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y n � <br />c r m <br />� � W <br />by y <br />M r � <br />� :L � <br />H � <br />°w � � <br />N I-i <br />� H � <br />O F+ <br />z n o <br />M {C O <br />c • n <br />N <br />�. y.. <br />H H <br />O N N <br />R$o�, <br />Cn tl n <br />H O tyn <br />i �� � <br />i� �� <br />� �� <br />' �� <br />� s� <br />0, <br />an. ��, <br />,/r�,: :;,,, , �,. j����n�����d9.��� <br />�����r��� PE�MI� PEkMlTMO. _ ��� ��- <br />�:i5-8810 <br />�:: DEMOUTIQN �7 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PlUM91NG ❑ SIGN <br />dL 1.1TII aOpfIE55 CIiV ZIP CNONE <br />Dethel Baptist Church 2625 Everett Ave E�-erett <br />.�:�M1i rnnLL4uoness c�rv piv pr�oNe <br />�'�.-IUIECTOR([$IGtiER MAILpppRESS CIiY ZIP PMONE <br />—..Vi/.LCJNi11AC10R b�PRPJDH[i5 CITY ZiP PNUHE LICEtC-,l.-• <br />Bethel Haptist Church 2G25 Everett Ave Everett <br />�.fM1HANICALCUNiPACTCq MAI�NOD41E55 CITY 21P CMONE LICi11L <br />� I 1��A91NGCONiRACiOR AINI AOn�. -5 CITY IIP PMONE llf,C4, r.: <br />itoes lst Class Plumbina 6217 Beech St. Everett 98203 353-3592 ROESFCP121D:a <br />['���SSO�ViORM � <br />O NEW ❑ ADUITION ❑ ALTEPATIGN ❑ RF.PAIR ❑ OEMOLITION J BUILDING FlELOCATION <br />�ON!pCT FERSON FNC PI IONE 110 R OTM[P TIAN AOOVE <br />CONTRACT PRICE OF YlORK'. S <br />er sc;n�ne v:onn nHo sn��r.ne roorncc ivvn�veo <br />�/27/ 11: Ac - <br />/ <br />� ���ornseo use or euanwc 't1000261E,D <br />PLEG 94U.00 <br />irnn�r,-seninnoHovanorenrr�sNowecirnvoann>a+wuneoviesi HECH SS.00 <br />i.cr._�.ocx—ar _ CHE�f; $45.00 _ <br />2625-Evarat-t Asse. <br />PLUMBING <br />NO. TVPE OF FIXTURE OH iTEM <br />WATER GLOSET ITOILET� <br />OATHTUO <br />LAVATORY �l'lASH OASIN� <br />SHOWEF <br />1 KITCHENSINKEOISP. <br />], DISMWnSHEF <br />j LAUNOFYTFAY <br />CLOTI IC311'ASHF.H <br />URINAL <br />�RINKING FOUNTAIN <br />Z FLOOROFAIN <br />BACKFLOW PREVE4TERS <br />ROOF ORAINS — RA�NLE40ERS <br />� SINK �SERV:CE — AAP. ETCJ vnn <br />lISC ZONE <br />ivt 01 CONSINJCWNAIIU <br />"d[O�OLUG <br />t r ,:i �nANGY LORD <br />. ,�,.or�ronsamHKte� <br />, .�.c;.i�.� � .... . <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />lOT A11F A <br />nrc a coxsr�ucrmr, acruai <br />NO O� STCNiES <br />f IRE SPRINNLEP$ PEG'fl <br />❑ YE.S ❑ NO <br />MECHANICAL <br />FE£ NO. 7YPE OF EOUIPMENT <br />n G-- A HI�DLG UNITS — H P <br />FORCED AIP SVSTLAtS — u TL. M <br />VNITHEATEFS—BTU. M <br />CLOTNES�RYERS <br />S OO VENTILATIONFAN <br />S OO AANGEMDOO <br />`J OO WATFR NEATEl1 <br />WCODSTOVE <br />METAL FIRE?LACE 8 CHIMNEV <br />_ FlFEPLACEINSERT _ <br />.LO OO HEAi PUMP <br />GAS PIP,NG <br />E%MAUSTFAN <br />f SUBTOTAL <br />f PEPMIT <br />f � TOTAI FEE <br />5iUE5Eroncn PLnNf.1+ECRNUMOEFi FEE <br />VACAM �iTt <br />C vEs C ru0 FEES <br />,,.u�t` NUOfONEIIiNfUNrtS DUILOING S <br />PLUMBING <br />onsErnEr+r �� <br />❑ YES ❑ NO MECHANICAL <br />HEIGMTLIMIiPTIOIJ pTHER <br />STATE OUIlDI�G SURCHAFfiE <br />STATEENFflG�SURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES �'UUIJC WOPKS <br />TAX CODE IS TOTAL <br />_ .i��s_ �uuru no��ovoi v �)n� i <br />PERMITS EXPIRE If VJOPy IS NOT COMMENC[D WITHIN <br />160 DAYS OR CEASES FOR M1�OqE TN.4N 180 OAYS. <br />� <br />_ . .,. ,.�. � ��, i <br />FEE <br />�s <br />f� <br />RECEIPT NO <br />�� <br />�— _ .— 45 <br />DA7ED TNIS IS YOUN PERhSIi <br />j_ _1 <br />.: � <br />� <br />