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, <br /> `�E"� � �' �NSTRUCTION � <br /> eV��$�b PERMIT PERMITNO. 18096 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �{l MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONTIER MAILAOORE55 C�TY ZiP iMGNE <br /> Bill Mayer 1801 Colby Ave Everett WA 98201 259-1090 <br /> PRCNITEGT OR UESIGNEP MAIL ADDPE55 CITY 21P PNONE <br /> GENERALCONiPACTOR MAIL�OORESS CITY 21P PHON! �IC[NSE• <br /> MECHRNICRICONTRACTOR MMIPDDRE55 CITY ZIP PHONE LiLENSEr <br /> Valley Natural Gas 11323 Hwy 99 Everett, WA 98204 355-7730 VALLENG153LZ <br /> PLUMOING COHTRAGTOR MAIL ADDRE55 CITV IIP PHONE UCENSE� <br /> C1A550i WORK <br /> ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIH ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> VPWATION OF WORN <br /> S 361.88 <br /> DESCRIOE WORN � <br /> Install water heater/gas piping i <br /> HEATSOURCE <br /> ❑ ELECTRICITV ❑ GAS ❑WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF BUILpING <br /> sin le famil tesidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 9 Y APPLICATION AND KNOW THE SAME TO BE RUE AND <br /> LEWLDESCRIPTIONOFPROPENTY�SHOWDELOWORATTACHLOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND URDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�BLOGN _OF WHETHER SPECIFIED HEREIN OR NOT. THE G�7ANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO I <br /> VIOLATE OR CANGEL THE PROVISIONS OF ANY Ol�HER <br /> STATE OR LUCAL LAW �EGULATING CUNSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JO AODBE55 SIGNATUREOFCONTRAGTOR.AUTHORIZEOAGENT.OROWN[R fAtE <br /> 1�01 Colby Ave 4/2A/87 <br /> PLUM8ING M ANICAL <br /> NO. TYPE OF FI%TUHE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATEF CLOSET�TOILET� A�C—A/HNDLG UNIT$—H P. <br /> BATHTUB REFRIGEAATION UNITS—H.P.EA. <br /> LAVATORY�WASH�ASIN) DOILERS—B.T.U.iH P. <br /> SHOWER GAS FIREO A C.UNITS—B]'.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—0 T.U. M EA. <br /> OISHWASHER WALLHEATERS—O.T.0 M <br /> LAUNDRYTRAY UNITHEATERS—B.T.U. M <br /> CIOTHES WASHER EVAPORATWE COOLI°RS <br /> URINAL CLOTHESORVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN PANGG HOOD <br /> 6ACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RAINLEADERS WOOD STOtlE <br /> SINK(SERVICE—OAR.ETC.) N.EfAL FlREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PEHMIT f PERMIT <br /> TOTALFEE f TOTALFEE <br /> FflONT SETBRGN REAR 5[rOnCrc SiDE SErBnCN p�qN CHECK NUMBEH FEE RECEIPT NO. <br /> USE ZONE lOT AR[A ypCANi SITE <br /> ❑ves ❑r+o FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANGY GROUP NO OF OWELLING UNITS BUILDING S <br /> PLUMBING <br /> SIZE OF�l�G NO OF STONIE3 MA% OCC LOnO <br /> MECHANICAL 2 50 <br /> INVESTIGATION FEE 4 "�� a�� '4 M � �"� <br /> FIRE SPRINHlERS REOUIRED VES ❑NO STATE DUII.DING SURCHARGE IiOOOSBD9S <br /> [l, .J <br /> STATEENERGYSURCHARGE <br /> qPPLICATILN ACC 0V PLRNS GMECNEO DY APPR FOR ISSUANCE�Y <br /> DRIVEWAY PERMIT <br /> TOTAL 2 50 <br /> PEPMIT VALIDATION <br /> WHEN PROPEtiLY VALIDATED(IN THIS SPACE)TNI515 YOUR PERMIT C� <br /> Q7 <br /> � <br /> � <br /> � <br /> , .'.,�OLc`�� f-II_G <br />