EMENT <br /> � ❑YES ❑NO MECHANICAL BS 00 <br /> OGCl1M1ANC�LOAD RRESPRINKLERSPEO'0 HEIGNTLIMITATION QTHER <br /> ❑YES ❑NO <br /> nEnson von smwKleAs STATE DUILOING SURCHARGE , <br /> SiATEENEHGVSURCNARGE <br /> nrvucanor+ncc.ov r�nrvsavrRoveoov CITY OF EVERETT <br /> LOCAL SALES �'uouc wo�Ks __ <br /> TAX CODE IS rorn� �, r;r� <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOuf� t�[fthslT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDHESS FlLE �J l' ? �? <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />