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`�� �� C'�NSTRUCTIOIV � �� � . <br /> everett PERMIT PERMIf NQ:_ �10599 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING G SIGN <br /> OWNEf1 MAi��0�PE55 CitY ZIP P��ON[ � <br /> Donald Austin 746 Crown Dr. Everett, WA 252-1531 <br /> ARCNRECtOlIDESIGNER h1AILAf.0iiE55 CITY 21P PHON[ <br /> GENERALCONTRACTOR MAI�qpORE55 CITY ZIP PMON[ LICENSEi <br /> Valley Natural Gas 11323 Hwy 99 Everettn, WA 98204 355-7730 Gt VALLENB153LI <br /> MECHRNIC4L CONTRAC'OR MAIL�ODRE55 CITY plP PHONE IICENSE� <br /> PWMBINGCONTRACTOR MAILRODRESS CITY 21P FPON6 LICENSE• <br /> CLA55OF WORK <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDIN.i RELOCATION <br /> VR W RTION OF WORM <br /> S <br /> �ESCRIBE WORK <br /> Furnace & water heater installation <br /> HERT SOUfICE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF BUI�ING <br /> I HEREBY CFATIFY THAT I HAVE READ AND EXAMINFD THIS <br /> Single family residence APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND <br /> LEG/.LDESCHIPTIONOfPHOPERTY�5HOW0EL0�VORATTACM�JIIRCOPiES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �cr_e�ocK _ oF 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 REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBA�DRE,l'S SiGt1AT OFC TR T 10RIZE�AG[NT.ORON'NEB Ol7T�E <br /> 746 Crown Dr. X � �` V"�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�iOILET� AiC—A/HN�LG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> �AVATORY(WASH 9ASIN) BOILERS—B.T.UIHP. <br /> SMOWER GAS FIRED A C.UNITS—8 T.U. <br /> NITCHEN SINN 6 OISP. 1 ;ORCEO AIR SVSTEMS—8 T.0 M EA B OO <br /> �ISHWASHER WAILHEATERS—BT.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKF'LOW PREVENTERS j_ WATER HEATER • G SO <br /> ROOF ORAINS—RAINLEADERS WOOD STOVE <br /> . SINK(SERVICE—�AR,ETC.) METAL PIREPLACE d CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> Q , GAS PIPING Q <br /> EXHt.UST FAN <br /> SUB TOTAL S SUB TOTAL LS SO <br /> PERMIT S PEPMIT ZS OO <br /> TOTALFEE S TOTALFEE 3O SO <br /> FRONiSETencK REARSETpACN 5iDE5[iBncK PLANCHECNNUMBER FEE RECEIPTNO. <br /> USEZONE IOTAREA <br /> VACANT SITE FEES O <br /> ❑VES ❑NO <br /> TYPEOFCONST. OCCUFANGVGROUP NOOFOWEILINGUNITS BUILOING S � <br /> PLUPABING # <br /> 512E OF OLOG NO OF STORIES MA% OCC.LON� , <br /> MECHANICAL ,(�Cf( S O.SO 30 SO <br /> INVESTIGATION FEE Sec.�W�e) <br /> FIRE SPRINKLERS REOUIFEO ❑YES �J NO <br /> STATE BUILDING SUl1CHAfiGE <br /> STATEENEPGVSURCHARGE <br /> APPLIC4110NACC �Y PLANSCl�ECKEDOV APPIiGORISSUANLE[1Y <br /> DRIVEWAY PERMIT <br /> M.M. TOTAL 30 SJ <br /> - PERMIT VAIIDATION <br /> \4HEN Pf70P[RLV VALIDATLD�W THIS SPACE�THIS IS Y011fi PERMIT <br /> U� <br /> � <br /> L.L7 <br /> O <br /> N <br /> ,;:i���r��;r, ! ii_t <br />