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d <br /> °'�.``��""' � r�NSTRUCTSON �w � <br /> CITY t7� <br /> everett PERMlT PERMITNO. _ �5�� �' <br /> 259 -8810 <br /> ;] DEMOLI710N ❑ COMBINATION L7 9UILDING Xfl MECHANICAL ❑ PLUMBING ❑ SIGN <br /> oc.*+Ee � r.unnoonas crtr nr rr.ouc <br /> Roger Hayes 3413 Colby Ave. �erett 98201 259-1843 <br /> TCKANi M41L�DDR[5. GITY IIP PMONE � <br /> ^3 [+ �y �.RCIalEGiOF�[SIGNEF M/dLADDRE55 CIiV ZIF PNONE <br /> i0 A y <br /> C M GCNEMICOMN�CTOP IAAIL.\DOFESS GITY ZIP PHONE L�GENSr� <br /> � H N <br /> N S <br /> F] M GECIUNiL�LCONTAACiOR M�IL.�DpRE55 CITY ZIP PHONE IICCNLE� <br /> oz � N.W. water Neater Inc. 3110 Hill Ave Everett 98201 259-5331 NORT[�wt1137KJ <br /> �C M �C ��UNOINGLONTIIACTOR ldAiLADDBE55 CIiY ZIP fq�ON[ UCENEC� <br /> U1 N�+ <br /> C Z S <br /> !C O M c�n55ofwOHK <br /> p ii � kJ(NEW ❑ADDITION ❑ALTEHATION ❑REPAIfl ❑DEMOLITION ❑BUILDING REIOCATION <br /> M � � CONT�GTPERSONMpPr+pNEN01fOTM[RiNANA�OVE <br /> r-ni � CONTRACTPFICEOFWORK:S LLfS0.00 <br /> b y � �CSCRIpEWORN ANO SOUARC�OCTAGEiNVOLYCO <br /> y <br /> y H Install gas furnace & water heater <br /> f1 O N <br /> � n0 t�a �Ac�osmuseornunoina <br /> y � H Single family residence <br /> I[44L GCSCRiPT10N OF PFOPENTY ISNOW BEIOW OR ATTACM fOUR C0f'IE$) <br /> � <br /> LOL�BLOCN—�OF <br /> IILYl1 ��. .«1 <br /> \ • <br /> J00<�pFE55 <br /> 913 Colb Av <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO, TVPE OF EOUIPMENT FEE <br /> WATER CLOSET;TO:LET) A�C—A�HNDLG VIJRS—HP. <br /> - BATHTUB FORCED AIR SVSTEMS—O 1L. M EA. <br /> I ��'� LAVAiOflY(WASHpA51N� UNITHEATFRS—DTL M <br /> � SHOW@R CLOiMESDRVERS <br /> 1 , KITGHEN SINK 8 DISP. VENTILATION FAN <br /> OISV.WASHEfi PANGE MOOD <br /> ' '_�� LAUNOFY TRAV WATER MEATEfi <br /> ���' CLOTHES WASMER WOOD STOVE <br /> ' ' URINAL METAIFIREPLAf,E6CN�MNEV <br /> � DRINKING FOUNTAIN f�flEPLACE INSERt <br /> I FLOOR DRAM NEAT PUfAP <br /> I 1� BACKfIOWPREVENTEPS Z GASP�PING <br /> ROOF ORAINS—RAINLEA�EPS E%IiAUST FAN <br /> SINK(SENVICE—6AR.EiC J <br /> _' I <br /> � SUBTO7AL f SU6TOTAL f <br /> PEPMIT f PERMIT f <br /> ! TOTALfEE f TOTALFEE S <br /> _� fnpNTSETOnCrc nEnnSEtonCK 5t�E5EtPACrc P�ANCHECKNUM�ER fEE RECEIPiNO. <br /> I USELONF LOTME4 V4CANTSRE FEES BWLDIHGCODE FEE <br /> � ❑YE8 ❑NO <br /> _, ' LYRafCONSLPpL110YAlUnVABIF iYMOiCOh51N11Ci1pNRC1Uel '""'r'�' ��DOfpNilli4GUt:liS �UILDING S <br /> �►' <br /> PLUMBING <br /> 9.4L OF pLDG NO OF STORIES dASEMENT <br /> ❑YES ❑NO MECHANICAL SS 00 <br /> OCCUPpNLYiOP� FlR[SPRINKLERShEOD 1�EIGIIiLiMIT�T10N pT�iER <br /> ❑VES ❑NO <br /> REnsorv ron 5vr+wrcL[as SiATE�UIL�ING SURCHARGE <br />' STATEENERGVSURCHARGE <br /> APPLiCATiONACC F3Y a�nNcnrPnovrnnr CITY OF EVERETT <br /> LOCALSALES rueucwoaKs <br /> TAX CODE IS TOTAL 55 00 <br /> ' 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PEHMITS EXPIRE IF WOHK IS NOT COMMENCED WITHIN pDDHFSS 14E 2 5 7 5 e <br /> 180 DAYS O(i CEASES FOR MORE THAN 180 CAYS. <br />