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� °�° ( C,�'�NSTRUCTION � � <br /> everett PERMIT PERMITNQ� ZOO67 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �] MECHANICAL '� PLUMBING ❑ SIQN <br /> ��Ep MAIL ApDRE55 CITY 21P PHONE <br /> Ty Forsberg 3617 Friday Ave. Everett, WA 98201 258-4042 <br /> �RCHITECTORDESIGNER MAILAOORE55 CITY 21P PHONE <br /> GENENALCONTR�CTON MnILADONE55 GITY 21P PMpNE ULENSEY <br />' MECHMIICALCONTflACTOR MRIL/OORESS dTY 21P PMONE IIGENSE� <br /> i Oozy Heating 20221 67th Ave. NE Arlin ton WA 98223 435-4054 OOZYHD"137NC <br /> II <br /> PLUMBINGCONTR�CTOR MAILADORESS CITY 21P MONE LIC[NSE� <br /> ClA55OF WORM <br /> ❑ NEW ❑ ADDITION �1 AITEpATION ❑ pEPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> VALU�TION OF WOqK <br /> S <br /> OESCHiBE WORK <br /> Install gas furnace and water heater. <br /> HEAT SOIIRGE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> aaoroseo use or auaoiNc <br /> Sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> IEG�LDESCRIPTIONOFPqOPERTY�SHOWBELOWORATTACHFOUNCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BIOCN �pF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PE FORMANCE OF CONSTRUCTION. <br /> JOBAOt1RE55 SIG TUfi OFiCORTR/�ACTO,R,AUTH PI AGENT,OPOWNER ATE <br /> 3617 Frida Ave. X r �/ , S-- �-ff fj <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNITS—H.P. , <br /> BATHTUB REFRIGEHATION UNITS—H.P.EA. I <br /> LAVATORY(WASH BASIN) BOILERS—BS.U./H.P. I <br /> SHOWER GAS FIHED A�G UNITS—B.T.U. I�, <br /> KITCNEN SINK 6 DISP. j FORCED AIR SYSTEMS—B.T.U. M EA y �� <br /> DISHWASMER WA��HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. <br /> M <br /> CLOTHES WASHEf EVAPORATIVE COOLERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> B�CKFLOW PREVENTERS 1 WqTER HEATER • <br /> ROOf pqAINS—RAINLEAOERS WOOD STOVE <br /> SIKK(SERVICE—BAR.ETC.) METAL FIREFLACE 8 CHIMNEY <br /> FtREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SU!TOTAL f SUB T <br /> PERMR f PERMI <br /> TOTALPEE f TOTA <br /> FRONT SETBIIGK REAR SETBRCK SIDE SETBnCK P�AN CHECK NUMBER FEf�� .YGIPT NO. <br /> �f! <br /> USE20NE LOT�REA <br /> �� •� <br /> VACANT SITE <br /> ❑res ❑No FEES VALUATION FEE <br /> TYPEOFCONSi. OCCUPRNGYGROUP NOOFDWELLINGUNITS BUILDING S <br /> PLUMBING <br /> 512E OF BLDG. NO.OF STORIES MA% OCC.LOAD <br /> MECHANICAL 30 50 <br /> INVESTI�ATION FEE Sec.304(e) i <br /> FIRE PRINKLERSREOUIRED VES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> �PPLICATION ACC.BY PlANS CMECKED OY APPq FOR ISSURNCE BY <br /> DRIVEWAV PERMIT <br /> S.H. TOTAI 30 50 <br /> PERMR VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> L` <br /> �� <br /> � <br /> � <br /> n2 <br /> ADDRESS FILE <br />