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CON�� RUCTION <br />PERMIT <br />PERMIT NUMBER: MYYll-1163 <br />l�a �now+ss: 1921 RUCKER AVE <br />,�: t.ocwna+: <br />or�rx: SALGEf MARY ALICE <br />♦921 RUCKERAVE <br />EVEREIT WA 98?A? <br />PHON� (425)232-3065 <br />C0N"`�� EVERGRFFN STATE SHEET MET <br />PO BOR 1508 <br />Ey�� WA9820E <br />PNO� (425)252-3II4 <br />tbno�: <br />NO.SI <br />�.� <br />IENAM: <br />� <br />CI?'Y OF EVFRETT <br />PERMIT SERVICES <br />32(10 CEDAR STRFET <br />EVERETf. WA 96201 <br />o�'�: li/29n999 ���.�nr�rrr <br />wreea Nr sy�c � <br />6u PipinQ Z <br />Mech [quip Fee � <br />{�✓�Id i�pOCf � <br />MecM1 Pemiit P« m <br />mowe <br />nsscxmnon aF woarz: <br />CHANGE OUT HEAT PUMP TO GAS <br />M <br />FEES: <br />Muluninl Permit Fees S 70.00 <br />TOTALFEE S <br />TOTAL FEES PAID S <br />TOTAt FEFS DUE S <br />REMARKS: <br />70.00 <br />0.00 <br />70.00 <br />f 2,700.00 <br />APPR BY: <br />i"�..i�:b�1 <br />l+. l'� <br />c'IJGt3 <br />7G.OG <br />Ct;��OJ! <br />�so. �:�� <br />,GO. oi) <br />i � -7 . . ..tr� ��.i <br />OqNfiswlalSihGle <br />PermHs expire it worlc od comnenced wll6io 180 d�s or cnaes mQe m�o 191 days • noS <br />The Qly ot Eveell k not req�onabk to re�iew lhe rppikad8ty of pit mvemots b thie pemlt. Can4Wnce pERMIT NO: <br />wilh plal co�euanis b the eak respm�bility� otthe eppllc�IbRoer. M9911-063 <br />ADDRPSS PILE COPY <br />