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ehe Ebe,grern <br /> ��+rv+°F (''7N:�TRUCTION - " <br /> eve8el,l, F�ERMIT PERMITNQ:^. � U�U� <br /> ❑ DEMOLITION ❑ COMBINATION C BUILDING ���CAL ❑ PLUMBING ❑ SIGN <br /> owHen rnminooness eirv zia r��oNe <br /> Ralph Ross 9819 Gardner Ave. Everett 98201 355-3531 <br /> ARCHITECT0110ESiGNFR �IAILADDRESS CITV ZIP PMONE <br /> GENERr1lCONTRACtOR AIAILAODRE55 CITY ZIP PNONE �ICENSE• � <br /> MECHANICAL CONTRACTOR AIAI�qpDRE55 PMONE LICENSE� <br /> Natural Gas �quipment 1625 E. Marine View Dr, cT�verett 98201 258-24q1 NATURGE32 <br /> PIUM�ING CONT(IRCTOR MM�q00t1E55 CITY ZIP PNONE LIC[NSE• <br /> GLA55 OF WOBK 1K4 <br /> O NEW ❑ ADDITION � AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VRLUATION OF WOBN <br /> $ <br /> OESC1ilp[WpqN <br /> Install Gas piping, water heater and furnace. <br /> NEATSOUPCE <br /> ❑ ELECTRIqTY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF pURDING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGALDESCRiPTIONOfPf10PERTV�5N0\VpELOWOPATtACHFOUNCOPtES� APPLICATION AND KNOW THE �AME TO BE TPUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT�OLOCK � UF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> 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 iiEGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOOADDNESS SIGNlTIREOFCONTR4CTOR.AUTIIOAI2[GAGENT.OPOWNER OATE <br /> 4819 Gardner Ave. X � `, �� _ �-. � <br /> PLUMBING MEC NICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILEI� A:C-MHNDLG UNITS-HP. <br /> BATHTUB REFRIGERATION UNITS-H P.EA <br /> LAVATORY(WASH BASIN� �OILERS-B.T.U./H P. <br /> SHOWER GASFlREDAC UNITS-O.T.U. <br /> HITCHEN SINK 8 DISP. 1 FORCED AIR SYSTEMS-D.T.U. M EA. B OO <br /> DISHIYASHER _ WALI �1EATERS-OT.U. M <br /> LAUNDRY TRAV UNIT HEATFRS-BS.U. M <br /> CLOTNES WASHER EVAPORATIVECOOLERS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOWPREVENTERS �. WATERHEATER • C) SO <br /> ROOF OHAINS—RAINLEADERS WOOD STOV[ <br /> SINK�SERVICE—BAR,ET�.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSEPT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB TOTAL S SUB TOTAL ].S SO <br /> PERMIT S PERMIT IS OO <br /> TOTALFEE S TOTALFEE 3O SO <br /> �noNiSeiBncn liEAq5ET0ACK sioEs[ioncH PLANCHECKNUMOER FEE RECEIPTNO. <br /> USEZONE LOTAREA <br /> VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TYPEOFCONST OCCUPRNC.YGBOUP NOOFDWEILINGUNITS BUILOING S <br /> PLUMBING <br /> SIZE OF 9LUG NO OF STORIES MA% OCC LOAD <br /> MECHANICAL _-� , ��',I: _ �. "��J�r,:_, •�.30 70 � ' <br /> INVESTIGATION PEE Sec.304�e) <br /> FIRE SPRINKLERS REOUIRED ❑VES ❑NO _ . <br /> STATE BUILDING SURCHARGE ��,-��';t ..: � �;" <br /> STATEENERGVSURCHARGE -'-'-� ' �� � -`� <br /> APPLIC�TIONALC OY PLANSCNECNE�Ov APPR FORISSUANCE�Y <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL <br /> PEflM1T VALIDpT10N <br /> WHEN PROPERLV VAIIDATEO�IN TI115 SPACE�TH1515 YOUR PERMIT <br /> r� <br /> �� <br /> C�' <br /> � <br /> l� <br /> i,:il:l�.. -� j . , <br />