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CrJ Cys1 � <br />A �1 x <br />�H� <br />K�n <br />H �1 <br />oxo <br />�4 H 'il <br />NH <br />x4 <br />H <br />� H � <br />�/��8 <br />y� Y C] <br />t"y� <br />HH <br />g�' <br />H <br />C]CV� <br />� � C�1 <br />xycn <br />H O V� <br />� <br />1 <br />i ��1 <br />CITY OF EVERETT <br />CONSTRUCTION <br />P�RMIT PERMITNO. �72J� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING xSl MECHANIC�L ❑ PLUMBING ❑ SIGN <br />�p����q I,�AILAppRF.S$ CITY ZIP PMCM1[ <br />Pielinda Hockett 5515 Rocke£eller Everett 98203 346-5490 <br />renarrt n!aanconess a�v zm PNor+e <br />ARCllli[Ci0ADE51GNER RIAIIADDRE55 CITY 21W P1�04G <br />GEN[RAL Wrv1R4CTOR �dAILA�ORE55 CITY ZIP PHONE UCENS[ • <br />IAECHHNICAIGONIDACiOR �•�RApORL55 CIiY ZIP PNONE LICENS[� <br />Valley Natural Gas 2605 Mcdougall GvereCt 98201 259-5492 VALLENG153L1 <br />PWM113iNGLONTRAGTOR 1AAILADDRE55 CItY 21P PM04E LIC[NSEt <br />CLASS OF WOFK <br />n vcw rl AnoI710N fl ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />AND fMON[ 110 IF ObIER TMAN A30VE <br />^ONT(iACT PRICE 0F WORK�. $ 3, 731.00 <br />DESCRIBE W041NANp SOl1ARE FOOTPGE INVOLVE� <br />Install furnace & water heater <br />raoaoseo use or ouaoir+c <br />Single family residence <br />LEGAL �ESCRIPiION OF PPOPERTY �SIIOW 0[LOW OR ATiACM FOM CCPIES� <br />07/O1/S1 2:�4Fii 0009H765? 4:.'.� <br />LOi__IIOCN _OF <br />H000�72'a4 <br />cr,=ct; .�s.00 <br />PLUMBING <br />N0. TVPE OF <br />\YATER CLOSET (TI <br />6ATHTUf3 <br />LAVATORY �Y�ASH I <br />SHO\':�fi <br />KITCHEIJ SINK 8 DI <br />�ISHWASHER <br />LAUNOfiY TRAY <br />DRINKING FOUNTAIN <br />PLCOR DRAIN <br />�'� BACNFLOW PREVENTERS _ <br />i= ROOFDRAINS-RAINLEADEPS <br />� SINK ISERVICE - DAR. ETC.� <br />FPONT SETt3ACN <br />USE20NE <br />SiZ[ OF BIDG <br />R[ASON iGV SPPINM <br />APPLGAIIONhCC Ov <br />MECHANICAI <br />FEE NO. TYPE OF [OUIPMENT <br />h'C - 0. HN�LG UNITS - H P. <br />I. FOPCEOAIRSYSTEh1S-BT.U. MEA. <br />UNITHEAT[RS-D.T.U. M <br />CLOiHESORVERS <br />_� VENTILATION FAN <br />RANGEMOOD <br />1 WATERMEATER <br />SUBTOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />R[ARSEipPCN 510[51 <br />LOTAREA VACAN <br />❑ Y[S <br />TYPFOfCONSTRUCTIONACiUTL �,;;;,,o <br />FiRE SPRiNKLERS P[OD <br />❑ vEs ❑ NO <br />V! Af�S PPPROvi� BY <br />HEiG��T <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMi fS EXPIRE IF WORK IS NOT COMMENCED WITIiIN <br />180 DAYS UR CEASES FOR MORE THAN 180 DAYS. <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAi PUMP <br />GAS P'PING <br />E%HAUSTFAN <br />CfiECK NUh1�ER <br />BUILDING <br />PLUMBING — <br />MECNANICAL <br />OTNER <br />STATE �UILDING SUPCHAR�E <br />STATEENEFGVSORCHARGE <br />PU�I.IC WORKS <br />TOTAL <br />WHEN PROPERLY � <br />p.�DRESS FILE <br />SUBTOTAL <br />PERMIT <br />iOTALFEE <br />IPT NO <br />7S <br />� �s � co <br />THIS IS YOUR PERMIT <br />� <br />27234 <br />