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'��F'..'�'"'" C�7NSTRUCTION - ^ <br />��„ �,� Cc <br />everett PERMIT PERMITNO. _ 2�UUS <br />259-8810 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING X�7 MECHANICAL ❑ PLUMBING ❑ SIGN <br />- inr zir vrwruE <br />OI\VU� AIMI ADDIIC55 <br />4915 Rucker Ave. Everett 98201 347-8514 <br />James T. Oakes — m�oNe <br />TC4�Ni <br />— nuu �oon[u crtv rm <br />An�r111ECT O� D[SIGNC� Nn1L nD��E55 <br />Crtv i�P i'NONE <br />GCNER�LCONi�ACION <br />MRqADIJ�E55 CITY ZIP P1'ONG I�CEN$EI <br />MAIL RUDRE55 GiY 21P Vr�ONE UCENSE � <br />MECNAMGICONTR4ClOR Zsg_gqg2 ppI,LENG153L1 <br />Va�ley Natural Gas 2G05 Mcdovqall Ave �ezett 98202 Z� %o'E L�EN�� <br />PWMOING 1AN114Ci0�1 MAIL ADDR[55 C11V <br />CU55OF WOnN <br />I-I NEW ❑ ADDITION Ql ALTERATION _ O REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATI <br />I COY1RCi PfR50NANUM10NErvU �� ��nen i����•^��•� <br />CONTRACT PRICE OF WORK S 3OS OO <br />DESCAIBE W(MK �ND SOUAP[ fOOTnGE INVOU'[� <br />install conversion burner 6 water tank <br />or <br />IEGRI DESGAivi�ON O� MorEm <br />LOT — BLOCM � DF <br />�� <br />PLUMs�NO <br />/ <br />voun coriesi �(� �30.00 <br />YfYYYfCItC M <br />�� ��W <br />� <br />�a+ s�s.00 <br />�„�n, ., � n, <br />KITCMEN SINK 8 �ISP. <br />DISMW�SNEH <br />UUNDRYIRAV <br />CLOTHES WASNER <br />UFINAL __ <br />DRINKING FOUNTAIN <br />FLOON DRRW __ <br />BALKFLOW PNEVENTERS <br />ROOF DRAINS — RRINLEADERS <br />SINN (SEFVICE — BAR. ETCJ <br />SUB TOT11L f <br />PEPMIT f <br />SETB�CK IA�AA <br />USE20NE <br />rrtt a rrssinu <br />SIZF or oloC, <br />qqEp V/.C/N151TE <br />❑ VES ❑ NO <br />MCONSIflIILt�JNAGiUaL "���„o��r` �OtOMILiNG <br />NO Of Si0RIE5 <br />❑ YES ❑ NO <br />DCCUPPNCVIDP❑ (IH[SPRVIXlER5RE0� H[IGIITLIMITATION <br />❑ vE5 ❑ NO _ <br />nensor+von <br />ov v�nNSAPPPOVE��Y CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3i05 <br />MECHANICAL <br />NO. TYPE OF ECUIPI <br />A/C — A'NNDLG UNITS — MP. <br />FORCED A�R SYSTEMS — 8 T.U. <br />UNIT t1EATERS — B.T U. <br />CIOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATEFHEATER <br />WOODSTOVE <br />METAL FlREPLACE 8 CNIMNE�' <br />FIREPLACE INSEPT <br />HEAT PUMP <br />4 GAS PIPING <br />EXHAUSTFAN <br />SUlTOTAL <br />PERMIT <br />CHELK <br />�UILDING s <br />PLUMBING <br />MECHANICAL <br />OTIiER <br />STATE BUILDING SURCHARGE <br />STATEENERG�SURCHARGE <br />PUOLIC WORKS <br />TOTAL <br />FlECEIPT NO <br />IS <br />PER <br />PERMITS EXPIP'c IF WORK IS NOT COMMENCED WITHIN ALl�id ::'- I I', i G� v G C <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />