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CITY OF EVERETT <br />��ONSTRUCTION <br />PERMIT PeRMir No. ;' �? 1_,� i <br />259-8810 <br />❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PWMBING ❑ S�GN <br />O:Jrlf rV 1.'ni� nI�G19S: G�ir pir Pi�Ory6 <br />AI. HAUNGR 419 74TH ST SW F.t'GRGTT 98203 353-4271 <br />IIqANI h141LADURF55 Cliv iiP VIIOqE <br />���rOTECTOROF5i0NER 1�AiLAO[1RC55 Cilr ZIP PNONF <br />�i111CqF�CONTRLCiOR MNLADpPSS CIiY 71P �IIpNG V$E• <br />�irr�mtliCnlC:ONIR4C1pP I.Ini�AOURF.55 r1iV D�, 19�011L LIGCNS[� <br />NORTIIWEST WATC•.RI1I:ATER 3110 HILL AVE I:VERf•.7'T 98201 259-5331 NORTI1WH103R2 <br />�'iUr.ininaUONinncin� �•�<u.PUo�ESs cnr Ii� r�iONr LICENSE• <br />cim;tia �vonn <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK. S 1 J8O.00 <br />f�f SCi1�BE V/O4IRRND SOUAt�[ f(XILAGEi INVOIV[U <br />INSTALL CAS PURNACE 5 HWH <br />qrvpr�rN9e rvu n un�G� nmrvau�vc <br />i�POPOSFp �ISE Of PUiI DiN6 <br />sr•a <br />i r.ni ocscamtiorv oF aaorcqrv is�+ow oeiow on nrt�a� voun <br />i rn _ mocK _ oc <br />ino noor�[ ss <br />4l9 74TH ST SW <br />PLUMBING <br />NO. TVPE OF FI%TURE OR ITEM <br />vin7ER CLOSET (70ILETI <br />f7ATHiUO <br />IAVATOfiV �WASH BASIN� <br />SHOWER <br />KITCHEN SINN 6 DISP <br />DISHWASHER <br />IAUN�RYTRAV <br />CLOTHFS WASHER <br />URINAL <br />DRINKING FOUNTNN <br />FIOOR DRAIN <br />�ACNFLOW PREVENTERS <br />ROOF ORAINS - RAINIEA�EfiS <br />SINK ISERVICE - fiAR. ETC 1 <br />SUBTOTAL <br />PERMIT <br />TOTAIFE[ <br />IVNLSEIOACh f11Altplll���n <br />. 1104E I��n�,�:. �"� <br />'��IO�CO�h1uUCVIX:�.�Orv�O,F irpEO�COHSlPllCi�p4a< <br />� 41 OFOIIXi �10 Or S�U��iES <br />n�.-cUPANCYIOAD �i�f5P1UNNlERSlVCOO <br />❑ vL'i ❑ NO <br />�n n•�,on ron srqumi r ns' <br />,. , . . _ _ � _ _ - _ _— ., i i � , ... i r � . � <br />MECHANICAL <br />10. TVPE OF EOUIPMENT <br />A C��1 HNULG UNITS - H P <br />� 1'OHC[U Alii SYSTEMS �[3 T U M <br />IINIT HF.AiER$ - B T U M <br />CLOTHES�RYERS <br />V[NTILATION FAN <br />RANGE li �OD <br />IIEAi PU61P <br />GAS PIPING <br />[XHAUSiR <br />S <br />5 <br />tiII11.SlJIin�.r �PIAN <br />6 CHIMNEY <br />� <br />S <br />f <br />5 <br />FEE <br />y°� ��'� �'��� BUILOIN0000[ <br />FEES �p� �ri FEE <br />❑ vrs ❑ r�u <br />ru+� �. �' '+n C� o�.v. .. �tun D�r�a 5 <br />PI.Ul.1HIP�C <br />OASlIdLNI <br />❑ vi s ❑ nn r.�� a�aHicn� � <br />u1�.K'drtliMrtnirv (IfHCH <br />tilA1C f3UILOING SURCH�ROE <br />SiATEFNEHGVSURCHARGf. <br />CITY OF EVERETT �.i�fa�ir.wonKs <br />LOCAL SALES — <br />TAX CODE IS TOTAL I 55 I <br />�� �r� WHEN PROP[RLY VALIDATED THIS IS YOUR PERMIT <br />f <br />��(�� /�-J/ -�!/ <br />PERMITS EXPIRE IF WURK IS NOT COMMENCED WITfiIN <br />180 DAYS OR CEASES FOR MORE THAN 180 U�YS. <br />