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„".`�'.,.'��,"” ��NSTRUCTION <br />,��„ �„ c <br />everett PERMIT PERMITN�.. �U��� <br />259-8810 <br />❑ DEMOUTION G COMBINATION Q�{BU�LDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />oo*rzr, <br />r.iart nnon[s:; cnv zm rnouc <br />Second Baptist Giurcli 2801 Virginia Gverett 98201 <br />�[v+r�r <br />r.mn nunn�ss r.rtr vir rNor+[ <br />nnc�ncCT on ncs�cr+m <br />unanooacss ci*r zm vi�onc <br />GCNE�AI CONiR�CTOR MAII A�DR[5. GTY ZIP I'110NC UC[NSE i <br />Lakeside Home & Roof 7402 – GBth Ave NE Marysville 98270 339-0675 LAKESHR096B3 <br />aECNnNICAICONiRACT011 <br />Mei�nooness ciTv vir m�o�e ur.crose• <br />r W M111NG CONTRnCTOR <br />MAIIAf!Dq6ti CITY LP PIIONE LICENSE� <br />cuss o� wonn <br />❑ NEW ❑ ADDITION <br />❑ ALTERATtON <br />CONTRACT PRICE OP WORK- S ZZZO.00 <br />DESCIL�E \YO�F �ND tiOUARC �OOTAG[ itNOLVEO <br />Roof recover 3GOOsf <br />�f?EPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />WNT�CI PCRSON NNO PMON[ NO 1! OTII[H TIInN ntlUv[ <br />Carl Gipson 259-2728 <br />MOPOSEOUSE Ov OUILDING <br />�111TC�1 <br />�ec��oesc��or�or+orvnoren*r�vwwociowor+nrrao�rouncor�cs Ol/28/91 10��6RH OODAH5432 �ikX <br />ior— eic-� — cr qp0026330 <br />Fi nc g54 na <br />— e s�cH sa.so <br />rucrtr 45R_5n <br />JDtl <br />PLUMBING <br />,y0 TYPE OF FIXTURE OR <br />�WATEF CLOSET ITOILET) <br />SMOWEF <br />KITCHEN $INK 6 ��SP. <br />DISHWASHER <br />LAUNDRVTPAV <br />CLOTMES WASNER <br />Uii1NAL <br />DRINKING FOUNTAIN <br />FLOOH DRAIN <br />BACKF�OW PFEVENTERS <br />ROOF DRAiNS — RNNLEADEHS <br />SINK �SERVICE — BAR. ETC 1 <br />SUBTOTAL <br />PERMR __ <br />TOTALFEE <br />(PONTSETAACN RERqS[�9ACN <br />US[ 20NE ��T AAE ` <br />,rRrcr�vstuu[+mv,uawnei� n�acor+srnucnoNncma <br />9ZE OF pl�G NO OF ST01iiE5 <br />OCCCVANCVLOAO FlRESPPiNRLERSREOD <br />❑ VES ❑ NO <br />REA�ONfORS"RINKLCRS <br />A�PUf.f.T�ONACG �1v PLANSAVPROVEDBv <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A'fINDLG UNI15 — IIP. <br />iORCED AIR SYSTEMS — � T.0 M EA <br />UNIT HEATERS — BSL M <br />CLOTNESOR�ER: <br />VENTII ATION FAN <br />RANGEHOJD . <br />WATER HEATER <br />iY00D STOVE <br />MET�I FIflLPLACE A CNIMNEY <br />FIREPLACEINSERT <br />HE�T PUMP <br />GAS PIPING <br />EXMAUSTFAN <br />� <br />S <br />f <br />smE sctllncn <br />VAC�NT SIiC <br />O �ES ❑ NO <br />PLAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />NUMBER FE[ <br />da�� <br />�� No a ov.cwxcuHrts BUILDING <br />PLUMBING <br />045EMENT <br />❑ VES O NO MECHANICAL <br />MEIGNiIIMITAiION OTHER <br />STATE �UILOING SURCHARGE <br />STATE ENERG� SUf±CHAFGE <br />CITY OF E'JERETT p�IBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />3105 wHEN PROPERLY VI <br />PERMITS EXPIRE IF WOFK IS NUT COMMENCED WITHIN �,, �,, <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />FEE <br />� <br />S <br />5 <br />RECEIPT NO. <br />5 2220.00 54 00 <br />4 SO <br />58 50 <br />_IDATED THIS IS YOUR PERMIT <br />�/ <br />,�v� i�'1 <br />%.l,�nr <br />