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i �� °`�' '�ONSTRUCTION� <br /> � �'�� PERMIT PEHMITNO. f 7344' <br /> 259 -8745 <br /> ' ❑ DEMOUTION ❑ COMBINATION ❑ BUILDIN6 � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> � ow�rta MAIlADd1ESS cin zir aHor� � <br /> DOlialab HealeY 4805 Dala�pare Ave Everett, WA �203 252-1470 <br /> �RP� fECTOi10ESIGNER MAIL�OGNE55 CITY ZIP PMONE <br /> � OE�EML CQVTMCTOA MAIL�D�RESS CITY 21P MONE LILEIISE� <br /> MECNNIIC�ICONTRaCTOR MMLADWIESS CITY 21P PMONE LICFNiE1 <br /> Naturnl Cas Fauia. 1625 �prine view �. ErRr � wa oa2ni 2�9-�4ai Nnmr.ur_Fa2nNF <br /> hUMBl/q CONTRAf.TOR MAIL�ODRESS CITY 21P %10NE LICEN:E� <br /> QASS OF W011k <br /> ❑ NEMI ❑ ADDIT70N � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILOIN6 RELOCATIUN <br /> VALUATION OF WpRN � <br /> s <br /> OESCRIBE WORK � <br /> Inatall gas-fired boiler a hot water heater <br /> NE�T$pUPCE <br /> Q ELECTIIICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> vaorosco use or euaoiNc <br /> Residontial I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGALDESLRIPTIONOFPROPERTY�5HOW0ElObORATTACNFOURCOVIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior_eu�cK — or_ GOVERNING THIS TYPE OF WORK WILL BE COMPlIEO 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 CONSTRUCTIUN OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDf1E55 SIGN TUREIOiCONTNnCt[O�R.A�UTHORI2EDAGENT OROWNER DATE <br /> 4805 Delaware X L�'(�l� �—'<J(1` �7�'�,VZ 10/20/86 <br /> PLUMOINO MECHANIC <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-A/HNOLG UNITS-HP. <br /> BATHTUB HEFRIGERATION UNITS-H.P.EA. <br /> LAVATORV(WASH BASIN) j BOILERS-O.T.U./H P. <br /> SHOWEq GAS FIRED A.C.UNITd-B.T.U. <br /> KITCMEN SINK 8 DISP. FORCEU AIR SVSTEMS-8 T.U. M EA. <br /> DISHWASHER WALL HEATERS-B.T.II. M <br /> LAUNDRYTRAV UNITHEATERS-B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLEHS <br /> URINAL CLOTHESDRVEHS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN - RANGE HOOD <br /> BACKFLOW PREVENTERC WATER HEATER <br /> RQOF DRl,INS-RAINLEADERS WO00 STOVE <br /> SINK(SERVICE-BAR.ETC.) METAL FIREPLACE 8 CHIMNEY <br /> PIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL Z <br /> PERMIT S PEPMIT <br /> TOTAL FEE S TOTAL FEE <br /> FFONT SET9ACK PEAR SETBRCN SIOE SETBRCK PLAN CHECK NUMBER PEE RECEIPT NO. <br /> USE 20NE LOT RREA yqCANT SITE <br /> ❑YES ❑Ho FEES VALUA770N FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NOOFDWELLINGUNITS BUILDING S <br /> PLUMBING <br /> SIZE OF OLDG NO.OF S10RIE5 MA% OCC LOAD <br /> MECHANICAL IOI�tOIBS 4�I M OOO .Pt'.254� �� <br /> I�JVESTIC�ATION FEE <br /> fIRESPRINKLERSREOUIRED VES NO <br /> STATE BUILDINCa SURCHARGE (SECH S.3 .� <br /> � <br /> STATEENERGYSViCHARGE <br /> AVRILATION ACC BY PLANS CMECNEO BY APPR FOfl ISSWNCE OV — <br /> DRIVEWAY PERMIT <br /> M.M. 1'OTAL 38 00 <br /> PERMIT VALIDAf10N <br /> WHEN�'ROPEP'_V�'ALIDATED(IN iH15 SPACE)THIS IS VOUR PERMIT <br /> T.a <br /> �� <br /> �� <br /> �� <br /> �� <br /> r`'��'i11�...�., i�l!.!_ <br />