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",�,'�°�'�'�°� ��� C�7NSTRUCTION ��� � <br />everett PERMIT PERM�TNo. ��'�'��:`��� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C% MECHANICAL ❑ PLUMBING ❑ SIGN <br />��vm[n r.n�i nrr��r,, cn� ,i rnn��r <br />Thomas Lux 2225 - llGth St SE Everett, WA 98203 337-1833 <br />tfNnNT MAILqDDRESS Gliv . � �`nOlff <br />qIlU11TELTOROEiI.NCR MAII pODAE55 CitY 21P PHONE <br />.CNER�I CONTR�CTUR MA4 �OD�E55 Grv Im �'rrt Nf uC(i5E • <br />MFCNANIUI CONTR�CTOR dMl ���AESS GTY L� PIIONE LICENSf • <br />Valley Natural Gas 2605 MCDouqal Ave Everett, WA 98201 259-5492 VALLENG153LI <br />PIUMBINGCONTa�CIOR uMI.�DpRESfi <:ilr Z�f' 1'riONE LICENS!• <br />CI �55 OG WONN <br />❑ NEW ❑ ADDITION <br />CONTRAC7 PqICf OF WORK $ <br />i] ALTERATION ❑ NEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />2,000. <br />nescniae wonrc nr�o sounNc roourc iuvoi vc o <br />Insta;l natural gas furnace / water heaters <br />i•norosen use or nun oir�c <br />Single family residence <br />I FOAL OESC�IPTIONOF PROI`f.RtV �S110W f1f.lOW OR �iTRCMlUUf� COPIE51 <br />I Oi � BLOf,N _ Of <br />JUP�OpRE55 <br />2�25 116th St SE <br />PLUMBING <br />NO. TYPE OF FI <br />RITCMEN SINK 8 DISP <br />OISNWASH[R <br />LaUNDRVTRAY <br />CLOTMES\YASHER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />UACNFIOW PREVENTERS <br />FOOF �RAINS — RAWLEADERS <br />SINK �SERVICE — BAR. E1C � <br />u9E lONF. <br />i � �f Uf CONS' <br />'�.ilC Of OL[ <br />����r.ur�Nc <br />in nSON f0 <br />n�,�iu'nin <br />t4t4. <br />BUR TOT�L <br />PERMIT <br />TOTIIL fEE <br />PFARSCI9PCN <br />l0� ARC/ --- <br />tYR Q' CMI'IRVCIqN Af.ili<i <br />NU Of $ipplES <br />rin[ svaiHei.ens nron <br />❑ YES ❑ NO <br />nr �rinra�.nrri�nyl��ln <br />r.oHrnr,* r�cnsor� nr�u ��r�aH[ r�o ir orr.cn rHnr� ne�vc <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A'C A HNDIG UNRS H P <br />1 FORCED AIP SYSTf.MS R 1 l I M E� <br />UNIT M[ATERS F3 T U M <br />ci.on�es onvens <br />VENTILnT10N FAN <br />(IAN1iF 1100� <br />WATER HEATER <br />WOOI] STOVt <br />METpL FIR[NLA�E 6 CH'AMEV <br />fIHEP�.ACE INSERT <br />HEAT PUMP <br />X GASNIPWfi <br />E%HrlUSTfAN <br />BUBTOTAL <br />PERMIT <br />���nE sf n�n[« PI �N CMFCI( NUMfIEfl <br />vnf A^1! AI1F <br />i:; ves r1 No FEE6 <br />„�„�' nn oi uWFuiNcuNns BUILDING <br />PLUM8ING <br />BASEMFNI <br />❑ VES ❑ NO MECHANIC�L <br />��Eu:�rt umttnnnp OTHER <br />STnTF PUILO�NG SURCHnRGE <br />STATE ENERGV SUfiCh1ARGE <br />CITY OF EVERETT — <br />LOCAL SALES Puouc wo�Ks <br />F1 °—'— <br />__.r. — <br />9 i u�� - <br />� <br />NULIVa..��ll� <br />np{r�i�cooq;;;0,50 FEE <br />1d10���45 <br />� r <br />H000«�50 <br />MECH s3 .50 3o So <br />TAX CODE IS <br />3105 TOTAL � 30 50 <br />------------ WHEN PROPERLY VALI�ATED'lHIS IS YOUR PERMIT <br />PERMITS EXPIRF IF WORK IS NOT COMMENCED WITHIN hUUlat95 fll F <br />180 DAYS OR CEASES FOR MORE THAN 1B0 DAVS. <br />