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CITY OF EVERETT <br /> �o�srRuc-��oN <br /> PERMIT PERMITNO. 27707 <br /> 258-881 U <br /> ❑ OCMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br /> 0\YNER IANRqppqE55 CITV ZI? PHOYE <br /> William Dollman 1418 Lombard �verett 98201 252-0679 <br /> TENANT IARILAD�RE55 CITY 2�P PHONE <br /> r <br /> AFCMITECTOROESIGNER fAAiLADDRE55 CITv ZIP PMONE <br /> GLNER4LCONTPACTOR IdAILADDRESS CiTY ZiP PHONE uCENS[v <br /> IdECHANICALCONTRACTOR h1AILAD0iiE55 CITV ZIP PY.ONE LICENSE4 <br /> Northcaest Idaterheater 3110 Hill ave �verett 98201 259-5331 NORTHIdH103R2 <br /> yC� PLUMBiNGCOMRACTOR MAiLADDRE55 QiY ZIP P�iONE LICENSEu <br /> Cl� <br /> [�H CLASS OF WORK <br /> a y� � NEW ❑ ADDITION G ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> LONiPGT PERSON AND PHONE tlO.IF CiHER THAN N�OVE <br /> y �H CONTRACT PRICE OF WORK: $ g��g 940.00 _ <br /> DESCRiBE WORK ANp SOUARE FOOTAGE INVOLVEO <br /> �p H� Install gas furnace �tfiiX#X%�3f1iffi!lKhl{ <br /> y y r�'., 04/13/91 . �GF" p�0A6B9C7 k:!., � <br /> rp�+ x2p <br /> C`] OL•1 PFOPOSEDUSEOFOUIL�ING <br /> p H d Single family res k`OQ02770� <br /> LEGAL�ESCAIPiIONUFPPOPERTV(SNOW9E10140RATTACHFOURCOPIE51 '�` n J. <br /> H/� �,o acoo���o: <br /> Y�V C] <br /> �.y lOT_�LCCK�OP 1 i �rJJ. <br /> 9 �3� ;1000�7704 <br /> r Hy �� . ;�.,.��� <br /> g ti �00o��7os _ <br /> H <br /> nd❑� aoenooaess ` � J� <br /> t�1� fiX%9XAXX%��k}iNX 1418 Lombard �ve. If0002770b <br /> � O� MECHANICAL ' �L • �� <br /> PLUMBING �,�^ <br /> . . .. .. NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIR�1EtIT q � FEE <br /> WATERCLOSET(TOILET) A'C-AHNDLGUNITS-HP. (^� Q? l <br /> BATHTUO I FORCGOAIRSYSTEIdS-BT.U. MEA. <br /> LAVAiORV�VlASHBASIN� UNITHEATERS-B.TU. b7 <br /> SHOWEq CIOTHESDRYERS <br /> HITCHEN SINK R�ISP VENTILATION FAN <br /> ��r� DISHWASHER RANGE HOOD <br /> �q I LAUN�RVTRAY WATER HEATER <br /> CLOIHES WASHER �YOOG STOVE <br /> URINAL h1ETAL FIREPLACE 6 CHIMNEY <br /> R, �' Df11PINING FOUNTAIN FIREPIACE INSERT <br /> �� �� FLOOR DRAIN HEAI'PUh1P <br /> BACKFLOW PREVENiERS 1 GAS P�PING <br /> �n � ROOFORAINS-RAWLEA�EflS EXHAUSTFAN _ <br /> ! ' SINK�SERVICE-f3AP,ETC.) <br /> �"T�� SUBTOTAL 5 SUBTOTAL S <br /> �`1 � PEfl1dIT 5 PERh11T 5 �_ <br /> TOTALFEE 5 TOTAIFEE S <br /> FPor�r SEr�ACK nenA 5[Toncn sm[5[toncK pLAN CMECK NUh7�ER FEE RECEIPT NO. <br /> ��. �� <br /> useior�E toTAnen vacnr�rSrtE FEES em�mr+ecooe FEE <br /> VPLIIATION <br /> ❑VES ❑NO <br /> 'we �� <br /> ' TVPEOPLCNSiPUCIi�:>'.�0::?G'.E TfPEOfCONSiRlILT104AGtU<L u���� ��OLG'tiF.�'�'•�L":i15 DUILDING <br /> wru.= <br /> PLUh1�ING <br /> SIZE OF OL�G. NO.OF Si0RIE5 OASEAIENi ' <br /> ❑YES ❑NO MECHANICAL <br /> �- uCCUPAIICYLOAO FlRE`PRiNNLEPSREOD HEIGNTLiMRAiION OTHER <br /> ❑YES ❑NO <br /> f�[n50'�FOR S�RINHL[nS STATE BUILDING SURCHARGE <br /> STATEENERGY;iURCHARGF <br /> ;,ri•,icn;�,ci:,cc nv r��nr+snaaaoveoar CITY OF EVERETT <br /> LOCAL SALES PU�LIC WORKS <br /> TAX CODE IS TOTAL 45 00 <br /> 3105 <br /> WHEN PROPEHLY VALIDATED THIS IS YOUR PERMIT <br /> ; <br /> PERMIT3 EXFIRE IF WORK IS NOT COMMENCED WI'iHIN 2 7� U 7 J <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. r:DDt{FSS FlLF <br />