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'h���` ��""°""� � r �NSTRUCTION " � Cn <br />everett PERMIT PERMITNO. 239JJ <br />259-8810 <br />❑ DE�IOLITION ❑ COMBINATION ❑ BUILDING �{I MECHANICAL ❑ PLUMBING ❑ SION <br />owN[n • .Sti3iL Mul apnn[55 C:Tv ziP PNON[ <br />Pat.rick Beryer 2208 Slfli3i Street P•.verett 98201 258-ti931 <br />�CN•vr s•���. Annn[ss aTr rir r��oN[ <br />Sa.me <br />,A��„^.jii7' AUIL4D�R[SS C11Y ZIP M10NE <br />�\'a1leyNat. Gas - 2605 D7cdouqal Cverett 259-5992 VALLENGI53L1 <br />�:CNFnµrONlnu,10R uniLnDDn6s Uiv Ilr rMONE LICENSE� <br />A�ECM�N�ULCUNTR�CIOP M411�00R65 CITY IIP MION[ LICENSE� <br />%VNpIN6CONTRACTDN M41l�DDPE55 CITY ZIP 1`HONE IICENSE� <br />C1A5501 µpPK <br />❑ NE1Y ❑ ADDITIOH fX ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUI! DIN6 RELOCATiON <br />I CONi.1C1 PE�SON FND �'��ON[ NO If OTHER TIIFN ROOVf <br />CONTRALTPRICEOFWOPK�.$ 4900.00 <br />DESCRIDE WORR eNO50UAPE fOOiApE INVOLVED <br />�n � 11 F 6eYYY and wat��r Lank — <br />PRC1'OSED U.iE O� lfURfIING <br />SFR <br />LEG�I OESGAIATION Of PqOOERTY �5110 W BCIOW CR nTfAC�� 1'OUR COPIE51 <br />lOT _ BLOCN — Of <br />LLeli E�Yate St <br />�IUMSIN6 <br />NO. TYPE OF FII(TURE OR <br />LAUNDRY TMV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DR�IN <br />B�CKFLOW PFEVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERYICE — BAR. ETC.) __ <br />SUB TOTAL f <br />PEXMIT f <br />TOTAL FEE f <br />ffl1fN RE�P $ETBAGY 5 <br />USE ZON[ <br />rvrz a cn�srnuciar� ni <br />5�2E C� BIOG <br />MECHANICAL <br />SETOPCK �PLAN <br />LOT ARLA ��CRNT $ITE <br />❑ YES ❑ NO <br />rvrtwcar�srnuaroencmni �,,,.„„`" non�ovaaroc <br />O' STORIES <br />❑ Y[5 ❑ NO <br />OGCUi'PNCYLJPp fIRESPfiINNLER5RE0�0 �+[IGMTIIMIinT�ON <br />❑ VES ❑ NO <br />NERSON (O�i <br />xr IriaNsnraaoveoor i CITY OF EVERETT <br />LOCALSALES <br />TAX C(�DE IS <br />3105 <br />TYPE OF EI <br />A'C - � A/NNDLG U' lT5 — <br />FORCEO AIR SVSiEMS — <br />UNIT MEATENS — BS U. <br />r�O7HE5 DRVERS <br />VFNTILATION FAN <br />qqNGEHOOD <br />WA7F.H HEATER <br />WOO�STOVE <br />METAL FlREPLACE 8 CHII <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUSTOTAL <br />pERMIT <br />TOTALFEE <br />FEE <br />_ FEES <br />DUILDING $ <br />PLUMOING <br />MFCHANICAL <br />O7HER <br />STATE �WLDING SURCHARGE <br />STATE ENERGV SUHCFIAFGE <br />ruouc woAks <br />TOTAL <br />WHEN PROPERLY VALI <br />f <br />f <br />RECEIPT NO. <br />YOUR <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qD�FCSS "il E �l J U�'� <br />180 DAYS OR CEASE5 FOR MORE THAN 180 DAYS. <br />