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� [ys7 � <br />D Rf x <br />�H[~ii <br />y�H <br />fC C'� <br />H �f <br />"�� I'�-I '� <br />U7 M <br />[s7 Q � <br />� �"1 <br />��g <br />(�iY � <br />zyy� <br />rriH <br />g" <br />H <br />o❑�iy <br />Rl �y L+1 <br />H O fn <br />� <br />1 �� <br />I � <br />� <br />' 1� <br />' <br />fhrlirrrFr�'rn � � �NSTRUCTION <br />C i �� Ci� .. - _ � - <br />everett PERMIT PeRnnirNo. �� ,t�` <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUP DINC: O MECHANICAL � PLUMBING �! SIGN <br />::�:ra <br />s�°anoo�ess aiv .., nHor,c <br />Chuck Kin 1011 Tem le Dr. Everett WA 982 4 ci 259- 8 r��.a:� <br />, �'::.v� NPiI �DDRE55 <br />. ._..;TEQ OF Ci.S'.GL:n <br />pe��pppPE�S bTY P� PHON[ <br />��i� pir �MONE uGErvSEi <br />. ;r��[ee� �ONIFACTOR MAIL qD�AE55 <br />V!C�IANiCALCONTfiICTO� M�niLnBDPE55 C�iY 21P PMONE L�CENSC• <br />N. W. Watei Heater 3110 ' 11 fi7Y ,i�, r��or�e uco+s�. <br />� , _��•e�ve cor+tnnci oA ��<n aoor+Ess <br />CLFSS OF WOaK <br />� l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � OEMOLIT�ON ❑ BUIIDING RELOLATIO <br />I r.oa.nct reasorv nruo �•n�ni ni, �. ���.., .............� <br />CONTRACTPRICEOFWORK S 1 <JOO 00 <br />DLSCPIflE N'OR[ /.ND SOl1APE f OOtAGE INVOLVE� <br />Install s furn. � A <br />��no�oseo use or nunoiNc <br />Sin le Famil <br />Lf GAL �ESCRIi�TION Oi FPOnERTV �SNOW OElO W OA Ai1A��� fOUP W �IE51 <br />�pi- PLOCR � OP <br />�H�.00nEss <br />1l117 T lo <br />PLUMBING <br />NO. TYPE OF FI%TUHE OR <br />WpTER CLOSET �TOIILT� <br />BAT4TUB <br />LqVpTORV IWASH BASIN) <br />5110WER <br />NITCMEN SINK 6 OISP <br />DISHWASHER <br />LAUNDRViRAY <br />GLOTHES WASHER <br />URINAL <br />p4I�IKING FOUNTAIN <br />F�WR DRAIN <br />B/CNiIOW PP" VENTERS <br />ROOF ORAINS -- RAINLE�OEFS <br />SINK �SEBVICE- D��R. [TC � <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />fRONi5ET0/CK REhR �LiAACN <br />ViEZONE LOiA1tEA <br />ni �a:�em e <br />r�o <br />OCCUPANGYLOAD �IBES�F�NNLEPSREOD <br />O YES ❑ NO <br />HtnSONfORSPRiN6LEP5 <br />MECHANICAL <br />NO. TYPE OF EOUI� <br />A�G — A: MNpLG UNITS — H P <br />j fC�CED Alii SVSTEMS — A 1 ' <br />UNIT HEATE�S — � T U�'� <br />c�orHEsonreas ' <br />VENIILATION FAN <br />RANGEHO00 <br />j N'ATER HEATER <br />WOODSTOVE <br />METAL FI�iGPLAC[ 8 GMIldNGY <br />FIREPLACEINSERT _ <br />MEAT PUI1.P <br />Z GAS PIPiNG <br />EXHAUSTFAN <br />S <br />f <br />f <br />sio[s6loncK �LANGHECK <br />VAL/NTSRE <br />❑ VES ❑ NO <br />PEFMIT <br />TOTALFEE <br />fE[ <br />,�„�•uOD�nxiun�t.uvu5 �UILDING <br />PLUMBING <br />onsEr.�,Er�r <br />❑ VES ❑ NO MECNANICAL <br />��emH*uMira*ior� OTNER <br />STATE �UILOING SURCHARG <br />STATEENERGYSUHGNFFGE <br />CITY OF EVERETT PUDLIC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 _ — �yHEN PROPERLY V <br />PERMITS EXPIRE IP WORK IS NOT COMMENCED WITHIN /,UUHE5519L[ <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />S <br />TED <br />� <br />f <br />f <br />RECEIPT NO <br />��� <br />55 loo <br />PERMIT <br />