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�hrF:i��.m C� NSTRUCTION !� � <br />CiiV (>f C <br />everett PERMIT PERMITNO. _ 2J862 <br />259-8810 <br />O DEMOLI710N ❑ COMBINATION ❑ BUILDING fj� MECHANICAL O PLUMBING ❑ SIGN <br />O14NV� <br />M/.ILAL`Ilfi[titi GIIY 1.11` f'110NE <br />Dat^id Lee 250G State St Everett, WA 98201 252-9060 <br />teN�Hr unn noo�+tss cirr z�r v��o�+E <br />Same <br />r,nermee*onoEsic.Nen Mnnnnon[ss cirr zi❑ rroNe <br />GENE�ALCONTIiACTO� M�II�DDRC55 CITV ZIP i`HONE LiGENSE� <br />Y <br />MECMANIGICONTRACIOR MRIL�DDRE55 CITY 21P PHONE IICENSE� <br />Valley Natural Gas 2G05 McDougall Ave Sverett, Wn 259-5432 <br />PWMf11NGCON1PnCT0� MAlIAppPE55 LrtY 21P P'�ONE ULENSE� <br />��A$$ Of WOPK <br />❑ ryEqr p ADDITION � ALTERATION _ ❑ REPAIR ❑ DEMOLITtON ❑ BUILOINfi RELOCA <br />CONTRACT PRICE OF WORK S 2131.00 <br />oescnmc wona �Ho souan� vooT•ee n+�•oivco <br />Install furnace and hot water heater <br />vnoroseo use oF eunow� <br />Single family rettdence <br />LE W l OESCRIVTION Of MOPEATY �SNOW BELOW 011 PTTRCNlOU� COPI[5� <br />ioT — oiocK — ov <br />St <br />PLUM6INO <br />6 DISP <br />qiINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEP <br />SINK (5[RVICE — BAN. ET <br />JSE20NE <br />�rrz a coHsrn�xnc <br />size or ei oc <br />OCCUPANCYl00 <br />nEasor+roA snn <br />APPLICFTION A <br />M.M. <br />SUBTOTAL : <br />PEqMIT s <br />TOTAIFEE S <br />easFioncK sme <br />�pi ARER <br />nrt o� corisiaucua� ncwni <br />N� OL STOIilES <br />IIFE SPRINrcLERS REO: <br />❑ VES ❑ NO <br />COIJIACT iRSON PNO PIIONE NO n Omen �nnn nov.c <br />t�.AECHANICAL <br />FEE NO. TYPE OF E�UI <br />A/C — NHNDLG UNITS — <br />1 FORCED AIR SYSTEMS — 8 T <br />UNIT NEATEP.S — BSL. <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RnNGEHOOD <br />1 WATER HEATER <br />WOODSTOVE <br />METAI FIREPLACE 8 CHIM <br />FIPEPLACEINSERT <br />HEAT PUMP <br />Z GAS PIPING � <br />E%HAUSTFAN <br />CANT SIIE <br />YES ❑ NO <br />.-..�•;K• no or o� <br />on5[MENT <br />❑ YES ❑ `:n <br />HEiGMT LIMITATION <br />°Y I CITY OF EVERtTT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />CHECK <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />FEE <br />FEES ' <br />�UILDING 5 <br />PLUMBING <br />MECHANICAL <br />OTNEH <br />STATE BUILCING SUfiCHARGE <br />ST�TEENERG�SURCHARGE <br />PUOUC WORKS <br />TOTAL <br />M EA. <br />FEE <br />� <br />i <br />S <br />RECEIPT NO. <br />Y VALIDATED THIS IS <br />65 <br />. n <br />PERMITS EXPIRE IF WORK �S NOT COMMENCED WITHIN �;,'��;,,� :'.: . ��1 �3 f l �; <br />1B0 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />65 <br />