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�� '�' �NSTRUCTION ' <br /> everett PERMIT PERMITNO. � 7682 <br /> 259 -8745 <br /> ❑ DEMOLITION �] COM9INATION ❑ BUILDING �I MECHANICAL ❑ PLUMBING ❑ SION <br /> OWNER MAILApOPESS CIt"V 21P PHONE <br /> Rnh Wp7ch 161R Fd9a�00r Lane Everett WA Q820R <br /> ARCNITECTORDESIGNER MAILAOORESS CITY ZIP PHONE <br /> GENEflAL CONTRACTOR MAIL AD�RE55 CITY 21P PHONE LICENSE� <br /> MECN/.NICA�CONTRPCTOF MAILAOURE55 CITY 21P VMONE ULENSE� <br /> � Natural Gas Equipemnt Co. 1625 E. Marine View Dr. Everett. 98201 258-2441NATUR6ES21K4 <br /> PlUM81NGCONTRnCTOR MAllA00RESS CITY 21P MIONE LICENSE� <br /> CLASS OF WORK <br /> j7 NEW O ADDITION ❑ ALTERATION ❑ pEPAIR ❑ DEMOLITION ❑ BUIIDING RELOCATIpN <br /> VPLURTION OF WONK <br />, S 5000.00 <br /> DESCRIBE WORK <br /> Gas hot water tank <br /> MEATSOURLE <br />� O ELECTRIqTY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE Of BUILDING <br /> Singl e family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCRIPTIONOFPROPERTY�SMOWBELOWOPATfACMFOURCOV'E5� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK _oF I GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> —1 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> � PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIO�ATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RE55 SIGNAtUR OF W Pr1CTOR.AUTMOR12ED AGENT,OH OWNER DATE <br /> 1618 Edgemoor Lane X � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EC�UIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H P. <br /> BATHTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORV(WA$H BASIN� BOILERS—B.T.UJHP. <br /> SHOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCMEN SINN 8 DISP. FORCFD AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHEF WALLHEATERS—B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEFS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RA�IlLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIflEPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PENMIT f PEPMI7 <br /> TOTALFEE S TOTALFEE <br /> FaOr+TSETBncR qEnRSEToaCK 5iDE5ET�nCK P�ANCHECKNUMBER FEE PECEIPTNO. <br /> USE20NE IOTAREA yqCANT5ITE <br /> ❑res ❑No FEES VALUAT�ON FEE <br /> TYPEOFCONST. OCCUPRNCYGROUP NOOFDWELLINGUNITS BUILDING �/�0/67 SO:I�RM OOOqN3703 :k�k:l:k <br /> PLUMBING � <br /> SIIE Oi BLDG NO OF STORIES Mn%AGC LOAD <br /> MECHANICAL MECH � 4� .SO <br /> INVESTIGATION FEE CH��3pq��) �� .SO <br /> FIRE SPPINKI.ERS REOUIRED VES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICRTIONAGC OY PLr1NSCN8GNE�0Y AVPR FORISSUANLEOY <br /> DRIVEWAV PERMIT <br /> S.H. <br /> TOTAL 5 <br /> PEqM1T VALIDqT10N <br /> WHEN PROPERLV VALIDATED�IN THIS SPACE)THIS IS YOUR PERMIT <br /> N <br /> � <br /> C.� <br /> � <br /> f <br /> ;i' '.l�L;S Fii_i. <br />