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"1e�' ��� PrJNSTRUCTION ^ '^ <br /> everett PERMIT PERMITNQ -i � � �0� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUII•DING C� MECHANICAL 'O PLUMBINoNE ❑ SIGN <br /> OWNEN <br /> MAIL AODRE55 CITY ZIP <br /> Dick Calkins 9709 Gardner Ave. Everett, WA 98203 347-1896Zr pMONE <br /> qRGHITECT OR OESIGNER MAIL AOONESS CITV <br /> ��n, Z�p PMONE LICENSE• <br /> GENERALCONTRACTOR MAILlDORE55 <br /> MF.CMANICAL CONiRACtON MAIL ADDRESS <br /> CITY ZIP PMDNE LIGENSE• <br /> Natural Gas Equip. Co. 1625 E. Marine View Dr. Everett, WA 98201 Z258-2441 NA�TORGE321K4NSE. <br /> PLUMBING LONTRACTOR <br /> MAIL AOORESS GTY <br /> GLASS OF WORK <br /> ❑ NEW ❑ ADDITION C�ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATI <br /> VAIUATION OF WORR <br /> t <br /> UESGFIBE WORK . <br /> Install gas water heater.' <br /> NEATSOURCE <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE O OTHER <br /> PROPOSEDUSEOFUUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence. APPLICATION AND KNOW THE SAME TO 8E TRUE AND <br /> LEGpLUESCRIPT10NOFi'NOPERTYISHO\VUELOWOFlATTACHFOU��OPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�BI.00N � O� WHETHER 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 PERFORMANCE OF CONSTRUCTION. <br /> JOBAUORE55 SIGNA REOFCONTR/CTOR.AUTIIOR�2EDAGENT.OROWNER pATE <br /> 4709 Gardner Ave. <br /> X ��A.� � ;C, �a.-��7--� <br /> PLUMBING MECHANICA <br /> Np, TYPE OF FIXTURE OR ITEM <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> � WqTER CLOSET(TOILET) A/C—A/HNDLG UNITS—H P. <br /> � BATMTUB REFRIGERATIONUNITS—MP.EA. <br /> LAVATORY(WASH Bh51N) BOILERS—B.T.U./H.P. <br /> GAS FIRED A�C.UNITS—O�T.U. <br /> SHOWER <br /> NITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M�� <br /> WAIL HEATERS—B.T.U. M <br /> DISHWASHER M <br /> LAUNDRY TRAV UNIT HEATERS—B T.U. <br /> � CLOTHES WASHER EVAPORATIVE COOLERS <br /> CLOTHESORVERS <br /> URINAL <br /> DRINKING FOUNTAIN <br /> VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PflEVENTERS <br /> 1 WATERNEATEFi • E1 SO <br /> ROOF DRAINS—RAINLEA�ERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE B CMIMNEV <br /> FIREPLACEINSERi <br /> 1 <br /> .f HEAT PUMP <br /> �l GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTRL 6 $0 <br /> SUBTOTAL S 15 00 <br /> PENMIT f PERMIT <br /> TOTALFEE f TOTALFEE ZZ SO <br /> FRONT SET�RCN RFAF SETOACN SiDE SETBAGN PLAN CHECK NUM6ER <br /> FEE RECEIPT NO. <br /> usezor+e �ornnen ypCANT5ITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST. OCGUPRNCYGROUP NOOFDWELLINGUNITS <br /> �UILDING 5 � <br /> PLUMBING � � <br /> S12E OF OLOG. NO OF STORIES MR%OCC.LOAO � Zl 5� <br /> MECHANICAL <br /> iNVESTIGATION fEE Sca 304�e) <br /> FIRE SPRINKLERS REOUIRED YES NO STATE BUILOING SURCHARGE <br /> STATE ENE(iGY SURCHARGE <br /> APPLICATIONqCC OY PLANSCHECKEDOY pPPR fORISSUANCE�Y ORNEWAVPERMIT � <br /> 21 50 <br /> S.H. TOTAL -- <br /> PEflMIT VALIDATION <br /> WHEN PROPERLY VAUDATED�IN TNIS SPACE�THIS IS YOUR PERMIT �, <br /> � <br /> �� <br /> Q� <br /> r� <br /> l�.I`,h',ES$ fI;.E <br />