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0 <br />�hrF.'rC�r7�vrn �� ���NSTRUCTION ^ � <br />everett PE R M IT PERMIT NO. . 2� U�� 2 <br />259-8810 <br />❑ DEMOLITIUN ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ S16N <br />rn�++u� nmi� nnnn[ss citr zir rnor+e <br />John 6 Kav Ptatthewson 5501 Sound nve Everett 347-1593 <br />TENRNI MAIL4P�R[55 CI1V JIP PMONE <br />A�Cw1EC' -� '.GNER Mnil qppll[55 Cllv ZiP PHONE <br />GEN(nqLNNiR�CTJN ��A�lnO011F55 CRY 21P PMONE IICENSEC <br />Vallev Nat. Gas 2605 Mcnouaall. Everett, 98201 259-5492 VALLENG153L1 <br />uCtl�>NiGLCONTRnC10R MAILADORE55 CITY 21� PMONE LICENSE� <br />�W��OINGCONTROCTOfl AIPILAppRG55 CITY 21P NIONE !`•ENSE/ <br />CL�SS Of WOP1( <br />❑ NEW ❑ AODITION ❑ ALTERATION <br />CONTRACT PFICE OF WORK: $ 1+621. �0 <br />pqIBE WOR� �N� SOU�RE fOOiRGE INVOWEO <br />Install furnace s water tank <br />PROPOSEO VSE Oi Bl1RDiNG <br />SFR <br />LEGAI DESCNIPTION OF PROPERTY 1`110W BEIOW OA ATTRCH fOUii COPIES) <br />LOT _ BLOCN _ Of <br />5501 Sound Ave. <br />i <br />PlUM81N6 <br />. NO. TYPE OF FIIITURE OR ITEM <br />� W�TER CLOSET (TOIIET� <br />BATHTUB <br />UVATORV (WASM BASIN) <br />SHOWER <br />KITCHEN SINK a DISP. <br />�ISHWASMER <br />LAUNURYTR�V <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAIN�EACERS <br />SINK (SERVICE — BAP, ETG) <br />BU! TOTAL <br />PERMIT <br />TOTALFEE <br />fPONTSETBNCN PEARSETBPCN <br />USEZONE IOTPREN <br />LYROfLOH51PUL(IONAIIOWAPIF lYF[O�CONS1PUCilONACIURL <br />Si2E Of BLOG <br />OCCUPANCYLOnD <br />FEASON FON �PqINNLCRS <br />APPIICATIONACC BV <br />NO OF S10�IE5 <br />fIRL SPfiINKlE95 �E�)D <br />7 vES ❑ NO <br />FEE <br />❑ REPAIH ❑ DIiMOLITION O BUILDING NELOCATION <br />CONTRCT PERSON FND F�ONG NO IF OTH[R THAN ROOVE <br />MECHANICAL <br />A/C — A/HNDLG UNITS — HP. <br />FORJED AIR SYSTEMS — BS.0 <br />UNIT HEATERS — B.T.U. <br />CLOTMES DHVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOOSTOVE <br />METAL FIREP�ACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXMAUSTFAN <br />�� SUlTOTAL <br />PEMMIT <br />TOT11L FEE <br />SETencK PLANCHECNNUMBER FEE <br />V�C�NT SITE �ES <br />❑ VES ❑ NO <br />'K�paM' NomDxiWNcunrts BUIL�WG 5 <br />PLUM�ING <br />pASEM[Ni <br />❑ VES ❑ NO MECHANICAI <br />HEIGNTIIMITRT10N QTHEii <br />STATE �UILDING SURCNARGE <br />STAT[ENERGVSURCHARGE <br />CITY OF EVERETT PU�LIC WORNS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 yyHEN PROPERLY VALI <br />M <br />M <br />�� �. �a -a�-ag <br />� �ass <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDOF[SS Fll [ <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />i <br />f <br />FEE <br />1:67 <br />� 55 <br />IS IS YOUR PEHMIT <br />E� '¢�'��o <br />2362�, <br />