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`h'•F�'�,"F""" ^ C--7NSTRUCTION - � C <br />everett PERMIT PERMITNO. 2J907 <br />259-8810 <br />❑ DFMOLlTION O COMBINATI(JN ❑ BUILDING C�i MECHANICAL ❑ PLUMBING ❑ SIGN <br />01\NE�� MAIL4DIlRE55 CIIY l6` FNONE <br />Jim M��hane 5003 Sunset Lane fiveret�, wA 4R 338-0478 <br />�EN�Ni AI�ILApDR[SS LIiV ZIP PIWNE <br />Owiier <br />:NiiLC10n06iGM[9 MAIL�DORESS QT1' Z�P PHJNE <br />f.[NER�LCONtR<C10N MAILAOD�E55 CIiY ZIP PIIONE LICENSEI <br />Valley s1i Na[. Gas 2605 Plcllougnll Ave. 259-5492 VALLENG153L1 <br />MECIUNIULCJNiPA�IOR AIFIIApfJ11[55 CITV 21P PIIONE IICENSE• <br />fWM�iNGCONTR>CTOB MMLRODI1f55 CIIV 21P PNONE LICENSE• <br />CUSBOf WORN <br />❑ NEW ❑ ADDITION CXALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDIN(i HELOCATION <br />CONTPACT PRICE OF WOfiK�. $ 1, 843. 00 <br />DESCRIAE Wd1N �NO $Ol�pqE fOOTAG[ INYOLVEU <br />Install Furnace and water heeiter <br />CONTACT 1'ERSON ANO �ONE NO �� OTMER TMAN AOOVE <br />1�/JV�lV S%G1fll u�M1RTJ07 MM <br />M0002S912 <br />PROPoSED US[ Of BUiLDMG • <br />Single Family N00025911 <br />LE WL DESC��PTION Oi PROPERiY �51+OW UELOW OR >TTRCN iOU� COI'IE51 �p • <br />�IUN�K�I �O <br />IOT� BLOCR � OF � <br />111/l/ULJ�Y� • <br />� JOB�ODRE55 <br />; 5003 Sunaet Lane <br />—PLU—M�BING <br />� hv, � —T1 �E OF FI <br />URINAL <br />, DRINKING FOUNTAIP' <br />. FLOOR DMIN <br />BACNF'_OW PREVFNTERS <br />ROOF C�RAINS — FAINLEADERS <br />SINK �SERV!CE — BAR, LTC.� <br />SUlTOTAL f <br />PERMIT f <br />TOTAL FEE f <br />REIRSEiOnCN Si�ESETBACn <br />lOT AREA VPCANi SITE <br />❑ YES ❑ NO <br />fYl{OifAN51PULIqNICiUAI .;�';!�` NO�fO� <br />Oc BLUG � NO OF SiORiES <br />I ❑ YES ❑ NO <br />OCCUPANCVL-OR��FlRESPRiNNLER5RE0� M[�GHTLIAIITAiION <br />�p YES ❑ NJ <br />REASON FOR SPRINNLE�S <br />v�nNsnPano�•eoor I CITYOFEVEFETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />�.I.�i.iil,:j <br />MECHANICAL <br />TVPE OF EG <br />A/C — NHNDLG UNITS — H <br />FORCED AIP SYSTEMS — 0. . <br />UNIT HEATERS — B.T.U. <br />CIOTNES DRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATEH MEATER <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEV <br />FIREPLACEINSERT <br />MEAT PUMP <br />GAS PIPING _ <br />EXHAUSTFAN <br />M <br />FEE <br />SUBTOTAL f <br />PERMIT f <br />TOTALFEE f <br />PLAN CHECK NUMBEF PEE RECEIPT NO. <br />FEES em�oiu�nowoE � <br />BUILDING <br />PLUAIBING <br />MECHANICAL <br />OTHER <br />STATE �UILO�NG SURCHAfiGE <br />STATEENERGYSURCHARGE <br />rueuc wonKs _ <br />TOTAL <br />THIS IS <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qIlURESS FIL[ � J.? O I <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />