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i <br /> ��° "1 ��VSTRUCTION <br /> everett PERMlT PERMITNO. �O�U � <br /> 259 -8745 _ <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING [� MECHANICAL '0 PLUMBING ❑ SIGN <br /> ONMER M4ILADJ�E55 CITY pIP PNONE <br /> Martin Jacobson 3721 Colby Ave. Everett 98201 259-157.8 <br /> Aq[HIT6tORDE5IGNEP MnILADpRE55 CITv jln R�ONE <br /> GENER�L CONiq�C10R Mnll�DpRE55 dTv ZIP {MppE �ICENSE� <br /> MECHANIUI CONiRACTDR MFII GpDRE55 GITY $iP PMONE IICENSE� <br /> Natura]. Gas Equip. 1625 E. Marine View Dr, Everett 98201 258-2441 NATURGE320N6 <br /> 1'LUMBMG CONiR�CTOR MniL aDDRE55 GT\' 21C 1ry�py[ �IC@NSE• <br /> CL�55 Of Wp1N <br /> ❑ NEW ❑ ADOITION �] ALTERATION U REPAIR ❑ OEMOLITION ❑ BUILUING RELOCATION <br /> VAWATIOY Oi WpRK <br /> S <br /> DESCRIBE WORK <br /> Znstall convezsion burner, water heater, and ranae <br /> E�TSOUNCE _ <br /> ❑ ELECTRICITY f] GAS ❑ WOODSTOYE ❑ OTMER <br /> rnovoseo use or euno�Hc — <br /> tl Sin le famil residence � HEREBY CERTIFY THAT I H.�VE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �cc.i.ocscniano�wrmeowtr�cr�owoetowoR•Tt<cr+roumm�cs CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ioi_nioc� _ or GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN Ofl NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME 1"O GIVE AUTHORITV Tt� <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OH LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFOFj .NCE OF CONSTRl�lO - <br /> �oo noor�ess sm��< . �o- rnna .nui ¢m ir �n "ca o <br /> 3721 ODlb AVe. X " � �'' - <br /> PLUM8ING MECHAHICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(T04ET) A'C—A'IiN�LG UNITS—H P <br /> BATHTUB REFRIGERATION UMTS--H P EA <br /> LAVATORY�WASM�ASIN� BOIlERS—B TL%H P <br /> SHOWER GAS FlRE�A C UNIT$—B T U <br /> NITCHEN SINK 8 DISP. 1 FORCED 41R SVSTEMS—O 1'U M EA. <br /> OISHWASHER WALL HEATERS—0 T ll M <br /> IAVNDRti'TRAV UNIT HEqTERS—�.T U M <br /> Cl OTNES WASI IER EVAPOFATIVE COOLERS <br /> URINAI. CLOTNES DHVERS <br /> ORINNING FOUNTAIN VENTILATION FAN <br /> fLOOR DFAIN RANGE HOC1D <br /> BACNFLOW PREVENTERS WA7GP HEAIER � <br /> ROOF ORAINS—RAINLEADERS WCOD STOVE <br /> SINN�SERVICL—DAR,EiC� METAL FIREPLACE d CHIMNEY <br /> FlA[PLACEINSEHT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> — D6/09/BB 8:4 OOOAp09 I##i <br /> SUB TOTAL f SUB TOTRL / <br /> PEpM�T f PERMI ��2� <br /> TOTALKEE S TOTRL�I Z3 SQ <br /> f ROHT SETBRCM uEne sErencrc SioE SEiBnCK 7LAN CHECK NUMBER FE ^(.'; FECEIPT NO <br /> MECH i 7,� <br /> USE20NE �pTppEq <br /> VRC4NT SiTE ^ <br /> ❑ves ❑No FEES 1 FEE <br /> TYMOFCONST OGCUPANCYGPOUP NDOVDWELLiNGUNITS BUILDING Sy�CK S I.W <br /> PLUMOING <br /> SIZ[Of OLDG NO DF STOP16 MA%.00C LORO <br /> MECNANICAL 37 OO <br /> INVESTIGATION FEE Sec.304�c) <br /> FIRESPRINKLEFSREOUIRED YES NO <br /> STATE BUILDING SUFCHARGE <br /> STATEENERGYSURCHARGE <br /> pPVIIC/•TIONFCC BY PLANSCI�CCN[DAV APPR fOR155UnNCEE�V <br /> DRIVEWAV PEFMIT <br /> S'H' 70TAL <br /> 37 00 <br /> PERMIT VALIDRTION <br /> WHEN�ROPERLY VALIDATEO�IN THIS FPACE�TMIS IS YOUfl PERMIT <br /> �� <br /> �n <br /> N <br /> O <br /> N <br /> i5f'��:r . S f !;... <br />