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CON�,CRUCTION CI'�Y OF EVERETT <br /> PE�� PERMIT SERVICES <br /> 3200 C�DAR SiRF�T <br /> EVERE'[T.WA 98201 <br /> (4251257-6810 <br /> lERMITNUMseR: MOlO7-021 DA'�: o7/Y�lI6o1 weawaaa.eQuie�mxr <br /> ioe�uoitFss: !�1 lACIF7C AVE ��� � <br /> •rn: �.oc�non: Mxf pia�x r•a m <br /> avra: SIEVF1tS KOtKE �+�r+r: ��t <br /> 91�1 PACff7C AVE �� <br /> EVEREIT WA��11 <br /> "'°"� cau�u�•sm ^� <br /> � EVF7tCREFIdSTATESHEETMET °�`�OF� <br /> INSTAILGAS UNE R VENTING FOR BOILER <br /> PO BOX ISOB M <br /> EV6RE19' WA98206 <br /> �� 4 S 232- 114 <br /> ��: <br /> V361L)IV& MTIdIR Mo.111+113 MiJqINONU R1�DIN6f5Fl <br /> 0 <br /> q¢IMO[ �SEl1M.7( Sm65E7l�R SmEShTlAQ GAMOE(SFl <br /> 0 <br /> mcaiouF azw�n: ea.smR�s: e�so�vrr: Rm�aoa.misf� <br /> 0.00 <br /> �yr6oFconsn: v�oFeuo�Na. �rtvre: nwns�nasr: <br /> aniana�eGv �ca.�on�. raiwrtv�w�nm+: <br /> f I.00O.OD <br /> F9fE AIMM R0Q'L. IIFASON: fL'lIJC MORKS�YIIMR: <br /> FEES: <br /> Mafi�eiul Permit Faa f50.00 <br /> 1)1-L �'�.71 i:�iFiif <br /> H 0]Gri;:J <br /> HI:CH 50.p' <br /> TlJ1 L 5Q.0.. <br /> G'HL.tt _� .�0 <br /> �� (li3F.'4: <br /> TOTAL FF.E f_y.M <br /> TOTAL FTiE1 PA[D M�M <br /> TOTAL FEFS DUE fS�•M <br /> REMARKS: <br /> PmnW espl�e If worlc eat mmmmad wit6M 1!0 dry�or wea mae`e la d�ye. alelE<r Lal fi�11�Cre <br /> �nm <br /> T6e Qly d Eventt b eol�eQon�bk to re�few t6e�ppraMRy d plt ao�s�eu b Ihb pamN, Co�Yr�ae �i�1'QT T10: <br /> wih pW covea�nu Y the sde re�m�Wty dthe qpilcetb�eer. Mp107-021 <br /> ADORFSS F7LE CtlPY <br />