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x��[[+++�a <br />Csl � <br />H <br />Q N <br />> H V� <br />��� <br />MH�-�! xl <br />� M � <br />H� <br />O � d <br />��g <br />Hy � <br />H <br />$ H <br />gyy <br />C] C� !�G <br />G� <br />HOCyi� <br />Ihch't•rr�'mn ��-� C,; �.NSTRUCTION � � � <br />c�rv or <br />everett PERMIT PERMITNO. ����� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �7 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER h1AILRD�RE55 CITY ZIP PHONE <br />Paul Suqer 3119 Afukilteo slvd Ev rett 9820'+ '+Ss ?�6h <br />T[NANT MAIIA�ORE55 CITY ZIP PMONE <br />ORDESICNER MAILApOPE55 CITY 21P PMONE <br />GENE�ALCONTRACiOR h1A1LA0�RE55 LIIY 21P P�iONE IICENSE• <br />NW Water Heater Inc 3110 Hill Ave Fverett 9A9o1 759 53i1 NnumucuFn mu� <br />MECNANiC1LCO4TFACTOR AIAILA�CBESS CITY ZIP t'NONE LICENSi• <br />PLUM�ING <br />CLA55 OF 1YORN <br />C.l NEW ❑ ADDITION <br />MA�L A�DRE55 <br />❑ ALTERATION ❑ REPAIH <br />CONTRACT PRICE OF WORK: S 30��_ I <br />DESCRIOF.1YJnKAM1D50UARFFOCT4GEINVOLVEO <br />Install <br />PROPOSE� USE OF tlUauirvo <br />LEG/L �ESCRIPTIOY OF oqOPERtt �SHCW CCIOW OR RTTACM FOl1P COPiE$� <br />LOT — OIOCM1� OF <br />cin z�P <br />❑ DEMOLITION <br />uccr+se. <br />❑ BUILDING RELOCATION <br />GONT4GT FERSON AND FMONE NO IF OTXCn TMAN nuuv[ <br />04/^^/91 A•�911M Mf1Ad6577 "1'1:7:1 <br />/ <br />1lfNlfl^F.A'th --- <br />�oo nooaess MECH 'bS5.00 <br />PLUMBING <br />NO.T— <br />FI%TURE OR <br />SHO\YER <br />KITCHEN SINK 8 DISP. _ <br />DISMWASNER <br />IAUNDRYIRAY <br />CIOTMES WASHER <br />URINAL <br />DPINNING POUNTAIN <br />FLOOH �RAIN <br />�ACKFLOW PREVENTERS <br />ROOFDRAINS—PAINLEADERS __ <br />SINK (SERVICE — DAR, ETC J <br />St1B TOTAL S <br />PERMIT S <br />TOTAi. FEE S <br />TOPCN PEARSETpACY. 5 <br />USEZONE <br />IVFE OF [ONSiflUf,110N <br />sliE oF o�oc <br />occurnNcv�ono <br />LOTAREA <br />stoai[s <br />,dECHANICAL iiECH 975.00 <br />FEE NO. TYPE OF EOUIPI <br />!V C — A/HNDLG UNITS — H <br />FORCED AIR SVSTEMS — B CI� <br />UNIT Y�ATERS — �.iL. <br />CLOTh.ES ORVEAS <br />VENTILATION FAN _ <br />RANGEHOOO <br />W�TEfl HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />PIREPLACE INSERT <br />MEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PENMIT <br />SETppcN I PLAN CHECK NUM�ER I FEE <br />VPGNI Slic <br />❑ YES ❑ NO <br />actuaL °C;;,'�,',�' M� of nitllU4GUYJ5 BUIL�ING <br />❑ YES ❑ NO <br />FIFESPRiNNLEFSRCOD ��EIGNiLIAl1iAT10N <br />❑ VES ❑ NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PLUMDING <br />MECHANICAL <br />OTHER <br />SiATE BUILDING SU(iCHARG <br />STATEENERGYSUFCHARGE <br />PU�LIC WORKS <br />$ <br />M <br />VALIDATED <br />FEE <br />� <br />f <br />f <br />RECEIPT NO. <br />YOUR <br />FEE <br />75 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN �� C,��' �� � � <br />ADDRESS PILE L l.� �.' �: J <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />