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�hrFt•'rRrrrn ��� C JNSTRUCTION - �^ <br />i'i11' OF <br />everett PERMIT PERMITNO. 2649J <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />owwcn unn. ��nnr.: cnv ziv r��or+e <br />George , Kane 1922 Summit Ave, Everett WA 982U1 259-3150 <br />1LNANl MAILAl10p1":5 QTY Tif� VIIONE <br />Same <br />•namecr on ncsicNen r,ua nnoncss a*r zm PHONE <br />GENERSLLONTnpCTOP MnIL�DORl55 CITv 11P PMONE LICENSEI <br />Valley Natural Gas, Inc. 2605 plcDougall, Everett, WA 98201 259-5492 VALENG 153L1 (4-13-91) <br />uEC��<NIC�I CONTRnCtOR M4R aDDfi[SS CitY 2iP PMONE LICENSE• <br />MUMPINGCONiMCTOR MGII�DDRE55 CrtV 2iP PRONE UCENSEr <br />CLASS OF WORN <br />❑ �W <br />❑ ADDITION <br />IR ALTERATION <br />CONTRACT PR!CE OF WORK'. S 625. 00 <br />❑ REPAIR <br />..._, ..___..,._ "'_.._. __...__....__.__ <br />Install conversion burner and water heater <br />PROPoSEO USE OG BUiIDiNG <br />Single family residence <br />LEG�L DESCNIPTION Of P110i'ENTY �SHOW OEIOW OR PrtACH fOUR COPIE51 <br />lOT _ OLOCK - Oi <br />JOB ��OfiE55 <br />PLUMBING <br />FEE <br />SUBTOTAL f <br />PERMIT S <br />TOTALFEE f <br />�RSETBRCrc SIpE5El0ACN <br />USEZpNE �LOTRRER VPC�NTSrtE <br />❑ VES ❑ NO <br />na[arcasiaucrwmnumvaei[ rvrcoicoxsrauci�cw<cruai a};�•�� rr,io�ov <br />512E of oLDG <br />occuanr�cv�on� <br />RGSON iOR S�RINNlERS <br />Of STOBiES <br />ie senuiKieas neo�o <br />YES ❑ NO <br />�AS[MENT <br />] YES ❑ NO <br />MEIGMT LIMITATION <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACI PE�SON �NU M10N[ ND I( OTHER TMFN P�OVE <br />MECHANICAL <br />A,'C — A/HNDLG UNITS — H P <br />PORCED AIR SVSTEMS — �' J <br />UNIT HEATERS — B.T.U. <br />CLOTHESDRYEFS � <br />VENTILATION FA�I <br />RANGEHO00 <br />WATERIIEATEP <br />WOODSTOVE <br />METAL FIREPLACE 6 CHIM <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXMAUSTFAN <br />BUB <br />FEES <br />BUILDING 5 <br />PLUM�ING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SUfiCHARGE <br />STATE ENERGV SURCFIARGE <br />PUBLIC WORKS <br />FEE <br />RECEIPT NO. <br />TED THIS IS <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qI7GNLSS I li P [, � y�� <br />780 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />