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��� <br />� <br />�� <br />��� <br />��o�y <br />�A <br />GM�• <br />ZyM <br />C" y <br />M• <br />� <br />�� <br />O� <br />""�``'�`°�"�°" ' C�JNSTRUCTION <br />�ITY OI <br />everett PERMIT PERMITNO.. G5262 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING (8 MECHANICAL ❑ PLUMBING O SIGN <br />a;n+rn r�nn nooucse c�n zir r��or+e <br />Itirk Dorseth 7015 62nd Pl. biE Ma�.ysville 9827Q 653-3720 <br />j�H�N� M41LApORC55 qTY 2�� IMONE <br />nHG��iTCC�ORDESIf.Nt�� MMLApOFC55 CiiY ZIP PNONE <br />GENEPAL CONTRACiOP NAIL �OOR[55 CITY ZIP PIIONG LIG[NSE � <br />Borseth Const. DORSLrEi110CX9 . <br />M[OUMCA�CONIRACIDR MUL4DDAE55 CITY 2iP VHONE UC[NS[• � <br />I <br />PLUM�INGCONTORCTOR M41lPp�RESS PTY ZiP 19�ONE LiCLNSE• � <br />CU55Of NVNn <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PEPSON ANO P110NE NO If OiHEN � nnN Pu V vt <br />CONTHACT PflICE OF WORK' S <br />06f.f1i0[ KOAh ANp SOURRE fOOTRGE iNVOLVE� � I <br />Venting ` <br />H�CH V•5105.IJD <br />r�aoroseouseo�eua¢r+c iECH u� �3135.00 <br />Apts. � „ .� . „ <br />LEGAI DESGRIPTION O( Pp04'ERTY �SNOW OELO W OR RTfACM fOU� CCPIES� <br />LOT �� BIOCK � Of I <br />4-units at 600 sf <br />in� nnon <br />. 2nd Ave. #1 <br />PLUMBING <br />NO. TYPE OF FI%TUHE <br />WATER CLOSET IiOILET� <br />BRTMTl10 <br />IFVATORY IWASH BASIN� <br />SHOW[R <br />KITCHEN SINK 8 DISP. <br />OISHWASMER <br />LAUNDRVTRAY <br />CLOTIIES WASMER <br />URINAL <br />ORINKWG FOUNTAIN <br />F�OOR �RAI4 <br />DACKFLOW PREVENTERS <br />ROOF DRAIN$ — RAINL[A�EI <br />SINK �SERVICE — OAR. ETC � <br />fRONTS[tOPCN <br />US[ZONF. <br />IvfF 0� GONSiPJG110N AIIOWfI <br />;¢c or eioc <br />occurnHcrtono <br />�EASON fOR 51'NINNLCP: <br />SPPLICAiION ACC PY <br />SUB TOTAL <br />PERMIT <br />MECHANICAL <br />NO. TYPE OF EOUIPI <br />A-C — A"MN�LG 11N1T5 — H P. <br />FORC[D �IR SVSTEMS — B T.0 <br />UNIT HEATERS — 0 TL. <br />Q CLOTHESDRYEliS <br />q VE4TILATION FAN <br />Q RANGEMOOD <br />WAT[R HEATER <br />\VOOD STOVE <br />METAL FlREPLACE 8 CHIMNEY <br />FlREPIACEINSEHT <br />HEATPUMP <br />OAS PIPING <br />[%MAUSTFAN <br />f <br />S _ <br />f <br />s�E5ET0aCK PLAN <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />FEE <br />M EA <br />M <br />FEE <br />� <br />: <br />S <br />RECEIPT NO <br />�plqqEp VPCPN151IE FEE� BWlO1NGCO0E <br />❑ YES ❑ NO <br />ivR0�C0'6�H�L➢ONRLiURI `^�`,�.�W�ti' ��OO��NSIUNGONiiS �UILDING S <br />PWM�ING <br />rvo or sronics onsEu[rvt <br />❑ YES ❑ NO MflCHANICAL <br />nnESrni�+niEasneO'o ri[iONiu�nnrtio» OTHER <br />❑ YES ❑ NO <br />STATG DUILDING SURCHARGE <br />SIATEENERGVSURGHARGE <br />nr�snvrnoveour CITY OF CVERETT <br />LOCALSALES Puoucwonres <br />TAX CODE IS rorn� <br />3105 __ _ yyHEN PROPERLY VALIDATED THIS IS <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITNIN AUUii't5S HL't <br />780 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />� <br />Z�'�'.b� <br />`� . <br />I' �s'4 <br />