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5�K] <br />�S' � y <br />�Hf~i� <br />H�H <br />K n <br />oH Sa <br />�IH� <br />H� <br />xo <br />OHd <br />��8 <br />�I] Y (] <br />t"y� <br />HH <br />g� <br />ei��n <br />�O� <br />°��.�°r'�'��.,, _w ��7NSTRUCTION -- <br />CITY OF r� p <br />everett PERMIT PERMITNO. G�1 U� <br />259-8810 <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING �[] MECHANICAL ❑ PLUMBING ❑ SIGN <br />OK'NER MAILFUORE55 CITY ZIP f'110NE <br />Rex Casper 3418 Mukilteo Blv2 Everett 98203 347-8 3182 <br />TENANT M41L>D�RE55 CITY ZIP PHONE <br />AN[HIiWtON0051GNE0 h1AllADDRE55 CIT'! LIP PNONE <br />MAiLA00PE55 CITY ZiP 1'NONE LiCErvSE� <br />AIECNnt�tCFLCONTRPCTOR RIqILnOD�E55 G1TV 21P f'HONE LCENSE• <br />Natural Gas �quipment Co., Inc. 1625 E Pfarine View Dr Everett, WA 98201 258-2441 _ <br />..�..,i.e.�.�.o MNRROORE55 CITY ZIP *'*FHONE LIC'NSE• <br />_..,....... mimnn 1 l 11DT. <br />c�nss ov wonK <br />❑ NEW <br />fl ADDITION ❑ ALTERIITION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br />CONTRACT PRICE OF WORK: S 465.00 <br />�ESC�i��E \VORR AND SOUAR[ FOOTRGE MVOLVED <br />Replace furnace and water heater <br />PROPOSED USE OF BW 101NG <br />Single famil residence <br />LEGFL DESCRIPTION OF PROPEBTY (SHOW OELOW OR PTfACN iOUR COPIES� <br />LOT - BLOCK - OF <br />JODAOOfi[55 <br />3418 Mukilteo Blvd <br />PLUMBING <br />NO. TYPE OF FIXTI'AE <br />LAVATORY <br />SHOWER <br />8 DISP. <br />LAUNDflYTRAY <br />DRINKING FOUNTAIN <br />FLODR ORAIN <br />BACNFLOW PPEVENTE <br />ROOF OPAINS — RAINI <br />SINN ISERVICE — BAq. <br />fRONT5ET0ACK <br />USEZONE <br />fYff OF CONSiNUtiqN AILP�YAI <br />512E OF �IAG <br />occuraHcr�oao <br />P[ASCNfoRSon�Nnt[ns <br />APPLILATION ACC. OY <br />SUB TOTAL <br />PERMIT <br />TOTPLFEE <br />RE/N SETOACR <br />LOTAFEA <br />iYV4 Oi COM1'SiPUC�ION 4G1UI <br />NO OF STOAiES <br />nne sanwn�eas neo�o <br />❑ YES ❑ NO <br />nuc eaoROVEO�Y� <br />S <br />f <br />CONTPCT PERSaN PNO PIIONE NO IF OiME�� �nnn nuove <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A'C — NHNDLG UNITS — H P. <br />1 FOiiCED AIR SVSTEMS — B T.U. M EA. <br />UNITMEATERS—BS.U. M <br />CLOTMES DFiYERS <br />VENTILATION FAN <br />RANGEHJOD <br />1 \YATEfl MEATER <br />WOODSTOVE <br />METAL FIREPIACE S CHIMNEY <br />FIREPLACE WSERT <br />HEAT PUMP <br />GA$ PIPING <br />EXHAUSTFAN _ <br />SUBTOTAL <br />PLAN CHECK NUMDER I �C{� <br />V�CRNT 81TE FEES <br />❑ VES ❑ NO <br />�'"•"0• NoOiDxiltiNfulit5 BUILDING 5 <br />PLUMBING <br />On5EF1ENT <br />❑ YES ❑ NO MECHANICAL <br />HEimrtu�.uTnTrov OTHEF <br />' STATE BUILDING SURCHARGE <br />STATE ENEFiG� SURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />�OCAL SALES <br />TAX CODE IS TOTAL <br />3105 ..,.,�.� oonocoi v ve� <br />PERMITS EXPIAE IF WORK IS NOT COMMENCED WITHIN <br />180 DAVS OR CEASES FOR MORE THAN 180 DAYS. <br />AODRESS FILE <br />f <br />IS <br />NO. <br />30 <br />241��i <br />