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'h�E°����n -' �-,7NSTRUCTION -=��� <br />ciTv or <br />everett PERMIT PERMI't PJ�. ���.�J <br />259-8810 <br />❑ DEMOLITION U COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ NLUMBING O SIGN <br />OWNER 'd�ilnUDR[SS plly 21P PMONE <br />George Kcmeris 10615 4th Ave. S9. Everett 347-0G49 <br />TCNA4T AINLAODRE55 QiY ZIP PI�ON[ <br />RRLHITEGT OF OESIGNER <br />fONTPACTOR <br />61AIL q0ORE55 <br />M�IL AOU�E55 <br />GtY <br />GTv <br />]iP <br />iir <br />1`NONE <br />PHONE LICENSE� I <br />RIECHANiCILCONTNACLOR h1AILA0pqLSS UTY ZIP PIWNE IICENSE� 'I <br />Valley Nat. Gas 2605 McDougall Everett 259-5992 VALLSNG153L1 i <br />PlUM01NGCONTP4CTOp h1AIL��DRF.SS CIIY ZIP PHONE LICENSE� <br />CLn55 OF N'ORK I <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIiJG RELOCATION I <br />CONTACTPEq50NANDPMON[NO iGOTHERTHFNA�GVE <br />CONTRACT PRICE OF WURK: S 925. 00 <br />OESCBIU[WORNANCSOUAREfOOiAGEINVOLVEO <br />Install furnace <br />CROPOS[D USE OF flU�L�ING ' <br />SFR <br />L W Al �ESCRIPTION OF ttiOPEPTY �SMO14 BELO W OR ATTACM fOUR COPI[51 � I <br />LOi — OLOCH � OF . <br />JOBADDRE55 <br />10615 4th Ave. West <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATEFCLOSET�T04[T� <br />BATHTUD <br />IAVATORY (\VASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URIN^L <br />DRINKING FCUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — <br />SINK 15ERV�CE — <br />� SUD TOTAL <br />PERN.IT <br />TOTAIFEE <br />rnor�rs[roncr atnnsr*onr,rc <br />USEZON[ I�OTARLn <br />RI�OVCONSINUf,110FFLL0.1'��011. �iV16plCOM151R�LtIUCJ.u'IUNi <br />si1[ O� ��DO � NO OF STORiES <br />OC<:ultnNCVl04D FlfiESPRINKLER5RE0D <br />❑ YES ❑ NO <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />� c -- n�Nh��c uniTs - �ig/14/89 `• <br />1 FORCEDAIR;IYST[h15—BTU A1EA. <br />UNIT HEATERS -- 0 T U upnn^za�a <br />CLOTHESDRVERE NFC{i_ <br />VENTILATIONFAN b(�(�(�;��n�]f� <br />RANGENOOD }�CH <br />WATER HEATER �� <br />WOODSTOVE __+.(ECH <br />1,9ETAL FIREPLACE 8 CHIMN'K�� <br />FIREPLACE INSERT •t�_ <br />HEATPUMP ��_ <br />GASPIPING }{[fu <br />E%HAUST FAN ..nn nn �c <br />S SUB TOTAL <br />f I PERFIIT <br />S T•OTTA�LFEC <br />SioEs[iuncn PLANCHECKNUM�F.R I i�Lh <br />VACANi S1! <br />❑ vEs ❑ No FEES <br />„ ��� r�omo:.uur;.;ir,rs �UIL�ING 5 <br />PLUM�ING <br />�ASE6�[NT <br />,] VES ❑ NO MECNANICAL <br />��CiGNTtiMITATiON OTHER <br />i+< <::�.�rv va� sr��iHrc�ens STATE �UILDING SURCHAfiGE <br />. —. STATE ENE(iGV SURCHARGE <br />ni-i�ucntitNncc �3v nn�usnrrrnvmi�v CITY OF L=VERETT <br />LOCAL SALES PUBLIC WOFlKS <br />TAX CODE IS TOTAL <br />_ 3105 WUFti canaFni v ve <br />PERMITS EXPIRE IF WORK IS NO i CONitJIENCED WI7HIN ;;UUHESS I IL[ <br />'90 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />FEE <br />REC9PT NO <br />FEE <br />95 <br />� as � o0 <br />TNIS IS VOUR PERMIT <br />_ <br />J. <br />