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=3 tn" � <br />nn <br />,a�z <br />C x� <br />y �H <br />� �� <br />O H YO-7 <br />tn H <br />x z� <br />ta o ca <br />Hl7 <br />Q H <br />7� C7 C7 <br />H C+] O <br />4] u (i <br />H <br />C9-� N Z <br />t-i H <br />t7 C� <br />p H <br />C] C7 V� <br />�r�3-r <br />Z H C�/� <br />H O [/� <br />'4''� `�4 <br />. :c ! <br />ff � <br />6 � <br />;, : . ,,:,,� � �����r€�uc-rf�r� <br />���erett PEi�MIT PERMITNO. �'�`'�-": <br />''�9-8810 <br />�-�. DEIdOLIT10N ❑ COMBINATION 0 BUIL�ING ❑ MECHANICAL ❑ PLUMBING "�. SIGN <br />.., r� i1AILAD�PEGS CITT LP f-�PJt'[ <br />Leo Norman 2930 Hoyt Ave �verett [JA 98201 337-9008_ <br />_ . ..i AIAILADCPESS GITY ZIP PHpJC <br />- . ��'FCTORCESiGNER MAiLqODAE55 CITY 2�P PHONE <br />.. ..:'.aLCONTRdCTOfi idAILR00PE55 CRV ZIV �'MON[ LiCENSE� <br />..�•�NiLALCONTR/CTOR R14iLh��RE55 CiTY 21P P„ONE LiCENS[� <br />l'ashington i�at Gas 112 SE �verett Ptall Sdav Hverect.wA 9II208 SdA li V SS B <br />r..�.:•.:��r;ccornaac.on �n,u�neoees; crtv zir vrnHe ucen:c�:�. <br />L..�� � O� WORK <br />❑ NEW �7 ADDITION ❑ ALTcRATION ❑ REPAIR ❑ DEMOLITtON ❑ IiUIL�ING RELOCATION <br />COMinCT PERSON NKO PHONE 110 6 OiHER 1MAN AOO��E <br />CCNTRACT PflICE OF \vORK $ 16� �� <br />GC' �.Cia�E WORk AND SC W�R[ FC;;ThGE INVOLVtD <br />25' fuel line install as dr er <br />:=.n^oseouseo�oua <br />� <br />1 tGAI DESCA�PTION G� <br />LOi� 6LOC8— <br />or _ <br />J03 ACDRE.`= <br />2930 ]loyt Ave. Laundry Rm. <br />PLUMBING <br />NO. TYPE OF FI%TURE UH ITEM <br />WATER CLOSET �TOILET� <br />BATMTUB <br />LAVATORV �VJASM BASIN) <br />SHOWEF <br />KITCHEN SINK d �ISP. <br />OISHWASHEF <br />LAUNDRVTRAY <br />CLUTHES VfASl1ER <br />URINhL <br />ORINKING FOUNTAIN <br />ROOR ORAIN <br />�ACKFLOW PPEVENTERS <br />ROOF Di'.AINS — RAINLEi <br />SINK �SERVICE — 9AR. El <br />f R@IT SETe/ Crc <br />USEZON[ <br />IYff OL LONSIAUfiiON R0.01 <br />.,: r. or n�oc <br />.... .'.i IP4NCY LOI.O <br />:.�oN voa srnir�Kiei <br />nr:•..'�r:.no:: er� !�r <br />SUBTOTAL <br />PENMIT <br />TbTALFEE <br />n[r�n s[Tt�nCrc <br />LOi AfiEA <br />NO OF STORiES <br />FIRE S�Ii1NKLERS RE00 <br />❑ YES ❑ NO <br />IiT <br />fOUR COPIE51 <br />f <br />S <br />5 <br />MECHANICAL ��/( <br />FEE NO. TYPE OF EOUIPI <br />A-0 A-HNDLGUNIT$—HI{OI <br />FORCED AIR 51'STEMS — � MEI <br />UNITHEATERS—B.T.0 Ci <br />CLOTMESOFYERS <br />VENTILATION FAN <br />FANGEHOO� <br />WATEFHEATEF <br />WO00 STOVE <br />1lETAL FlREPLFCE 8 CHIMNEY <br />FIFEPL�CE INSERT <br />HEATPUMP <br />X GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PENMIT <br />iOTALFEE <br />PLAN CMEGN NUMBEfi FEE <br />VHCANt SItE FEES <br />❑ YES ❑ NO <br />,,,��' NaOfC:'du�r61;P�5 BUILDING S <br />PWMBING <br />O�SEMENT <br />❑ YLS ❑ NO MECHANICAL <br />n[iGHiunn*ation OTHER <br />STATE �UILOING SURCIiARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT Puoucworaks <br />LOCALSALES <br />TAX CODE IS TOTAL <br />_ 3105 yJHEN PROPERLY VALI <br />PERMITS EXPIRE If WORK IS NOT COMMFNrED WITHIM <br />180 DAYS OR CEASES FOF MORE THAM 180 DAYS. <br />nu����,�:,s f�i<< <br />i io:oean 000a�ss�z �:.Rt-c <br />FEE <br />FO: <br />k Ea 330. 0 <br />M �J�. <br />� <br />5 <br />5 <br />RECEIPT NO <br />FEE <br />IS YOUR <br />��� <br />�b4���� <br />� <br />n <br />