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�`� ^ C'�NSTRUCTION <br /> everett PERMIT PERMITNO. � 7690 <br /> 25y - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �J MECHANICAL ❑ PLUMBIN6 ❑ SION <br /> °M�if�av?d W. Darst 2944 Cedar"��0°"`ss `�Tr :�P ��E <br /> Everett 98201 259-9236 <br /> 11NCNIiECT OR D[SIONER M�II�ODRE55 f.IIV ZIP MH)NE <br /> OENEMI GONTN�CTON MML�ODRE55 Crtv 2iP PNONC LICENSE� <br /> MECMINICQ CONTR�CTOR MMl�O�eE55 CiiY 11P PnONE LICENSE� <br /> Valley Natural Gas 11323 Hwy 99 Everett 98204 355-7730 VALLENGY53LI <br /> PLUMBINOGONTRACTOR MML�OORE55 Crtv 1R' RIONE LiCENSE� <br /> CUSS Of MUqR <br /> ❑ NEW ❑ �DDITON L{ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIN6 RELOCATION <br /> V�W�110N Of NqPlt <br /> s z2�.0� <br /> DESCRIBE V✓ORN <br /> Install water heater _ <br /> HE�TSOURCE <br /> ❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br /> movoseo usc or eunaac <br /> Business I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEU�LDESCRiPTIONOfPROPFPTv�SHOWBEiOWOR�TT�CMiOunCOviES1 CORRECT. AL� PROVISIGNS OF LAWS AND ORDINANCES <br /> GOVERNING TF'�S TVPE OF WORK WILI BE COMPLIED WITH <br /> �or_etocK __ or WHETHER SPEJIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL !.AW REGULATING CONSTRUCTION OR <br /> � THEPERFORMANCEOF ONSTRUCTION. <br /> JOB�DDRE55 Sif unE Of CAN1R n � iH RiTEO�GENT.OR OMTlER �TE <br /> 2944 Cedar St. <br /> PLUMOINO MEC NICAI <br /> NO. TYPE OF FIIfTURE OR ITEM FEE NO. TYPE OF EOUIPMENT iEE <br /> WATER Cl0^uET�TOILET� A�C - A�MNDLG UNIT$--M P <br /> B�T��TUB �EFRIGERATION UNITS-� H P EA <br /> LA\'\TORY(WASH BASIN� OOILCRS �� A T U'M P <br /> SMO�4ER GAS FIRED A C UNIiS-B T U <br /> NITCMEN SINN 6 OISP FORCED AIR SYS7 BMS-B T U M EA <br /> OISHWASMER WALL HEATERS--B T U M <br /> LAUNDRY TRAV UNIT NEATERS- B T U M <br /> CIOTHES WASMER EVAPORATIVE COOLENS <br /> UNINAL CLOiMESDRYENS <br /> ONINKINQ FOUNTAIN VENTILATION FRN <br /> FLOOR DRRIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATEN HEIITER <br /> POOF DRAINS-RAINLEA�ERS WOOD STOVE <br /> SINK�SERVICE--B�R EiC� METAL FIREPUCE 6 CMIMNEY <br /> PIREPLACEINSERT <br /> HEAT Pl1MP <br /> 1 CAS PIPING <br /> E%HAUSTFAN <br /> sueror�� t eueroT�i 6 50 <br /> PERMIT { PERMIT <br /> TOTIIL FEE i TOTAL FEE <br /> fRON.3E19�C• �E�R SEifl�CN SiDE SEIB�CM PLAN CHECN NUMBER FEE RECEIPi NO <br /> USE IO4f. lOi�AE� y�C�NT SITE <br /> ❑res ❑Nn FEES VALUATION FEE <br /> TYPE Of CON51 OCCUP�NCY OROIIP NO OF OWELIM�i UNILS BUIL�ING S — <br /> PWMBING <br /> size or eioa No o�srouies M�II Of,f, 10�0 <br /> MECHANICAL Pl O <br /> INVESTIGATION FEE 01��Ie) ' � � � <br /> FIR PRINNLERS REOl11RED YES NO qpp017690 <br /> STATE BUILDING SURCHARGE <br /> STATE ENERGY SURCNq114E �� <br /> •PRIC�iION�CCflV ner�sr,�rer..eonr r.rrnroaissueNccnr <br /> DRIVEWAY PERMIi <br /> S.H. <br /> TOTAL 21 O <br /> PEXMIT VIILID�TION <br /> WMEN PflOPEALV VAL10AiED pN THIS SPACE�THIS IS VOUR PERMIT <br /> Q <br /> �7 <br /> �0 <br /> L` <br /> !� <br /> i ..� . <br />