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� <br />y�"�� <br />�a� <br />,a;ox <br />9H[n <br />y �H <br />FC (� <br />H x1 <br />� H "��1 <br />V1 H <br />y r <br />E� o � <br />H C7 <br />H [��TJ � <br />(7 u (") <br />r Hy <br />� <br />c� C7 N <br />��� <br />z r3 cn <br />HO� <br />5 <br />theFvCITYCOF Or'��/''1�S��UCTI�1� ' <br />eve�ett P� �'{�� �� PERMIT NO. � ��'�� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING %XMECHANICAL ❑ PLUMBING I] SIGN <br />OWNEf1 MAllr100RE55 CIiY 21F PHONE <br />Trish Wright 5528 Lowell Rd. Everett 355-5738 <br />TENPNT F1NLPppRE55 LITY Z'P PM�NE <br />AflCMITECiORP[$IGNER MFILADORESS C�TY ZIP PNONE <br />f,EkEPALGONiRACTOF lAAILADORE55 GITY ZIP VIIONE LICENSE� <br />ldEb�M1NICFLGONTBACTOR M1IAILAODPE55 CITY ZIP �'HONE UCENSE� <br />Natural Gas Equipment 16"� E. Marine View Dr. Everett 98201 258-2441 NATURGE110PL <br />FWI.!OINGCGNTRNCTOR ���AI�qDORESc Cliy ZIP FMONL LICENSEe <br />c'_nss oF Wo41N <br />Ci NEW ❑ ADDITION %XALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING HELO('ATION <br />CONTRACT PRICE OF VlORK: S ZCG.00 <br />.CSCRIBE WOAN AND SOUN(iE FOOT4GE RJVOLVED <br />iteplace furnace & water heater <br />vnoroseo we oF cuuon+c <br />Single fam:ly residence <br />IEGFL DESC�IPT'ON OF PROPERTY �SHO\'I �ELOV/ OII qTfAGH FOUR COFIC51 <br />LOT — [��OCN �_ OF <br />!o�nooaess <br />5528 Lowell Fid. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />PATMTUB <br />LhVATORY�WA$ <br />SHOWER <br />KIT(:MEN SINK 8 <br />DISHWASMER <br />LAUNDRYTRAY <br />CLOTHES WASHI <br />�RINKING FOUNTAIN <br />FLC10R DRAIN <br />�ACKfLOW PREVENTERS <br />ROOF DRNNS — RAINlLAO <br />SINK (SERVICE — BAR. ETC <br />F�ONiSE <br />US[ZONL <br />r�n:;or� Fon saniHrc�Er <br />nrviirniiouncc �n' <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />REAR SElOACN <br />lOT AFEA <br />IYtt 0. CONSiPUf•:ON RCi W.l <br />N0. OI >TO�ilE3 <br />rinEsrnmrcicasn[oo <br />❑ YES ❑ NO <br />or <br />CCNTPCI YEM]V N FNp ✓n V N[ NU �� V � nln i nnn <br />10/17/90 8:34fiYi OOORIt4138 I-t1.7 <br />i — <br />nooazseas <br />��u S30 00 <br />N0�025606 <br />i?E6N 4.'�9 B9 - <br />MECHANICAL CHEG: f60.O0 <br />NO. 7YPE OF EOUIPMEN7 FEE <br />A�C — A�MNDLG UNI f5 — H P. <br />1 FURCEDAIRSYS7EAS5—BT.0 MEA. <br />UNITHEATEflS—B.T.0 �d <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WFTERHEATER <br />\YOOD STOVE <br />METAL FIPEPLACE 8 CHIMNEY <br />fIREPLACE INSEFT <br />HEAT PUIdP <br />Z GAS PIPING <br />F%MAUSTI-'AN <br />5 SUBTOTAL� <br />f PERMIT S <br />��� I ' I TOTAL FEE f <br />SioE 5[tL��K PLAN CHECK NUMDER FEE RECEIPT NO. <br />VRCANi iliE <br />❑ re5 ❑ No FEES <br />.,,,,.`" r.00�r,uur�cuuii5 OUILOING S <br />PLUMBING <br />ORSEM[NT <br />❑ VES ❑ NO MECHANICAL <br />Hemi�Tur:irsrio�� OTHER <br />STATE BUILDING SURCHARGE <br />STATEENEFGVSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSAL[S <br />TAX CODE IS TOTAI <br />3105 ....._.. __ ................ <br />PERMITS EXPIRE IF WORK !; t�OT COMMENCED WITHIN qpUflESS f-ILE <br />180 DAYS OR CENSES I'OR MORE THAN 160 DAYS. <br />FEE <br />IS YOUR <br />