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/� �. <br />fhr hy'rl)QP�vn ■_`,V ST R U CT I O N <br />cn � �-� v c <br />evere�,i PERMIT PERMITNO. �U�L2 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �� MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONNU� AIMLAppRLF° CI1V 21P 1'MON[ <br />Don Sclvnitz 4524 SEahurst Ave. EVerett WA 259-G209 <br />iCNANi MNl AD1��L5ti CITV l�P PIION[ <br />Same <br />nncroi[noncEs�cr+cn MAILApL`f11:55 citv iir i•ror+e <br />GCNCR�ICONi11PC��n MNI�nIJR[55 GTY ZIP PI�ONE L�CENSE� <br />�ACCIInN1UlCGNiRnCiOR MAILAOD�F53 CIIV ZIP PHON[ UC[NSE• <br />Valley Nat Gas 2605 McDouggll Ave. �erett, WA 98201 VALLENG153L1 <br />fYU1ABiNGCONiR4C10H MnIL/.DDR[SS GiY ZIP PIIONE IILENSE• <br />CL�55 Of WORk <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUIIDING RELOCATION <br />CONTACT f`Cn ;ON ANU M10NG NO If OiMER TNAM AUUve. <br />CONTRACTPPICEOFWOAK�.S 1�Z7$.�0 <br />IX'SCRIOC WO�N �NO SOU/ A<<00*�G[ IN\'OLVCO <br />Install furnace s AWN <br />vr+ovoseo ��se o� nuiiow , <br />Single Family <br />LEG�L �ESCRIPTION Of PpOi'E�TY �SMOW BEIOW OA �TTnCH {'OIIP COVI[5� <br />lGT �— BLOCK — Of <br />t•� <br />JOB A�D�[55 � <br />4524 Seaiiurst Ave. <br />PLUMSING MECHANICAL <br />OR ITEM <br />WATEN LLOSET �TOIIET� <br />BATHN6 <br />UVATORY (YYASH BASIN) <br />SHOWER <br />MITCMEN SINN 6 DISG. <br />DISIIWASNEP <br />LAUNDRYTRRV <br />CLOTHESWASMER <br />URINAL <br />DRINKING FOUhTAIN <br />FLOOR DRRIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK �SERVICE — BAR, ETG) <br />FRONTSETBRCM <br />USEZONE <br />tYR 0� COMSiRUCIqN AIIGVRaIF <br />size e� o�oc <br />OCCUVnNCYL04❑ <br />REASON fOP 5%�INKL[RS <br />APPLICATION ACC OY <br />SUBTOTAL <br />P(qMl7 <br />f <br />S <br />FEE NO. TYPE OF EO <br />—� A.'C — A/NNDLG UNITS — <br />], iORCED AIR SYSTEMS — B <br />UNIT MEATERS — B.T U. <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATEii HEATcR <br />WOODSTOVE <br />METAI FIREPLACE 8 CMIMNEY <br />FIREPLACE IN3ERT <br />HEATPUMP <br />Q GASPIPING <br />� E%HAUST FAN <br />PLANCMECKNUMBER <br />SUB TO <br />PERMIT <br />LOTAP[A �ACANTSITE FEES <br />❑ VES ❑ NO <br />nROFCON51FUGiiONFCiWt �}�o;`r"� �����<<�NCUNIis BUILDING S <br />PLUMOING <br />NOOFStORiES BASEMENT <br />❑ VES ❑ NO MECHANICAL <br />lIRESPRINML[RSREO� HEIGI1TUAlITP'ION OTHEfl <br />❑ VES ❑ NO <br />STATE BUILDING SURCHAFO[ <br />STATEENERGYSURCHARGE <br />nHsnrvnoveoor CITY OF EVERETT <br />LOCALSALES ruoucwoaKs _ <br />rnx cooE is TOTAL <br />PROPERL <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN � i,��� �,;,: � i� � <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />L'J <br />['"( <br />� <br />f <br />f <br />RECEIPT NO. <br />55 00 <br />R PERNIT <br />�� n <br />�53�� <br />