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,n�`"}.�'�'�""" � C�N�TRUCTION �- '� <br />everett PERMI�' PERMITNO. ��49� <br />259-8810 <br />❑ DEMOLITION CJ COMBINATION ❑ BUILDING W MECHANICAL ❑ PLUMBING O SIGN <br />OWNEP AUIL/Onf1E55 CI1Y IIP PMONE <br />John Collier 215 - 112th Street S.S. Everett, WA 98201 353-2785 <br />TF�iA41 RIRILAUnf1[55 Lllv ZIP PIIONC <br />Same <br />nPfru+[fTOROfS�ONCF MMLADDRE55 CI*v ZIP PIIONE <br />GfNC�4lLONLRRCT;O IAMIAp�RE55 CITY L�� �IION64�13�9YCNSE� <br />1 ! <br />Vall�.y Natural Gas, Inc. 2G05 MnDougall Everett, WA 98201 259-5492 I�ALLENG153L1 <br />VLU�ANI(:1ICONTIV.CtOR MMl/P_.n.5 G�V 21P PMONE LICENSE• <br />f,LA55O� WORN <br />❑ NEW ❑ ADDITION <br />r,;nii nnumss <br />�I ALTENflTION <br />CON7RACT PpICE OF WORK. $ 1� 383. 00 <br />nescmne wonK nNn snunnc wor•ee iNvoivEo <br />Install furnace only <br />nR01'OSEO USE Of li W I n W G <br />single fanil5� residence <br />LEGQ �ESCRiPTION Of �WO�E�i� ISNOW fiEIOW OR �iTI.CH FOIIR COPiE51 <br />LCT — PIOGR — of <br />J�P�ppRE55 <br />215 - 112th Street S.L•'. <br />PWMBING <br />NO. TYPE OF FIXTUHE OR I' <br />tVATER ClOSET ITOILE7) <br />BATHTU9 <br />LAVATORVIWASHDASIN� <br />SMOWER <br />KITCHfN SINK 8 OISP <br />DISNWASHER <br />LAUNDRVTRqV <br />CIOTHES WA511E0 <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEPS <br />ROOF �PAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC � <br />i�tiE ZUNF <br />�Yti (NfWSfRUf.11fN�IlOWA <br />:iTf. i.� pLDG <br />UCL'JPA4CY IOAO <br />in n.uu rnr� r,rnir�rc�ens <br />SUB TOTAL f <br />PEPMIT f <br />TOTALFEE ! <br />nnsotur,n smese*o�cK <br />FEE <br />Crtv IU' ���ONF. IiCENSV <br />❑ REPAIR ❑ OEMOLITION ❑ BUfLDING REL('�ATION <br />� fON/4CT CFRSON RNO PIIONE HO 11 OLIICF 1Mnh �OOVf <br />lOt FPU VAGNt :ilf <br />❑ vE5 ❑ NO <br />�vM Of LCNSIRUCfqN�GiWI yu, ' Nu Oi fINi11ML <br />NU OISTOPiES O45EMEN1 <br />❑ YES ❑ NO <br />�IRE 5�111NN�F�S RE00 IIEIGNi llMilAil04 <br />❑ VES ❑ NO <br />MECHANICAL � <br />NO. TYPE OF EOI <br />A C A MNDL6 UNiT i��� <br />j FORCFDA'RSYST[h6 �❑ <br />UNIT NEATERS �� � T U <br />CLOTHES �RVERS <br />VENTILATION fAN <br />RANGEHOOD <br />WA1fR NEATER <br />WOOD STOVE <br />METAL fIREPLACE 8 CHIM� <br />FI�EPLAGE INSEFT <br />NEAT PUMF <br />1 GnSPinWG <br />E%HAUSTFAN <br />PLAN CHECN NUAII3ER <br />SUBTOTAL <br />PERMIT <br />TOT�LFEE <br />![E <br />iuiis �UIL� �MC7 S <br />PLUMOING <br />MECHANICAL <br />OT/IER <br />STATE OUILDING SURCHARGE <br />SiAT[ENF.RGVSURCHARGE <br />M EA <br />R[CEIPi NO <br />n�,rucnnnNnrr.nr rinrr.nri���nw.u�rv CITYOFEVERETT <br />IOCALSALES �'umicw�nKs <br />TAX CODE IS TOTAL 55 00 <br />_ _ _ _ _ _ 3105 _ _ _ _ -- WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN i, �, i, <br />1D0 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />0 <br />'�� <br />� <br />i�� �� �i ,-' � <br />