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rn�• r:t•�,xry� <br />cn v or <br />eve��ett <br />259 - 8E310 <br />� <br />C�NSTRUCTION - c1 <br />iPERMIT PERMITNO. �U I �S <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Cj;MECHANICAL ❑ PLUMBING ❑ SIGN <br />O\1V[H MRILADOPCCS CIIY Z�P PIIONE <br />Mike Kremer 5413 Somid Ave. GvereCt 348-5279 — <br />iCN�NT �'AIL ADD11C55 CIIY IIP PMON[ <br />OWIICT <br />ARC���1[CTO�OESIGNCR MRILPODBC55 C11Y ZiP PHONE <br />GENEAAIC�MA�C10R AUIL�DDR6S GiV ZIP PHON[ LICENSE• <br />M[C��>NIL�L CONTP�CI O�� <br />AIAIL<ODIiC55 GTV IIP PMONE UCENSE� <br />Valley Nat. Gas 2605 Afcllougall Everett ldA 98201 VALLGNG153L1 <br />PLUMH�NGCON1PnCl�,� MniLRpOl1E55 CiiV IiP �'I�ONE LICENSE� <br />CUSSOf WORN <br />❑ NEW f] ACDITION <br />�] AITERATION <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CDNI RCi P[PSON RN� �'HONE NO I( OTHER TMAN AOOVk <br />CONTRdCT PRICE OF WOPK: S 3, 048.00 I <br />DESC9i0EWORN�NDSUUARCtOOTnCEINVOIv[0 <br />Install Furnace s nwH s cab Lo s <br />vnocoseD usc or euuoirvu <br />Single Famil <br />LEG�L DESCRIPT�ON Jf PHO�ERTY �SNOW DEIOW OR �tTACH �OU� CO�iCti� <br />ior — o:ocK — oF <br />do8 �ow+r.aa <br />541'i Sound Ave. <br />�i� <br />PLUM6ING <br />Np, T1'PE OF FIXTURE OR I' <br />WATER CLOSET (TOILET) <br />BAiHTUB <br />�./�VATORV (WASN BAS�N� <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISIiWASMER <br />LAUNDRY TRAV <br />CLOTHES WASMER <br />URIN�L <br />DFINKIN6 FOUNTAIN <br />FLOOH DRAIN <br />B�CKPLOW PREVENTERS <br />RDOf ORAINS — NAINLEAUERS <br />SIKK (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />conutacrw�cK RE�RSETNACK <br />SIZE <br />tonD <br />MECHANICAL <br />FEE N7. TYPE OF EOUIPI <br />/JC — �/HNDLG UNITS — <br />1 FORCEOAIRSYSTEMS—B.T.U. <br />UNIT NEATERS — ,17 U <br />CLOTHES DRVEF�� <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATEH HEATER <br />WOODStOVE <br />METAL FlREPLACE 8 CMIM <br />FIREPLACEINS[HT <br />HEATPUMP <br />Z GAS PIPING � <br />EXHAUSTFAN _� <br />LOTARER � VACnNT51TE <br />❑ VES ❑ NO <br />i;!FOFLOHSiPULLONAL1U�l �Xi;,�'„R' NOOFOWEIIINGI <br />NOOFSTORIES 9ASEM[NT <br />❑ vES ❑ NO <br />�IRESPRINNLERSREOD HEIGIViUMIiAT10N <br />IO ��5 ❑ NO <br />P�ANS <br />°� I CITY OF [VERET7 <br />�OCAL SALES <br />TAX CO�E IS <br />3105 <br />CHECN <br />FEE <br />M EA. <br />SUBi9jljyr R6ILS�( <br />PEPMR s <br />TOTIILFEE f <br />FEE RECEIPTNO. <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE �UILDING SURCHAfiG <br />ST�TEENLRGVSURCHARGE <br />, PUI3LIC WORKS <br />Y <br />$ <br />THIS <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN p,�,�,;tESti ! i� fl � U� L U <br />180 DAYS OR CEASES FQR MORE TF:AN 180 DAVS. <br />75 I 00 <br />