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CITY OF EVERETT <br /> q � � �Oh1STRUC`�"�����!� <br /> `�� PERMI� P��,������ �,,,_. <br /> 259-88 f 0 <br /> ❑ DEI.tOLITION ❑C01d81NATION ❑ BUILOING X] MECHANICAL ❑ PLUMBING ���! SIGIi <br /> ���.�.��� MAILADOPE$$ CITY ZIP P��ONE <br /> Lauise Ande.rson 127 47th St Sld everett 95203 258-2607 _ <br /> i!:NANT MFILPD�RE55 CITY ZIP 4MONE <br /> �•FCHrtEQOR0E51GHER R1AILrlODRE55 CITV ZIP PHONE <br /> Gi3i[RALCONTRACTOR h1AtLADDRE55 Cltt ZIP PHONE UCE�:�:Y <br /> "'OiANIC/LCOYTRACTOR IdAILADDRE55 CRY ].IP PHO��E LICEII;i �- <br /> Northcaest Wa[erheater 3110 Hill Ave fiverett 98201 259-5331 NORTHIdH103R2 <br /> ���—I�'jj PLUTAOINGLONTRPGiOR �.A'.LPJDRE55 CITY 21P Pi�01lE LIC[uSL�� <br /> L•1 h <br /> ay <br /> ��A H GLASS C'r WORK <br /> �y� LS NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> `�'� '.2,' GONtALi PERSOH ANO PNONE N0�iF OTHER TMhI!ADOVE <br /> y '�+� CONTRACTPP.�CEOFVJORK: S Z�766 _ _ <br /> � � HL-tl _ � ° _ - �� �� � „� <br /> �ESGI:I�E 490RN AN�S�UARE f OOTPFE INVOLV[D / <br /> �O H� Install gas fur�ace and water heater ` _ <br /> V]H <br /> hSECH 465.00 <br /> L" �� ��no�os=_cuseoFeuaoi�:c c V � c � <br /> O H d Sin;;le family res H�CH 5.,.u0 <br /> � [�i]0 I^_GALC=SCRiPTIONOFFROPERtt(SMOWE"cLONORATTACHFOl1RGOPIES� NECHL aSJ.00 <br /> �V �] <br /> H LOT_OLOCK_OF �C I <br /> 9 y� MECH �'O.OD <br /> r r-a H <br /> C7 cn HEC.N� �65.00 <br /> O H <br /> O C7(A • � <br /> � C �o�noo�ess <br /> �T1 n 127 47th Se Sw <br /> y p� PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� hG-hHNDLG UNITS-HP. <br /> BATHTUB 1 PORCE�AIRSYST[MS-B.T.U. �dEA. <br /> I.AVATORY�WA5NBA51N1 UNITHEATERS-BT.U. �+� <br /> -� SHOWER CLOTH[SORYERS <br /> ' KITCHENSINKBDISP VENTILAiIONPAN __ _. <br /> S DISHWASHER RAIJGE NOOD . _ <br /> 1 � LAUNORVTRAV 1 1VATERHEATEN _ . _ <br /> � WOODSTOVE <br /> CLOTHES VJASHEN - <br /> UfiINAL �.1ETAL FlREALACE 8 CHIMNEY _ <br /> '�� DRIHKING FOUNTAIN FIPEPLACE INSERT _._ <br /> �� FLOOR DRNN MEAi PUIdP _ <br /> �ACKPLOW f`RHVENTERS X GAS PIPiNG __ <br /> ROOF DRAINS-RAINLEAOERS EXHAUST FAN _ <br /> �_i SINK�SEFVICE-BAR.ETQ� -� ' <br /> '�� SUB TOTAL 5 <br /> SUBTOTAL 5 �- �__ <br /> i� PERId1T 5 PERht1T 5 $p�$A __ <br /> � TOTAL FEE 5 TOTAL FEE 5 _� <br /> Fa0ui5Erua[K nen���l°toncK 5iuE5EioaCK PLAIJCHECKIJUh1BER FE[ RECEIPTNO. <br /> 1��� —_- <br /> USE20H[ LOTPF[a VRCnNT;rtE BIIILDiNGCO�E FEE <br /> FEES WWATION _. <br /> ❑v�s ❑�+o <br /> '_, I iYi'cOFWhSiPUGiiON<ILJ�:A�IE iYPEOFCONSTRUCTIONAGiU>I �=��'�',_� IqG:D�Y[llikGNnii BUILOING S <br /> PWIAI3INC <br /> 52[OF fJLOG. NO OF STOHiES ����'+��'������ ' <br /> ❑rE5 ❑uo h4ECHFNICAL <br /> OCCUGANGY�OAD FINESVRR1rcLEF59[�[l ��E�GHTI.RfIi0.110N OTMER <br /> ❑YES ❑�<O <br /> ncA50N FOn SvqiNKL[ii5 STATE OUIL�ING SURCHARGE _ <br /> STA1E ENERGY SURCHAPGE <br /> -- +.n�aHov�oor CITY OF EVERETT <br /> LOCALSALES �'ueuctvonKs __ <br /> TAX CODE IS TOTAL 65 �U <br /> — — — ----���5-- WHEN PROPERLY VALiOATED THIS IS YOUR PERMIT <br /> , � _ <br /> PERMITS EXPIRE IF WORK IS NOT COMMEr10ED WITHIN ^ � � 2 I ��� �) <br />