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fht'ECCrFrrrit �. JNSTRUCTIC)N <br /> Cil Y OI <br /> everett PERMIT PERMITNO. Z ��hi� � <br /> 259 -88� 0 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING �{MECHANICAL ❑ PLUMBING ❑ SIGN <br /> o'r,nru <br /> �ani�rour.css cm _�r r��orv[ <br /> Portia Gunderson 9717 W. @t&t Glenhaven Dr. Everett 98203 252-0757 <br /> !CN:,11t <br /> �AAILADOfiESS C�TY ZR' %10NE <br /> aRCMITEGT Op CLSIGNEB AIAIL 4DORE55 <br /> CITY ZIP f'MONE <br /> GENERALCONTPACTOR <br /> hIFiL A�OR[55 QTY ZIP PMONE LICENSE• <br /> H H <br /> � � � <br /> H ^.LC��ANICPICONTPACiOfi <br /> I,UILADDRESS CITY �IP PHON[ LICENS[• <br /> � y y Valley Natural Gas 2605 Mcdougall Ave EVerett 98201 259-5492 VALI.GNG153L1 <br /> M [Z � PLUMBMGCONifIFLTON <br /> MAIL AODRE55 C TV Z P P � E t LE E <br /> a <br /> � ¢ � CLA55 OF 1V0l1R <br /> '�V N "�9 ❑ NEW ❑ ADDITION Q�ALTEHAT�ON ❑ AEPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> y N �"� CONTA�TFERSONPN�PHONENO IFOTHERTN�NA�OVE <br /> � � � � CONTflACT PRICEOF WORK S Y SOO OO <br /> � � � �ESCRIIIE\VORKPNDSOUAREFOOTAGEINVOLVE� <br /> N ta R Install furnace & water tank <br /> G7 • <br /> M � <br /> M <br /> y <br /> �+ y rr�oaoseous[ovom�owc OSl14/90 �:36F'�i OOOAt1151� ���'� <br /> N <br /> M SFR <br /> O N <br /> � C� r �ccr.�oeseniarior+oFvaoven*visHo�vocwwonnrTne��rouncoPies �{Q�0�460'J ' <br /> �7 � IOT-- �LOCK—OF <br /> o t100024E02 <br /> N000�4601 . <br /> JOOAODRE55 CHECY, 5155.00 <br /> 4717 W. Glenhaven Dr � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OH ITEM <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> 0.'C—a HNDLG UNITS—H P <br /> WATER CLOSET�TOILET� <br /> FORCEDAIRSYSTEMS—B.T.U. MEA. <br /> BATHTUB <br /> LAVATORY�WASH�ASIN� UNIi MEATERS--�T.U. �'d M <br /> CLOTHESOflVERS <br /> SHOWER <br /> j� �' KITCHEN SINK 8 DISP VENTILATION FAN <br /> I OISHWASNER FANGEMOOD <br /> ���� LAUNDRYTRAV WATERIIEATER <br /> 1 �,� CLOTHES WASHER WOOD STOVE — <br /> URI4AL METAL FIREPLACE 8 CHIhINEY <br /> � 0_� DRINKING FOUNTAIN FIREPLACE INSERT <br /> ���' FLOOR DRAIN HEAT PUMP <br /> ' BACNFLOW PREVENTEPS GAS PIPING <br /> . ROOF ORAINS—RAIN�EADERS E%HAUST FAN <br /> ( '�� SINK�SERVICE—OAR.ETC� <br /> ��,�� <br /> SUBTOTAL S SUOTOTAL S SO OO <br /> � PEflM1T S PEHMIT = ZS 00 <br /> !I 1 TOTAL FEE S TOTAL FEE f 6S <br /> vNONTSETBACH �+[nnSEToncN 9DE5[TOnCK PLANCHECKNUM�ER FEE flECE1PTN0 <br /> ! f�' 1 usEZOr+e �olnnen vncnNtsne FEES ou��owccooe FEE <br /> _ ❑VES ❑NO 5 <br /> iVPE0FL0Y51RUL110ARlLUVABIE ttffO�COk9fpC1i0NAL1lIdl ,;,"'[,u' ��10[ONfIliNG0Yii5 BUILDING <br /> PLUMOING <br /> �_ $IZE OF OLOG NOAf STORIES OASEM[NT <br /> ' , ❑VES ❑ NO MECHANICAL ��X <br /> �y <br /> OCCU�ANCYIOAO FlRESPRINNL[RS�EOD MEIGIITLIMITAiION OTHER <br /> ❑YES ❑NO j <br /> STATE BUILDING SURCHARGE I <br /> nensnr�ronsvnirvrciu�s <br /> STATEENERGVSURCHARGE ' <br /> APPtICAT10NACC f:V VInNSAPPROVE06Y CITY OF EVERETT � <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTA� <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENrED WITHIN ppDRESS FILE � `f U O I <br /> 100 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />