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d+c £��nr,�reen - <br />�"�°F � ^ONSTRUCTIOI�'- <br />everet� PERMIT <br />CITV HALL 259�8745 PERMIT NO. 14 2 b 2 <br />EVERETT,WAg8201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRE55 CITY � <br />John Osborne 5122 Dogwood Drive Everett Z'" °"o"E <br />ARCMIiECT pq DESIGNEP MAIL ADORESS GIiY <br />Z�P PHONE <br />� GENERA� CONTRACTOR MpIL AOORE55 CITY <br />Z�P PHONE �ICENSE M <br />MECMANICAL CONTRqCTOq MAIL ADORESS GITY <br />Z�P PHONE �IGENSE � <br />Natsral GnG Equipment 1G25 East Marine View Drive H9tifX88SK Everett 98201 258-2441 <br />PWMBIN6CONTRACTOR u.�� nnn�«� <br />L <br />❑ NEW O ADDITION ❑ AL7ERATION ❑ REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN O WOOD STOVEIi�IREPLACE INSERT <br />f <br />Install conversion Burner and Water Heater <br />�QT__p�OCK__OF <br />JOBfpQfjGS� <br />.71G1 JWOOd DY1Vt! <br />PLUMBING <br />TYPE OF fl%TURE <br />WATER CLO£ET �TOILEn <br />BATHTUB <br />LAVATORV (VJqSH BASIN) <br />SHOWER <br />KITCHEN SINK fl DISP. <br />LAUNDRYfRAY <br />CLO7HES WASMER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAfl, ETCJ <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />1. ENVIRONMEN7AL CHECK �IST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />d. FIRE PROTECTION SYSTEM <br />5 GRADING <br />ti. DRAINAGE <br />7. ENVII70NMFNTA� IMPACT STATI <br />8. HEALTH DISTRICT <br />BY <br />S <br />5 <br />5 <br />I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED I HIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDIYANCES <br />GOVERNING THIS TYpE OF WORK WILL BE CUMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLqTE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LA✓U REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />S,GNATURE, F N �q �q A�Tr�IZED AGENT �ATE <br />/Y <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENi <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNI7S — H.P, EA. <br />BOILERS — H.f+. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEM,S — B.T.U. M EF. <br />WALL HEATERS — B.T.U. M <br />UNIT HEA7ERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLO7HE5 DRYEPS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIF HANOLING UNI7 — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 3 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />VES ,;NO <br />NO <br />ISSUANCE <br />BUILDING <br />PLUMBING <br />AtECHANICA� <br />OTHER <br />PENALTV <br />SUB TOTAL S <br />PEHMIT = <br />TO7ALFEE f <br />PLAN CI <br />FEE <br />VALUAT�ON <br />E <br />U.B.C. <br />SEC.303 <br />FEE <br />RECEIPT NG. <br />FEE <br />TOTAL I I <br />19 00 <br />PERMI7 VALIDA710N <br />WHEN PROPERLY VALIOATED (IN THI6 SPAGE) 7HIS'iSY0l1,R PERMI7 __ (V <br />. � 1 i . '- �- � <br />N <br />� <br />�� <br />ADDRESS FILF <br />� <br />w� <br />� <br />