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�r� <br />ah <br />,oax <br />H <br />9Hrn <br />� z� <br />K y� <br />� H "sJ <br />CA H <br />�y r <br />xz <br />r�o- <br />H C7 <br />O H <br />`,� C] C7 <br />H C�J O <br />4] � Cq7 <br />9 H t7 <br />C � <br />HH <br />b� <br />O H <br />C] C7 C/� <br />��Cr+7 <br />H O [/� <br />�d <br />a <br />�g <br />. <br />,:�, , , � ,;:,, , ,: �'' �`J �r15°� f� l� C: � I � � <br />�.<<, ,��, pq <br />�verett PERMIT PEfiMITNO. 2�`�I ' <br />2:i9 - 8810 <br />' DEMOLITION ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGt! <br />„, ., Ma�nooness arv r.u� vHor�e <br />'r7x Hawes 225-1O5th St. SE Gverett, P7A 98206 398-5797 <br />.� .'.;� �IAILFOOR[55 CIiT IIP f`HONE <br />� �ia16TO�1OE51GN[R A�ARADDPE55 CITT ZiP PHONE <br />��14L40NTRRCTOR fd.\RAOORE55 CITY 21P VMONE LICENSE� <br />Golden Eaa�.g �nnct_ o_n_ nnv 95q7 FOPYPYT. WT aa7na va,g�457 GOLDE�'�701pF. <br />,-imNICAICONTPALTpR 1/AILAODRE55 CItV ZIP FHOI�E LICENSE� <br />Pii.'.IIeINGCON:RACTOR Gn'�Lf�U�H6:.5 LiTY 21P f�w'.9C LICENSE� <br />ci n ;; oc wOnK <br />" 1 NEW ❑ AODI710N ❑ ALTEHATION �7 REPAIR ❑ DEMOUTION O BUILDING HELOCATION <br />CONTRACT PRICE OF WORK' S <br />[li5Cf11{3E WORN ANO SOUAqE fOOTA <br />^`nale Famil� Re <br />�.�.cn_ c[scr�ivtior+aF eaoPEA�r isHcw ne�ow on n*rnc�� voun cccies� <br />I O* � BLOLN- OF <br />_...�.,:r,oa[ss <br />PLUMBING <br />NO. TYPE OF FI%TURE Ofl <br />1VATER CLOSLT �TOILET� <br />BATMTU� <br />LAVATOFVIWABH DASIN� <br />SMOWER <br />NITCHEN SINK L �ISP <br />DISH'h'ASHEfl <br />LAUNDBV'IRAV <br />CLOTHES WASHER <br />URINAL <br />DACKFLOW PREVENTERS <br />ROOF �RAINS— RAINLEAOERS <br />SINK ISERVICE— BAR. ETCJ <br />�NO�lTSETPnCK <br />iKEIONE <br />. , � � r cqsmucu <br />SUOTOTAL 5 <br />PERMIT f <br />TOTALFEE f <br />W tlTPCi p[p50N ANO PIIONL NO IF OTHCR TIIAN A60VE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A.(f hHNpLGUN1T5—MP. <br />F09�LD Flfi SYSTE1d5 — B T.U. Id EA <br />UNITHEATEP.S—BT.U. M <br />CLOincSCRYERS <br />VENTIlATION FAN �� ��_�E� � � <br />RANGEHOOD <br />_ WATER HEATER ��� <br />_ R'GOo STOVE �_ <br />METAL FIREPLACE 8 CHIMf(E�CO�u <br />FlREPLACEINSERT ��^— <br />HEATPUMP � <br />Gf S PIPING <br />EXHAUST FAN rn �r�v <br />REARSETpACR SDESETO�CN <br />LOtABEA VAGNTSIiL <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />I[G <br />� <br />S <br />S <br />FECEIPT NO. <br />FEF.S FEE <br />❑ YES ❑ NO <br />uuexauir irrtorro!urxucmnncrw.! ,,,a,-� inuro��vEuncura�s OUi�DiNG 5 Z 800.00 59 00 <br />PLUAIBING <br />. i ul OLOG NO OF STOPoES OTSEMENt <br />❑ YES C NO ��ECHANICl.L <br />... �iPANCILOAD ���ESPRINNLEIISf1E00 HCIGIILIIMrt�TICII O, ��q � <br />❑ YES ❑ NO <br />,v.nHfoiav'mrvn�EHu STA7E�UILDINGSUFCI"�9GE q ��� <br />STATEENERGYSURCHARGh <br />:-:�icnrioNncc�v P�ANSAPPl10VE00V C�TYOFEVERETT �-� <br />LOCAL SALES �'UdLIC WORNS <br />- — � <br />TAX CODE IS TOTAL I <br />:;+,OS -- - --- - - � -- -------- . _ _. __ _. _----�� � <br />.—._. _. __ --.- � -- -- � -- - � WH[N PROPE(iLY VALID/�TED THI5151'OUR PERMIT <br />P[RMITS EXPIR[ IF WORit IS t:C�T COMMENCED WITHIN <br />180 DAYS OH CE^,F,[-c FOR I-0ORE 7HAN 180 DAYS. <br />�� � <br />