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L`l � �y <br />C�H <br />9 H fn <br />H�� <br />K n <br />H� <br />� H '�l <br />VJ H <br />t�] O � <br />OHd <br />��g <br />� v C] <br />t+y� <br />r-� H <br />gy <br />C��� <br />�O[/� <br />Is� <br />� <br />;1 � j <br />� <br />th��lir�•r�,�rren C�,,;NSTRUCTION � � <br />Clll' Of <br />ever�ett PE�MIT PERMIT NO. ����� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING i7 MECt1ANICAL �1 PLUMBING ❑ SIGN <br />avr+en ��nn nooness cirv nr ri�or+e <br />Ronald h;oran 1415 75t1� St Evcrett 9F�203 347-5230 <br />TENRNT <br />n�nitAocn[c. cirr ziv r��or+e <br />ARCIIttF.CtOP005IGNCR MRIlA00RE55 Qtt LiP PIIONE <br />f.ENER��COMMCi011 �.�AiIADDRE55 CITY ZIP P��ON[ ���FN`�° <br />M11EC�UNICRL CONTRACTOR <br />f,141L ADOPE55 CRv ZiP PlION[ LICLNSF � <br />PLUMBINGCONiRACTOR RINLAD��L55 CRV ZIP f'110NE LICENSE� <br />c�nss or wonn <br />❑ NEW ❑ AUDITION ❑ ALTERA710N C] REPAIH ❑ DEMOLITION ❑ BUILUING RELOCATIO <br />CONTRACT PRICE OF WORK: S <br />oescnie� wonK nwo saunne roo*n <br />invcueo <br />CONTACT V[RSON AND P�iONE NO I� OTMER lnas nuVvc <br />vaoroseo use or ouaoirvc <br />Sinqle Family Residence <br />�EGPL OESfBIPT10N O� FBOPERTY I5��0\V (iEL01'I OR AT i �CM f OUP C0�'IES� <br />rKm,� i ��•'ulH CGCifU165L1v :�=� <br />lAr — n�nfK — nv — -� -' , <br />JOfi ADDRE55 <br />7407 Highland Ave <br />PLUMBING <br />NO. TYPE OF FI? <br />1 WAiERCLOSET�TOILE <br />BATHTUO <br />KITCHEN SINK 8 DISP. <br />DISHWASMER <br />LAUNOHYTRAV <br />CLOTHES WASMER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR OFAIN <br />DACKFLOW PRE\'ENTERS <br />ROOF CIRNNS — FAINLEf <br />SINN ISERVICE — BAR ET <br />1bF20NE <br />Si1C CG UL04 <br />�::oN FOR SrBirvn�cns <br />ITEM <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />nEan scrn.:cK <br />LOTA�EA <br />ACIDRI <br />NO OF STORi[S <br />RPE S�niNK�cns nEo� <br />❑ YES ❑ NO <br />F�ec �.is.ao <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />S OO A'C—NHN�LGUNITS—HP. <br />FORCEOAIRS'/STEMS—B.T.0 Id <br />UNRHEATERS—BT.U. M <br />GLOTHES�RVERS <br />VENTILATION FAN <br />RANGEHOOD <br />� \VATER MEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSENT <br />HEAT PUMP <br />GAS PIPING <br />EXNAUSTFAN <br />� <br />S�E iET4atK <br />VACANiSRE <br />❑ VES ❑ NO <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />PLAN CMECK NUMBER FEE <br />�,,,W��` n0orm�Furt�Gn:nS 6UILDING $ <br />PLUMUING <br />045EUENi <br />❑ VES ❑ NO MECHANICAL <br />��Eia+TUMiTnnoN pTHER <br />ST�TE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />PERMITS CXPIRE IF WORK IS NOT COMMENCED WITHIN qpUilESS FIL[ <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />' -- ---- <br />Y VALIDATED <br />FEE <br />� <br />S <br />: <br />RECEIPT NO <br />�� <br />� <br />1 00 <br />IS YOUR PERMIT <br />\ <br />i; • _. <br />