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CON�fiTRUCTION <br />PFRMIT <br />PE]tMTfNjUAi$F,R; MIMIl-V1V <br />JOB ADDRPSS: 304 SOTH ST SW <br />�n+; wc�na+: <br />owr�a: MITCHEI.L PHIL <br />��H$��W <br />Eyp,R� WA 98203 <br />P"o'� (425)252-2809 <br />CO"^` HEARTHSIDE & HOME <br />4815 194TH SW <br />LYNNWOOD WA9g036 <br />PHO� (425)771-6434 <br />t�++nFx <br />1::: <br />N0. ST <br />�.OU <br />USE( <br />SFR <br />Meclueical Permil Fas <br />TOTAL FEE <br />TOTAL FEES PAID <br />TOTAL FEES DUE <br />REMARKS: <br />DA7E: <br />7FNAIR: <br />exor+e <br />DF3CAIPIIONOF WORK: <br />GAS PIPING & GAS INSERT <br />M <br />FEES: <br />s�o.00 <br />s�o.00 <br />fo.00 <br />570.00 <br />0 <br />7A <br />0 <br />5 0.00 <br />_ _ <br />CI(�Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 987A1 <br />(425)257-8810 <br />IQI2000 ��N.EQine�m�n' <br />Rteplke Inmrt so <br />Gu PipinQ � <br />Mech Permit Pa � <br />�.:1-1+ -00 11:1tic1Pf <br />N (i0G1O10 <br />hiFCi� '1G.0� <br />? �:1'f� L '10.C�0 <br />�:fi-�1=:d; <br />A O.i_378 <br />��re.r�is+.�rc�. <br />Permils expire if worlc od com�mred wit6in 180 darys or aeses mare Ihan 1NI drye. '' 70S <br />TheQtyo(E�erMti�notrespon�bktoreviewlheapplicabidtyofplalcovmrotsbthiepamfl• CompWnce pER1MQTN0: <br />wi�h plat co�easnts is the ade reapmabflky ott6e qipli�ntbwoer. MII001-010 <br />ADDRPSS FII.e COPY <br />