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'h�E°�,��°" C`�NSTRUCTI� N ^�� <br />CITY OF <br />evereot PERMIT PERMITNO. ��}�U�� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Xx] MECHANICAL ❑ PLUMBING ❑ SIGN <br />OY:N�N MAILAO�RE55 GITY ZIP PM@�[ <br />Harold Fnarctanan 9A19 i.arlin ilr Fvaro+t Qf37(1R Z54-0RSR <br />iENANT MAILAD�RE55 CITY ZIP PHONE <br />nFCMITFCTOBOESIGNEP MAILAD�BE55 QTY ZIP PHONE <br />GENERAI CONTqp�iOR MniL ADDRE55 CITY ZiP PMONE UCED iE • <br />MECHqNICALCONTRACTOR MAILFO�RES$ CITY JV PHONE ULENSE• <br />Snnit�k 11919 - 194th Ava NF x�rklanA QN�jA A97-A�jd7 iif�y�].�JQ <br />PLUM�INGCONTRACTOR MFILApOFE�.�S CITY ZIP PNOtlE UCENS[• <br />CLAS$ OF WORK <br />O NEW ❑ ADDITION XBALTERATION ❑ REPAIR ❑ OEMOLITfON ❑ BUILDING flELOCATION <br />I CONI FGT PEFSON ANO PHONE NO IF OTHER TMAN nBOVE <br />CONTRACT PRICE OF WORN: S 2�415.00 <br />DESCRIBE WORK ANO SOUARE � OOTAGE INVOIVE� <br />Install qas furnace <br />PiiOPOSE� U.�,E OF BUIL�ING <br />SFR <br />LEGAI DESCRiPTIGN OF GROPERTY ISMUW BELOW OR ATTACH FOUR COPIES� <br />LOT _ pIOCH _ OF <br />JOBAppRE$S <br />2819 Iarlin Dr <br />PLUMBING <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILET) <br />BATNTUB <br />LAVA(OHY �WASH BASI�.� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />�ISNWASHER <br />LAl1NDRV TRAY <br />CL4T:iES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOH DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEAOEflS <br />SINK (SERVICE - BAR. ETCJ <br />SUBTOTAL 5 <br />PERMIT S <br />TOTALFEE S <br />REAfl5ET0ACK 5 <br />ZONE �LOTAFcA <br />Of CONSfFOL110N ACi11AL <br />NO OF STORiES <br />FlRE SPRINNL[RS REO'D <br />❑ YES ❑ NO <br />MECHANICAL <br />FEE NO. TVPE OF EOUIPMENT <br />A/f — q/HNDLG UNITS — H.P. <br />FORCEDAIRSVSTEM$— j. . <br />UNITNEATERS--�S.U. � <br />CLOTNESORVERS —t <br />VENTILATION FAN ` ` <br />RANGE HOO��{L�— <br />WATERHEATER � <br />WOODSTOVE 8�� <br />METAL FIREPLACE 8 CHIM � <br />FlHEPLACEINSERT <br />HEAT PUMP ` <br />GAS PIPING � <br />E%HAUSTFAN ` ` <br />SUB <br />PLANCHECKNUMBEN <br />VACANTSrtE <br />u ves ❑ No FEES <br />a�«a(,"<" NoofowEtuNGUnnS BUILDING S <br />PLUMBING <br />DASEMENT <br />❑ YES ❑ NO MECHFNICAL <br />NEiGNrlmuTanor+ OTHER <br />STA?e BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 _ <br />FEE <br />NO. <br />65 00 <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED 4JITHIN ������;5 fILE '!� ,' ' <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. -�` <br />