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`�� ^� ('�NSTRUCTION �� '�' <br /> everett PERMIT PERMITNO. 19086 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER ��ARAOUPESS CITY 21P PMONE <br /> Ignatious Marsidi 4701 Gardner Evcrett, WA 98203 347-1521 <br /> ARCNITEGT OR OESIGNCR MAII AOURESS CITY ZIP MIONE <br /> GENERAL COHTRFCTOR MAIL ApORE55 CITV 21P PHONE LICENSE• <br /> NATURGE321K4 <br /> MECMRNICRLCONTpACTOR MAILAU�RESS CITY ZIP PHONE 4CENSE• <br /> Natural Gas Equip. Co. 1625 E. Marine View Dr. Everett, 4]A 98201 <br /> PLUMBINGCONiflACTOR MAILAOUBE55 CITY 21P PHONE LICENSE• <br /> CUSS OF WORK <br /> ❑ NEW ❑ ADDITION �ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VAIUATION OF WORK <br /> 5 rJ�0�. 00 <br /> OESCRI6E WORK � <br /> Gasipie to new appliances <br /> HEATSOURGE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF 6UILOING <br /> Residence I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUF. AND <br /> LEGALOESCRIPTIONOFPf10PERTV�SHOWBELOWORPTTACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN �OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHEH 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 ORMANCE OF CONSTRUCTION. <br /> JOB AppRESS SiGNRTUR F CO AGTOR.AUT Ri2ED RGENT.OR OWNER OATE <br /> 4701 Gardner X � 1�-`/� � <br /> PLUMBING MEC NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUICMENT FEE <br /> WATER CLOSET(TOILET� NC—A/HNDLG UNITS—H P. <br /> BATFiTUB REFRIGERATION UNITS—M P.EA <br /> LAVATORV(WASH BASIN) BOILERS—B T U�H P. <br /> SMOWER GAS FIRED A C.UNITS—8 T U. <br /> KITCHENSINY.dOISP. Z FORCEDAIRSYSTEMS—�T.0 MEA. IB OO <br /> DISHWASHER WAL:HEATEFS—B T U M <br /> LAUNDRYTRAY UNITMEATEFS—OTU. M <br /> CLOTHES WASHER EVAPOflAIIVE COOLERS <br /> URINAL CLOTHESORVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR�RAIN RANGE HOOD <br /> BACKFLOW PflEVENTERS 1 WATER MEATER Fi S O <br /> ROOF DRAINS—RAINLE07ERS WOOD STOVE <br /> SINK�SERVICE—BAfi.ETQ� MET.'_FIFEPLACE 6 CNIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GA5 PIPING <br /> EX1�AU5T FAN <br /> SUB TOTAL f SUB TOTAL 2 Q S O <br /> PEHMIT f PEHMIT 15 <br /> TOTAL FEE f TO7AL FEE <br /> FPONT SETBRCK REAP SETBACK SIDE SETOACK P�AN CMECK NUMBER FEE RECEIPT NO <br /> USEZONE LOiAPEA — <br /> VAC�NTSITE FEES VALUATION FEE <br /> ❑YES ❑NO _ <br /> TYPEOFCONST OCCUPRA:YGROUP NOOFDWELLINGUNRS BUILOING S _ . <br /> PLUMBING <br /> SIZF OF OL�G NO OF STORIES M4%OCC LOnO <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.30<le) <br /> FIRE SPRINKLERS FEOUIRED O�ES NO <br /> STATE BUILDING SURCHARGE <br /> STATE ENERGV SURCHAF7GE <br /> 4PPLICATIONALCBY PLANSGIIECNED[1Y AVVlIfORi55WNCE0Y <br /> ORIVEWAV PERMIT <br /> S•�i• T07AL 39 50 <br /> PERMIT VAIIDATION <br /> YlHLN PROPEFlLY VALIDATED pN'-+6 SPACEI THIS I$YOUR PENMIT <br /> �� <br /> � <br /> U <br /> C3") <br /> � <br /> .... . -. . ,� , .. . 1 <br />