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� CITY OF EVERETT <br />� �ONSTRUCTIUN <br /> u P�RNIIT PERMITNO. 27513 <br /> ?59-8810 <br /> ❑ DEMOLITION ❑COMBINATION ❑ OUILDING � <br /> ECHANICAL ❑ PLUM6ING ❑SIGN <br /> OVIIlER <br /> IAAILAOORE55 CITY ZIP PHOY.L <br /> Daniel Pilgrim 1426 LomUard Everett 98201 339-8230 <br /> TF.NANT <br /> IAAILADDRE55 CITV ZiP PHOtiE <br /> ' � �. . IAALLAOOPESS CITY ZIP PHONE <br /> �� AFCHITECT OR DESIGNER . <br /> GEIlERAL CONTfiACTOR <br /> IdAILAO�RESS GITY 21P PHONE LICENSEe <br /> MECHANICALWNTRACTOii <br /> MAILADi1AE55 Clt�� ZIP PNOIJE LILENSEu <br /> y n H Washington Natl Gas 118 SG �verett Pfall jday Everett 98204 355-3331 SdAS}IINGCB208 <br />� .T���J PLUMDING CONTRAGTOfl <br /> IAAILA�ORE55 CITY ]iP PMONE �ICEIlSEe <br /> [T� <br /> ay <br /> ��H ClASS OF VlORK <br /> iI ��� p ryEyy ❑ADDITION $I ALTERATION ❑ REPAIR ❑ DEMOUTION ❑ BUILOING flELOCATION <br /> CONTACT FEPSON AND PHONE NO.iF OTHER TMFN AEOV[ <br /> y �H CONTRACTPRICEOFVJORK: S 450.00 <br />'I rC C1 <br /> f � O CCO OLSGRIpEWOBKAND50UAFEF00TAGEIINOWE� <br /> .� H.� Instsll fuel line and conversion burner <br /> C/�H <br /> y t' <br /> � x <br /> y� P�OPOSEDUSEOFOURDING <br /> � n� Single Family Res 12/91 9:04AM 000{lk'u?34 * <br /> H CrI lEG4LDE5CAIPTIOHOFPROPERTY�SHOW�ELO'llORATfAGMFOUFCOPIES� / <br /> �Y n <br /> �pT__OIOCK_OF I�_ <br /> zH� � ` <br /> y y MECH >'O.CO <br /> r' H y Cf+S4 «:'•0.00 <br /> gy <br /> H <br /> f] C y <br /> q C r �oonooaess �� <br /> 3 C�7 1426 Lombard <br /> y p Vi PLU�dBING MECHANICAL <br /> � --�- � NO. TYPE OF FI%TURE OR ITEM <br /> FEE N�. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-AMNOLG UNITS-H.P <br /> FOPCEOAIFSYSTEMS-�.T.U. MEA. <br /> BATHTUB <br /> LAVATORY(WASN BASIN) <br /> UNITHEATERS-B.T.U. M <br /> CLOTHESORVERS <br /> SHOVlER <br /> KITCHEN SINK 8 DISP. <br /> VENTILATION FAN <br /> '�� DISHWASHER RANGE HOOD <br /> �' LAUNDRY'fRAV WATERHEATEfl , <br /> CLOTHES WASHER WOOD STOVE <br /> -- 1.1ETAL PIPEPLACE 8 GHIldNEV <br /> t� ,� UHINAL <br /> P , ORINKING FOUNTAW FINEPLACE INSERT <br /> " HEAT PUIdP <br /> FLOOR DRAIN <br /> BO.LKFLOW PFlEVENT[RS GAS PIPING <br /> ��0' � ROOF DRAINS-RAINLEAUF.RS E%HAUST FAN <br /> '�"'`� SINh(SERVIGE-f3AP.ETC.) <br /> ��b � SUB TOTAL 5 SUB TOTAL 5 Q_ <br /> PERIAIT 5 PERMIT 5 <br /> TOTALFEE 5 _ TOTALFEE 5 <br /> ' � • iRONTSET�nCK n[.�n5[tOACK Si0G5[1nnCR PU+NCHECKNUldBER FEE RECEIPTNO. <br /> � <br /> USEZONE �orn�a=_n �aca�irsrt[ FEES °Uvn°uAilo�i+°E FEE <br /> _ ❑YES ❑NO <br /> +,' ttPEOFGOfiSiPUC*IOYALLO'f(A9'.E n'PEOFCOHSiRUCiiONACiU>L a��":��' NOOipAEw;�U'��5 �UILOING S <br /> �� <br /> FLUMdING <br /> SiZE OF BL�Q I:0 O�STORIES DASElA[NT <br /> h1ECHANICAL <br /> ❑YES ❑NO <br /> � cCCUPPNGI'LOAD FlRESPqINNLEP5RE00 NEIGHTLItA1TATI0H OTHER + <br /> I <br /> ❑YE^� ❑NO <br /> STATE BUIIDING SURCHARGE <br /> l�6�SON FOR SPRiI1NLER5 I <br /> STATE ENERGY SURCHASGE <br /> na;���cnrianncc nv ainrsnrrr�ovroar O�TY OF EVERETT ' <br /> LOCALSALES PuoucwoaKs <br /> TAX CODE IS rorn� 30 00 � <br /> 3105 yyI�EN PROPERLY VALIDATED THIS IS YOUR PERMIT ' <br /> i <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ` i �7 J 13 - <br /> 180 DA/S OR CEASES FOR MORE THAN 1e0 DAYS. °.�'���'�-ti� � '_ <br />