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"".'.'',"''.'." rONSTRUCTION � <br />,��,� r: <br />everett PERMIT PERMiTNO.. �`�hl�� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING �MECHANICAL ❑ PLUMB�NG ❑ SIGN <br />t�11NF11 AIqIL ADDI1(5'. UlY ZIP PIIONL <br />7�LL,ert Litke 2518 Virginia 6verett 98201 259-7081 <br />rzn�nvr nui�nooncs, cnv vu� ruo�+E <br />41iP��TECT011DES�6N[P MAILADOPCSS CITV 21P PNON[ <br />GENER�LCONTRACIOO AIAILAOORE$5 CITY ZIP MIONE IICCNSE� <br />AI[CIUNiC�LCONIP�QOR M1INL��OR[5,^. CIiY ZI{' FMON[ IICCNSE• <br />Valley Nat Gas 2605 Mcdougall EVerett 98201 259-5492 VALLENG153L2 <br />��iue•nwccnvmnc'inn uniinunnrss orv z�r r•��onF ucEvsE• <br />Q �SJ C� d'O�K <br />❑ HEW ❑ ADDITION }� ALTEHATION ❑ REPAIR ❑ OEMOLITtON ❑ BUILDiNG RELOCATION <br />— I eONinLI P[nSON AND rHurve ur i� ��ncn i nnn nu�vc <br />CONTRACT PRICL OF WORK' S GSO OO <br />nrscnroe �i�onr nHo soun�� rouinr,c invoi crn <br />Install furnace onlv <br />�ecaoescniv*�oNorrnorEn*v�s��owoe�owoae*Tncnrour+covi[si QS/14/90 2:3GFN DOOANI512 �k�'�k# <br />lOi _— �LOCN _ O� <br />l05 �ODR[55 <br />9S1[i V;�-..in:� <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />WPTER CLOSET�TOILET) <br />BATHTUB <br />LAVATORYIWASH BASIN� <br />SMOWER <br />KITCHEN SINK 8 OISP. <br />DISHWAS�IER <br />LAUNDRVTRAY <br />CLOTIiE$ WASHER <br />UF�NAL <br />�RINKING FOUNTAIN _ <br />FLOOR ORnIN <br />BACKFLO�':7HEVENTLRS <br />ROOF DflAINS — RAINIEADERS <br />SINK �SERVICE — BAR ETC 1 <br />SUB TOTAL S <br />FERMIT S <br />faONT SEitla� <br />u5E ZONE <br />1v14 M CONSiNtl <br />SiZC 0� �L�G <br />�.CCUPANLY I <br />I�EASON •OR <br />LOT �REI. <br />fVGE 0� CONSIRUCiION ACiUi <br />NO OFSTCRIE$ <br />fIRE SPRINMLERS REOD <br />❑ YES o Nc <br />Ar I��nusnc <br />a000"4603 <br />iiECF� —�4 . d�— <br />V10002460� <br />MECHAN�CAL """' <br />FEE NO. TYPE OF E� <br />A�C — A'HNOLG UNITS -- H P <br />FORCED AIR SYSTEMS — B T U M EP <br />UNITHEATERS—B.TL M <br />CLOTHESDRVcRS <br />VENTILATION FAN <br />RANGENOOD <br />WAT[RMEATER - <br />WOOD STOVC <br />NETA. fIREPLACE 8 CHIIdNEV ---- <br />FIIlEPLACE IIJSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUST f�1N <br />SIUE SEI�PCN <br />YES ❑ NO <br />._. _.• Iq 0� ON1l IING <br />o�seMCNT <br />] VES ❑ NO <br />MEI �HT 1161iTATION <br />nv I CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PLAN CHECK NUM�E� <br />�UOTOTAL <br />PEPMIT <br />TOTALFEE <br />FEE <br />FEES _ <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE DUILOING SURCHARGE <br />STATEENERGYSURCNARGE <br />PU�LIC WORKS _ <br />TOTAL <br />� WHFN PROPERLY VALI <br />FEE <br />RECEIPT NO. <br />IS <br />a, <br />PERMITfi EXPIHE IF WORK IS NOT COMMcNCED WITI-iW .� `_� !.i ;-1 '_ <br />180 DAYS OR CEASES FOR MORC- THAN 180 DRYS. <br />45 �00 <br />