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y:..,�, <br /> v <br /> �h<.�����'�`'of . �h,�NSTRUCTIC�N ,. . � - <br /> everett PERMIT PERMITNO. � ��2 � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER <br /> AIAILAO�q[55 CITY ZiP PHONE <br /> Charles 6 Paula Aus 1107 ti. rlarine Vie�a Dr. Everett, [�'A 258-2700 _ <br /> TENANT MAIL AD�FES$ p <br /> Cltt 2iP CHONE <br /> i <br /> Owner fMbN[ � <br /> FRC11ttECT OR�ESIGN[n <br /> 0.1AILAOORE55 ��N ZC <br /> GENEPALCOHTRnOfOR MnILA00RE55 <br /> CITV iIP PHONE LICENSE� <br /> fdECHANICNL CONTRACTOP MAIL AOOPES$ <br /> CITY ZIP PHONE L�CENSE• <br /> y n H Valley Nat. Gas 2G05 rlcDougall Ave. 259-5492 VALLGNG153L1 p�oNE uce�se• <br /> ��� PLUA!BIYGCONTRACTCR l.IAIL�ODR[55 CIiV ZIP <br /> :U y <br /> CLASS OF 11'ORK <br /> 9 H V1 ❑ NEW ❑ ADUITION [,Q A�TERATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> H �� CONTALT�ERSON AND%10NE NO IG OTHEF TMAN A�OVE <br /> Kn CONTRACT PRICE OF WORK:S S3S.00 <br /> y'ro OESCRIpE 1YORN ANO SOl1ARE FOOTnGE INYOLVE� <br /> � H� Install C. B. & AWFI <br /> y H <br /> � o� � k <br /> y d vnoraseo use or nuunimc � <br /> O N Single Family <br /> � �g L _ <br /> �� � LEGAI DESCIiIPTION OF PROPE�iTY ISHOW�ELOW OR NTTPCH fOUA COPIE51 �CN �SS.W <br /> H C� <br /> z y� ior— oiocn--.ov � _ <br /> e z NECH 465.00 <br /> gyy <br /> H NECH 845.00 <br /> C� l7 V1 L <br /> �o no ness ��{ �65.00 <br /> � �t" �187 E. Marine View llr. <br /> C�1 <br /> H O fyA PLUMBING <br /> MECHANICAL � ` <br /> FEE NO. TVPE OF EO FEE <br /> � NO. TYPE OF FIXTURE OR ITEM - <br /> A:G—a�HNDLG UNITS—M <br /> WATER CLOSET!TOIIETI <br /> FJRCED AIR SYSTEMS—0 � M1�E <br /> BAiHTUB <br /> UNITHEATER$— BTU M1� <br /> IAVATORV IWASM DASINI <br /> CLOTMEti Df1YER5 — <br /> SNOK'ER <br /> VENTILATION FAN <br /> KITLNEN SINK d DISV <br /> �_ RnNGENOOD <br /> DISHWASHER <br /> a���t LAUNDRY TR�Y ] Y.'�TER HEATER <br /> WOODSTOVE <br /> CLOTMES WASMER <br /> METAL FlREGLACE 8 CMIMNEY <br /> '��. URINAL <br /> ��w DRINKING FOUNTFIN HEAT pUti��NSERT <br /> FLOOH DRAIN GAS PIPING <br /> BACKFLOW PPEVENTERS <br /> R(.OF OFAINS—AAINLEAOERS E%MAUST FAN <br /> ���� SINK(SERVICE—BAR.ETC 1 <br /> � suerorn� s 30 00 <br /> I� � sue rorn� s rERMir s 15 00 <br /> PERMIT f <br /> TOTAL FEE S TOTAL FEE S G O <br /> fHONiSETB/CH <br /> nEAR�Et��Cn Sm[SETOACn FL�NCIIECNNU610ER FEE RECEIPTNO <br /> ��n� <br /> usezone 'io*ancn �^�^�rs'rE FEES ounoiNccooe FEE <br /> ❑YES ❑NO — <br /> ' '1 ttRO�CON9NpC00NALL0A>fl�E 1YROiCOH;IPULOpNALIpAI ,r,����� �NOIOhILL14;u!:IIS �UILOING 5 <br /> PLUA7�ING <br /> si)E O(f1LOG NO Of SiC81E5 f1A5[MENT (� 00 <br /> .�. <br /> ❑vES ❑NO MECHANICAL <br /> �CCUP�NCYLO�D FlRESVRINFLEPSIlEOL1 HEIGNTlIA11TATION OThIER <br /> ❑YES ❑NO <br /> STATEDWLDINGSURCHARGE <br /> n�:.seH roa snnwrciEns <br /> STATEENERGYSURCHARGE <br /> APPLiCATION�CC [1Y �lANSAPPROV[D�Y CITY OF EVERETT <br /> LOCAL SALES PUOLIC WOF7KS <br /> TAX CODE iS TOTAL 45 00 <br /> 3105 — WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qUURESS RLL L U G G � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />