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Me EkAorgrem <br />CITY OF C INSTRUCTION <br />everett PERMIT PERMIT NO. 18942 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING a MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Todd MCNeal 6806 Berkshire Everett 98203 355-6470 <br />AACH17ECT (M DESIGNER MAIL ADDRESS CITY ZIP PM)NE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE Ir <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />Valley Natural Gas <br />11323 Hwy 99 <br />Everett 98204 355-7730 <br />VALLENG153LI <br />PLUMBING CONTRACTOR <br />MAIL, OGRESS <br />CITY ZIP <br />PHONE LICENSEF <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />f3ALTERATION <br />❑ REPAIR ❑ DEMOLITION <br />❑ BUILDING RELOCAr.oN <br />VALUATION OF WORK <br />f 982.99 <br />Install furnace/water heater <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br />PiBA UU!E OF BUILUINl <br />Single family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORrY TO <br />VIOLATE CR CANCEL THE PROVISIONS OF AN7 OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR AUTHO EC AGENT. OR OWNER DA E <br />�p <br />LEGAL DESCPIPTION OF PROMATY(SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT _ BLOCK — Ur <br />_ <br />JOBADDRESS <br />6806 Berkshire <br />PLUMBING <br />ME4AANICAL <br />NO. <br />TYPE OF FIXFURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A/HNOLG UNITS - H <br />BATHTUB <br />REFRIGERATION UNITS -- H P EA <br />LAVATORY (WASH BASIN, <br />BOILERS - B T U M P <br />SHOWER <br />GAS FIRED A C_UNITS - B 7 U <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS - 8 T U M EA. <br />DISHWASHER <br />WALL HEATERS -8TU M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />I;LOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />SACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADFRS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />BUD TOTAL <br />1 <br />DUB TOTAL 4 <br />15 <br />5 <br />PERMIT <br />{ <br />PERMIT <br />TOTAL FEE <br />f <br />YOTALFEE 1 <br />in <br />r <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SEi1MCK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE IF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />30 <br />50 <br />FIN fPRINKLERS REOUIRED ❑ YFS ONO <br />INVESTIGATION FEE <br />S&C. 304(P) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />AMICATIONACC BY <br />S.H. <br />PLANSCHECKEDBY <br />A" FOR ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />30150 <br />erewr vu mAnnu <br />".nEN PROPERL° VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />N <br />M <br />00 <br />r- <br />7 <br />ADDSLSJ r L I. <br />