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�,,` `�"rAr"" C� NSTRUCTION <br /> (lil Qi� <br /> everett PERNlIT PERMITNO. . �j �, <br /> 259 -8810 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING X�'EMECHANICAL ❑ PLUMBING ❑ SIGN <br /> c�.r.r:en e•nn euun�Ss a.r zir vr�oHE <br /> Richard Jackson 8410 E. Xavier Way Everett 98203 353-0898 _ <br /> ro�nrvt <br /> v.n��. noor,['s; cnv rir rr�o��e <br /> AFCMitEGi OR DR�QNER <br /> NPiLADDi1f55 LIiY ZIP i'HONE <br /> GENE�ALGONtPACTOR <br /> M�IL/�ODRESS CITY bf� 1'110NE LICCN`�[^ <br /> YCLIIAN:UL CONif:nCTOH <br /> IIhRADDR[55 GIfV Zi� PIIOu[ IICE�':r� <br /> N.Y7. WAter Heater 3110 Hi.11 EVerett 98201 25A-5331 NORTNWH103R2 <br /> r�u�.min.coNinnCion <br /> mni�noonEss cnv ria vnorvc uc.�rv=[. <br /> ��� <br /> CC y c�assonvonK <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOl1T10N C7 BUILDING RELOCATION <br /> pC". � M <br /> GONiAGT FCPPON ANU 1'MOtiE NO If OiMCR TNAN AOOVE <br /> 9 H p� <br /> H � � CONTRACT PRICE OF WORK:S ].�SOO.00 <br /> o�scame xonK nr�o saunne wo*acnvvou�en <br /> K y � YttXtt1cHY Install gas furnace s water heater <br /> � M � <br /> f/1 H <br /> � �,� ri�a�esm use or owiort+c <br /> Single family residence <br /> Q�p��y L[GA��E56RIPiIONOFPFOP[�lY�5H0�4�ROWORATTRCHlOURWOIE51 <br /> N [s1 O �o*— oiocn_oi <br /> �V �] <br /> N <br /> xy <br /> � H y ntf�<lo�;;�-r;--�.N rn,�,.uu.qg, +.�.�...4 <br /> gy�..� �ou noon��:� / <br /> Oql7N � . <br /> �m�" PLUMBING MECHANICAL HFCH 455.00 <br /> � y p0. TYPE OF FI%TUNE ON ITEM FEE NO. TYPE OF EO BWT SSS. I FEE <br /> \YAiER CLOSET�TOILET� A C—111N�I.G UN115—H P <br /> �. BATHTUP fORCEC�IR SYSTEMS--P i U A1 EA _ <br /> LAVAiORY pYASM BASIN� UNIT HEAiEfiS�-[3 T U �� <br /> 1 [LOTHESORVERS <br /> SHOWER <br /> � KITCMEN SINK 8 DISP. V[NTILA110N F A N <br /> I �� OISHWASMER RANGEMOOD <br /> LAUNDRYTRFY WAIERHEATER <br /> CIOTHES WASMER WODD STOPE <br /> MET�L�IREPLACE 8 GMIMNEY <br /> URINAL <br /> ONINKING FOUNTAIN FIfiGPLACL INSERT <br /> , �� HEATPUh1v <br /> � 1 FLOORORAiN _ <br /> � pACKFlO1YFREVENTEHS GASFIPING <br /> ROOF DRAINS—RAINLEADERS C%NAUST FAN <br /> SINN�SEBVICE—�AR,ETCJ <br /> ' '` SU9 TOTAL S SUB TOTpL S AO OO <br /> P[NMIT S PERMIT f iS OO <br /> 1� TOTAL FEE f TOTRL FEE f SS OO <br /> �� 1aONisETOnCn n[nn5[T�nCa Sipf.£E10<f.R P�ANCMECKNUM[i[!1 FEE �aECEIPTNO. <br /> p5E20NE IOTRPEA �AC4Ni511E FEES BNLOIN6COOE FEE <br /> ❑YES ❑NO <br /> ��1, t��tC�fttI5luUGilOxattOW?BtE ttfFafCOM1'S1NUL1i0rv4L1UN ,�„��r' MOOroN9uNcuN�15 QUILOING $ <br /> PWMBING <br /> �.�:�armuc r�oors*onies onsen+er+* 55 00 <br /> ❑YES ❑NO MECHANICA� <br /> cumrnNcrion� riPEsr'nwrcL[nsaEoo r�Ei.HiuMrtnnor� OTHER <br /> C YES ❑NO <br /> STATE�UII�ING SURCHARGE <br /> I�LASOq f OR SPPINKLERS <br /> STATEENERGVSURCHARGE <br /> n�•r�ucnnor+ncc.ov MnNsnrvnovEoov CITY OF EVERETT <br /> LOCAL SALES PU�LIC WORKS <br /> TAX CODE IS TOTAL 55 00 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> �l <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDDRESS FILE �O ll J � <br /> 180 DAYS OR CEASES FOR MORE THAN 1B0 DAYS. <br />