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°�c`'�`�cr��`."' C .J NSTR U CTI O f� <br /> CITY OF <br /> everett PERMIT PERMITNO. 2U61 � <br /> 259 -8810 <br /> � n � ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING 7{� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> L7O1':NER IAAILApDF�E55 CITY ZIP PHONE <br /> z <br /> � � � Della Leary 1411 Lombard Everett 98201 339-1151 _ <br /> Cy� H - TENANT I.IAtLA�ORE55 CITY ZIP PHONE �, <br /> t' H Ca <br /> y � H AqCMRECTOR0E51GNER ldNLAp0iiE55 CITY ZU� PHONE � <br /> k n <br /> y � GENERFLCONTRACTOR AIAILAO�RESS CItY IIP PNONE LICENS[v <br /> o�xo� <br /> � ��''''''II <br /> F] x � MECHRNICnLCONTFnCTOR MAILAO�RE55 LITY ZIP FNONE LIGENSE• <br /> � p N.W. Water Heater Inc. 3110 Hill AVe Everett 98201 259-5331 NORTHWH103R2 <br /> O H � �'�U1dBINGCONTFACTOP MAILPDDRE55 GTY ZIP FHONE LIG[NSE4 <br /> H � g - <br /> �y (C"�� CLASS OG l:'ORN <br /> z H 3 �1NEW ❑ ADDITION ❑ALTERATION O AEPAIR ❑ �EMOLITION ❑ BUILDING RELOCATION <br /> � y �:� CONTAGT PERSON AND�MORE NO.IF OiHER TNAN A60VE <br /> I-� H y CONTRACT PRICE OF WORK:S 3S0 00 <br /> y � H DESCFIOE\YORNANOSOU4PEFOOi�GE�NYOLVEO <br /> V <br /> n d� Install qas hot water heater <br /> � � C�1 <br /> ZHC/� <br /> F' OV� PROPOSEOUSEOFDUILDWG <br /> Sinale familv residence . <br /> LEGNL DESCPiPT10N OF PROPERTY ISHO1'/E1EL01Y OR ATTACM GDUq COPIE5� <br /> tor— o�ocK—ov n���e c���(�M f1f10P#6165 �k�K�k:�f� <br /> / <br /> H88E1^�671 <br /> MECH 830.00 <br /> E�}€E�� azn_nn <br /> JO�r1DDFE55 <br /> 1411 Lombard <br /> PLUMBING MECHANICAL <br /> NO. TY7E OF FIXTUFlE OR ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> WATER CLOSET(TOILET) !VC—A'HNOLG UNITS—H P. <br /> BATHTUB FORCE�AIR SYSTEMS—B.T.U. M EA <br /> '�1 __ LAVATORY�WASHBASIN� UNITHEATERS—B.T.U. M <br /> SHOWER CLOTHES�RVEPS <br /> 1 ' KITCNEN SINK 8 DISP. VENTILATION FAN <br /> � <br /> DISHWASHER ��ANGE HOOD <br /> '�' LAUNDRVTRAY _ �4'ATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> 1_� 11RINAL METFI FlREPLACL fl CHIMNEV <br /> DPINKING fOUNiAIN FIREPLACE INSERT <br /> '�1 FLOOR DRAIN HEAT PUMP <br /> ' ' �ACKFLOV/PRFVENTEPS GAS PIPING <br /> _ ROOP OR�INS—RAINLEADERS EXHAUST F�N <br /> SINK(SERVICE—BAR.F_TC.) <br /> �' <br /> s� SUB TOTAL 5 SIIB TOTAL S <br /> PCRMIT 5 PEHMIT 5 S <br /> '� <br /> TOTALFEE S TOTALFEE 5 <br /> �� FRONTSETpACK PEARSETpACK SIpESETBACN PLANCHECKNUAIBER FEE FECEIPTNO. <br /> V <br /> USEZONE �OTARE/ VPCNNTSITE FEES B111L01NGL00E FEE <br /> ' 1 ❑VES ❑NO � <br /> � � 1YPEOFLONSIPpCiIONdLL01YaBtE iYCEOFCON51flUCilO�lALi11Fl ���o��' Y.00fOwEIIINGWlIi� 6UILDIN(�i $ <br /> � <br /> PLUMBING <br /> -- --- SIZEOFBLDG NO.OFSi0RIE5 BASEUENT '�, <br /> ❑YES ❑NO MECHANICAL �'I <br /> OCCUPANCYL0�0 FIRESPPMNLERSRE�D HEIGHTLiM111TATON QTHER , <br /> ❑VES ❑NO <br /> n[nsoN von srnwK�eiu STATE BUILDING SURCHARGE � <br /> ST�TEENERG�"URCHARGE I <br /> nr.ucnnor�ncc.ov a�nNsnaaaoveoov CITY OF EVERETT - <br /> LOCAL SALES P��BLIC WOFNS I <br /> TAX CODE IS TOTAL 30 00 <br /> 3105 WHE.N PROPERLY VALIDA'!ED THIS IS YOUR PERMIT - <br /> ✓ I <br /> I <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDiI[S; Fu i: �U � � I <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />