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--r <br /> '�e� '"` (�NSTRUCTION �� �'�� 1 <br /> cirv oF - <br /> everet,t PERMIT PERMITNQ_ I �� �� <br /> 259 -8745 <br /> ❑ DEMOIITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> Q�E� MAIL RD�RE55 CITY ZIP PMONE <br /> Lorraine Arthur 2719 Fulton St Everett, WA 98201 258-888 3328 <br /> ARCMITECTORDESIGNER MAILADDRESS CITY 21P PHONE <br /> GENERAlC011TRnCiOR MAILADORESS CITY 21P PMONE LICENSE+ <br /> MECMANICAL CONTRACTOR MAIL AOORESS CITY ZIP PMONE LICCNSE� <br /> Valley Natural Gas 11323 Hwy 99 Everett, WA 98204 355-7730 V7,LLF.NG152L7: <br /> PLUMOINGCONtRAGTOR MAILADOR[SS CITY 21P PMONE LICENS[� <br /> C1A55 OF N'08N <br /> ❑ NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORN <br /> S X3 2�06Z.00 <br /> DESCHIBE WOPN <br /> Install gas fired furnace and hot water hea`.er <br /> MEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEDUSEOF�UILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGRL0E5CRIPTIONOFPRO�'ERTVISHOWBElO\YOR/TTACfIFOUfiCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE UF WORK WILL BE COMPLIED WITH <br /> LOT�B�OCN _� OF WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT 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 /> JOOA�DfiESS SIGNATUfiE F�ON AC R.�UTN I DAGENT.OPOWNER UATE <br /> 2719 Fulton � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—HP. I <br /> BATHTUB REFRIGERATION UNITS —H.P.EA. i <br /> LAVATORY(WASH 9ASIN) BOILERS—B.T.U./H.P. ' <br /> % <br /> SHOWEFi GAS PIRED A C.UNITS—B.T.U. <br /> I <br /> KITCHEN SINK 8 DISP. PORCED AIR SYSiEMS—B T.U. M EA. �I <br /> DISHWASHER WALLHE�TERS—BT.U. M <br /> IAUNDRVTFAV UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVECOOlERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> DACNFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CMIMNEY <br /> fIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUB TOTAL ZS SO <br /> PERMIT S PEPMIT LS OO <br /> TO7ALFEE f TOTALFEE �O 50 <br /> FRONT SETBRLK R[AR 5[T�ACK SioE sEroncK PLAN Cl1ECK NUMBER FEE RECEIPT NO. <br /> USE ZONE �OT pREA yp�ANT SITE <br /> ❑YES ❑ruo FEES VALUATION FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NOOFOWELLINGUNITS BUILDING S <br /> PLUMBING <br /> SIZE OF BLDG NO OF STORIES Mn%OCC.LOAD <br /> MECHANICAL 30 SO <br /> INVESTIGATIONFEE Sec.304(c) --� � � <br /> FIRE SPRINNLERS REOUIRED ❑VES ❑NO STATE BUILDING SURCHARGE � � � � . <br /> STATEENEFGVSURCHARGE <br /> APPLICRTION ACC BY PLANS CMECKED�Y APPR FOR ISSUANLE DY <br /> DRIVEWAY PEFiM1T - . � <br /> TOTAL 30 50 <br /> M.M. <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT r' <br /> Ln <br /> � <br /> Q7 � <br /> r' <br /> AI)DI;tS; I I� [ <br />