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H (] '�L <br />t� <br />� <br />H <br />b HC N <br />M 7 3 <br />y z N <br />K n <br />y ?1 <br />b N b <br />� „i � <br />m <br />O M <br />zno <br />M [�J O <br />H , C <br />Zy N � <br />t' y Z <br />1-i H <br />O N <br />nov~i <br />� ro r <br />GC ta <br />Z H N <br />H O V1 <br />fheErerArecn �ONSTR�C� ��rr . <br />CITY OF V v J J J!i <br />evexett PERMIT PERMIT NO. - <br />�J9 -a�1 O ❑ PLUMBING ❑ SIGN <br />❑ BUILDING Q.MECHANICAL <br />❑ COMBINATION iip PHorve <br />❑ DEMOUTION _ <br />n NEWwanK � ADOITION <br />CONTRACT PRiCE OF WORK: S' <br />�pT � ptOCK � OF <br />JOO F[1UIR�a <br />83� <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET �TI <br />14th & <br />61piL A�OR[55 <br />AI..IL AOCPESi <br />F1PIL <br />TEHATION <br />pppTTqLHFOUR <br />KITGHEN SINK fl DISP. <br />�ISHWASMER <br />I.PUNORY TRAY <br />CIOTHE5WA5NER __ <br />URINAL <br />DRINKWG FOUNTAIN <br />FLOOR DRAIN <br />BAGNFLOW AFEVENTERS <br />flOOF OPAINS — RAINLEADEflS <br />SINK �SERVILE — BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FRONTSETS�CK qEAf15[TOAGK <br />.____.,. LOTAREA <br />LOPU <br />�m <br />98201 258-4�� ro � <br />CITY Z�F� <br />-2�P PHONE <br />C4fY <br />��� PMONF <br />� <br />m�oH[ <br />L�LENs[ • <br />cnr <br />hic <br />� e j�p pHON`c LILLNSE• <br />�ITY <br />❑ BUILDING AELOCATION <br />� REpA�p ❑ DEMOLI7ION <br />CaNTACTFEi150NRNDP110NENOIFOTHERiHANA�OVE u?^t' <br />/ivi�n �..,,caa rin��._--c <br />� <br />� nc-;p <br />HECN 255.OQ <br />HECH^ �65.(la <br />nc� <br />HECH 2�5.00 <br />y����,MC�00 <br />-rtuv <br />MECH ".55.00 <br />�G^p^ <br />�— BECN S6�.UJ <br />u zoi — <br />NECH^ :s�.oa <br />MECHANICAL HEGH <br />NO. TYPE OF EOIj�PBI�A=+� <br />A/C — A: HNDLG UNITS — MM[CH <br />FOR(,ED AIR SVSTLMS — B.�CV� M <br />UNIT HEATERS — � T.�� M <br />GLOTMESORYERS <br />VENTIIATION FAN <br />RANGLIi00D <br />WqTERHEATER <br />WOO�STOVE <br />h1ETAL FIREPLACE & CHI� <br />FIflEPLACE INSERT <br />HEAT PU�dP <br />GAS PIPING <br />EXHAUSTFAN <br />SUI�TOTAL s <br />f — PEPIAIT s <br />S TOTALFEE f <br />S ccr RECEIPTNO. <br />SiOE SETOnLn PLAN CHECK NUM�ER <br />vncnr+r srte FEES <br />❑ YES ❑ NO <br />,,;t�unl �xm�.ip" No.uiDxtun;cm�us �UILDING <br />PLUMBING <br />OFSTOPIES OPSEM[NT <br />❑ VES ❑ NO <br />MECHpNICAL <br />ESPRINBL[RSREO'O I�EIGHitLLaTATION �T�.��� <br />�� <br />YES ❑ NO ST�TE �UILOING SURCNARGE <br />ST�TEENERGYSUfiCNARGE <br />isnvreoveoev CITY OF EV�RETT pUBLIC WORKS <br />LOCALSALES _�� <br />TAX CODE IS TOTAL <br />3105 wucN vttOPERLY V. <br />aFRMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qpDRESS FlLE <br />$ <br />THIS IS YOUR <br />2539! <br />