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r:� � <br />Q il" OP <br />everett <br />259-8745 <br />� �'�NSTRUCTION � . Cn <br />PERMIT PERMITNQ:_� �� JJ <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAI ❑ PLUMBING ❑ SIGN <br />OWNER A•qILA0DRE55 �itY ZIP PMONE <br />Greg LaComb 5128 Dogwood, Dr. Everett, WA 96203 259-7942 <br />ARLNITECTOROESIGNER MAILFDOfi[SS diY ZIP PHONE <br />G[NERRI CONTqpCTOfl MAIL AODRESS CITV 21P PNONE LICENSE � <br />MECMANICRLCONTPACTOR MAILADDRE55 CITY ZIP PMONE LICENSE• <br />Cozy Heating 20221 67th Ave. NE Arlington, WA 9�?23 435-4904 COZYHD*137NC <br />PLUMUINGCONTRRCTOR MAILAODRE55 LiTY ZIP PMONE UCENSE• <br />CUSS O' WORK <br />❑ NEW ❑ ADDITION [�ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VRLURTIONOf WORK <br />S <br />Instail <br />MEAT SOURLE <br />❑ ELECTRIdTV <br />gas fiirnace and water heater. <br />❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Single family residence <br />iAL OESCRIPTiCN Of PROPERTV �SIIO W BELOW OR AT' <br />lOT _ BLOCI( _ <br />5128 Dogwood Dr. <br />PLUMBING <br />�� <br />WATER CLOSET (iOILET� <br />BATMTUB <br />LAVATORVIWASHBASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — PAINLEA <br />SINK (SERVICE — BAR. ET <br />TYPE OF CONST <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />ann�aa�:naa <br />APPLICATIONACC BY I P�pNSCMECNE00V <br />S.H. <br />FEE <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AMD ORDINANCES <br />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 />scpnr7lqE OF CONTR�CTOR. qUTjStlNIZED 4GENT. OR OWNER , OAT[ _ � <br />MECHANICAI <br />TYPE UF EOUIPMENT <br />A�C — A'HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H P. EA. <br />�OILERS — B.T.0 /H P. <br />GAS P�fiED n�C UNITS — B T U. <br />FORCED AIR SYSTEMS — D.T.U. <br />WALL HEATERS — B.T U. <br />UNIT HEATERS — B.T U. <br />EVAPORATIVE COOLERS <br />CLOTHES �RYERS <br />VENTRATION FAN <br />RANGEI100D <br />WATER HEATEP • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPIACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTfAN <br />f <br />S <br />f <br />SiDESEToncK P�ANCHECKNUMBEf <br />Vr1C4NT SITE pEES <br />❑VES ❑NO <br />NOOFDNELLINGUNRS BUILDING <br />PLUMBING <br />MA%.00C LOnD <br />MECHANICAL <br />INVESTIGATIONFEE <br />APPR FOR ISSUANCE OY <br />SUBTOTAL <br />PERMIT <br />5 <br />M EA. <br />M <br />M <br />Sec J04�e� <br />FEE <br />FEE <br />STATEBUILDWGSURCHARGE � � <br />STATEENERGYSURCMAqGE . . <br />DRIVEW�V PERMIT <br />TOTAL 3 0 <br />PEflMIT VALIDATION <br />WH[N PROPEflLY VALIDATED QN iHIS SPACE) TMIS IS YOUF PERMIT <br />i„'.�.ii�J: ��i. E <br />0 <br />