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'�ir� <br />�ay <br />,azx <br />C H <br />ayxcn <br />y zH <br />�H� <br />"�sJ H'il <br />V] H <br />txTJ O M <br />HC <br />O 1-� <br />��8 <br />�� n <br />ay� <br />rHy <br />� <br />gd� <br />� r� r <br />2 H C�i� <br />aom <br />U�rt:i•crgrr�•n /1�w'V�[�1 1��'�� <br />Cll Y OF � <br />L' 1 Y R <br />eVePett PERMIT PeRnnirNo.. �'-��"���� <br />259-8810 <br />Cl DEMOLITION ❑ COMBINATION ❑ BUILDING C�MECHANICAL ❑ PLUMBING ❑ SIGN <br />:.�.,i� r.u.i. nooaEss <br />rnr _r rnrn� <br />Bill llickinson 4311 Ocean r1ve. Everet[, ldA 348-5472 <br />, � �; ���i FtNL A�DRE55 <br />Crtv :e• 1'nONE <br />Uaner <br />., l9iCCIORC6�GNCP A141LADORE55 <br />GTV ZIV Pf�ONE <br />CIiT ZIp PHONE IICCN56• <br />;,i �.mn� coru*ancron n�ni� nooaess VALLGNG 15 3L 1 <br />\�alley Nat. Gas 260� .IcDougall Ave. Hverett,lJA 259-5492 �,HONF ��ce�sE. <br />.._p1AMCALCONTRALiOR <br />nai�noon�ss atr ziv <br />CITV ZL� Il10NC UCEN°F• <br />�'LUAIpIN6C[`tRRACiOfi M/aIL AG^P[ lG <br />a nss or v.oaK <br />n ucw 1-1 ADDITION K7 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCA I <br />conr a. r �er,scrv nr+o r��v:t �+u �, ���,�" �,•.•,•.w <br />CONTRACT PRICE OF WORK' S 3 r 332. 00 <br />nesc�aor v+o�K A�o sounac voo*Ac� iHvou�Eo <br />Install ga furnace and wa[er heater <br />� :.cNosm use or ou��o�rm <br />Single Family <br />t C6A� D[SL�IPi�ON OF VROFERTv IShJ W C�ELOP. OA �T1AC�� V O�P Cp�iES� <br />ntM_S___..^A9Q�'it��F'C�}�i �i;'R <br />�Oi � t3LOCN �— Oi <br />�oo cno�,is� <br />4811 Ocean Ave. <br />PLUTABING <br />ry� TYPE OF <br />BASIN� <br />NITCHEN SINK S DISG <br />p15HWA5HEA _ <br />LAUNORYTRAY <br />CLOTHE$ WASh1ER <br />UPINAL <br />DRINKING FOUNTAIN <br />PLOCf: ORAIfi <br />�ACKFLOW PREVENTERS <br />f100F O�AiNS — RAINLEADEPS <br />SINK �SEPVICE — ��R. ETC I <br />rnONiSFICACrc <br />� �se zon� <br />•-.�zc ov n�oc <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />n[nn s[tnncK <br />i o* �ncn <br />Of S10RI[5 <br />YES ❑ NO <br />>awi <br />,-,�i�a�.-�r•,�-• ev nnu��,nrrnov�uuv <br />MECH <br />N6tiB <br />I�CH <br />MECHANICAL _��_ <br />FEE NO. TYPE OF EOt��� <br />n c� n r+r�o�cuNirs �� Gy� <br />— 1 �onceo.uNsvsrEn�c E+ry(pp� <br />-- uNi+�ienTEra;-nru fH �•, <br />CLOTM[S �RYGPS �(��Q <br />VENiIL�TIONfAN _�� <br />RANGI MO00 ��O^i9 <br />j \VAT[�HEATEH lfff.H <br />l'1O005TOVE � <br />IdETpL FIREPLACE E GHIMNE� <br />F'REPLACE WS[RT <br />MEAT PUMP <br />2 GAS PIPING <br />L%h1AU5T FAN <br />� <br />�_ S <br />��.�o[ �,uw.c�. <br />VACNNL S11E <br />❑ vEs n No <br />AN 111ECH NUMIiCR <br />SUBTOTAL <br />PERMIT <br />iOTAL FEE <br />f[f <br />�,,,�,�• nuamnuir+cuwis oui�oiNc <br />PLUM�ING <br />BhSC1AENT <br />❑ YES ❑ NO MLCHANICAI <br />��HCNiuuiiniinrv OTH[R <br />STATE DUILDING SUPCHARGE <br />ST�TE EN[RGY SURC��ARGE <br />CITY OF EVEP.ETT �,i�oiicwor�Ks <br />LOCALSALES -- <br />TAX COD[ IS rorn� <br />_ 3105_ ___. WHEN PROPERLY V� <br />PERPoIITS LXPIRE IF N�O�K IS NOT COMMENCED WfTHIN ;,� ;,r,;.'-�;• i!i i <br />100 �AV:; OR CFASFS POR MORE THAN 180 DAYS. <br />545.00 <br />545.00 <br />� <br />f <br />f <br />{i[CEIPT NO <br />75 I�� <br />TED THIC IS YOUR <br />GS��I� <br />