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"�E°E,��" -- C�INSTRU�TION � ^ <br /> (;ITYOF pERMIT PERMITNO. I � ��`� <br /> everett <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAODFE55 CITY ZIP PHONE <br /> Elisa Thomas 5430 Evergreen Way EVerett, WA 98203 258-6981 <br /> p11CNITECT OR DESIGNER MniL AD�RESS CITV ZiP PNONE <br /> GENERALCONiRACTOR M11LAD�RESS CITY 21P PHONE L�CENSE� <br /> MECHRNICALCONTRAGTOR M1�/ILAODFE55 CITV ZIP PMONE UCENSE• <br /> Valley Natcral Gas 11323 Highway 99 Everett, WA 98204 355-7730 VALLENG153LI <br /> PWMBINGCONTRACTOP MAILqODl1E55 CiTY ZIP PMONE IICENSE• <br /> ClASS OF WOBK <br /> ❑ NEW ❑ ADDITION I�ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUAi'IOI.OF WOFN <br /> $ <br /> DESCfl10E WORN <br /> Install Conv. Burner <br /> HEA150UHCE <br /> ❑ EIECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PPOPOSED USE OF BUILDING <br /> Single family residence I HEREBY CF.RTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCPIPTIONOFPFOPERTY�SHOW�ELOYlOfiATTACNFOURCOPIES� CpRRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_OLOCK �OF WHETHER SPECIFIED HEREIN OR NOT. THE GRAPJTING OF A <br /> PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOD/OORE55 SiGNA R FC Tfi�.TO THO�IZEOAGENT.OROWNER DATE C) <br /> 5730 Evergreen Way X ^ u 2'��'��d <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� NC—AMNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—HP.EA. <br /> LAYA i ORY(WASH BASIN) �OILERS—BS.0/HP. <br /> SHOWER GAS FIRED AC.UNITS—B.TL. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B TL. M E�. _ <br /> DISHWASFiER WALLHEATERS—BT.U. M <br /> LAUNDPY TRAY UNIT HEAIERS—B.T.U. M <br /> CLOTHESrJASHER EVAPORATIVECOOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANG[HO00 <br /> BACHF�OVlPREVENTERS WAiERHEATER <br /> ROOF DRAINS—RAINLEADERS WOOO STOVE <br /> SINK(SERVICE—BAR.ETCJ METAL fIREPLACE fl CHIMNEY <br /> FIflEPLACE WSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL S SUB TOTAL 9 OO <br /> PEAMI7 S PEPMIT 1S 00 <br /> TOTALFEE 5 TOTALFEE Z�I OO <br /> FHor+TSETBacn RERRSETBFCN SioE5ET6aCK PLANCHECKNUMBER F[E RECEIPTNO. <br /> USE ZONE LOT AFEF yp�pNT SITE <br /> ❑ves ❑r+o FEES VALUATION FEE <br /> TYPEOFCONST. OCCIIPANCYGROUP NOOFOWELLINGUNITS BUIL�ING S � � � <br /> PLUMBINCa <br /> EIZE OF BLDG. NO OF STOFiES MA%.OCC.LOAO <br /> MECHANICAL 24 00 <br /> INVESTIGATION FEE Sec.304�c) <br /> FIRE SPRINKLEFS REOUIRED ❑VES ❑NO STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATION ACC OY PLANS CHECNED�Y AFPR FOR ISSUANCE�Y <br /> ORIVEWAY PERMIT <br /> TOTAL 24 00� <br /> S.H. <br /> PEflMIT VALIDATION <br /> WHF.N PROPERLV VALIDATED�IN THIS SPACE)THIS IS'70UR PERMIT d_ <br /> �� <br /> �� <br /> Q�� <br /> r <br />