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`�E°��" �'�7NSTRUCTION � - p <br /> QTY OF <br /> everett PERMlT PERMITNt'�:=� U�� � <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINAT�ON ❑ BUILDING ❑ MECHANICAL ❑ PLUMB�NG ❑ SIGN <br /> OWNER MAIIADDRES$ LITY ZIP PMONE <br /> SMXX Shawn Eisner 1406 Lombard Everett 98201 252-8393 <br /> ARCHITECiOP0E51GNER ��AILpDDPESS CITY ZIP PHONE <br /> GENERPLCONTRPQOR 6�AILADORESS CITY ZIP PHONE LICENSE• <br /> MECHANICALCONTHACTOR MAILADDBE55 QTY ZIP PHONE ULENSE• <br /> Natural Gas & Equip. 1625 E. Marine View Dr. Everett 98201 258-2441 4I8 NATURGE321K4 <br /> PW6IBINGCONfRACTOR MFILAO�RESS CiTY ZIP PMONE LICENSEM <br /> CLA55 OF WORN <br /> ❑ NEW �1 ADDITION ❑ ALTERATION O F7EPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WOF¢ <br /> 5 <br /> DESCRIBE WORN <br /> Iustall gas piping, furnace, hot water tank _ <br /> Henrsounee <br /> ❑ ELCCTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USC OF BUIIpING <br /> Single family residence I HEREBY CERTIFY THAT t HAVE READ AND EXAMINED THIS <br /> APPLICATION AND �(NOW THE SAME TO BE TRL'E ANG <br /> LEGA�DESCRIPTIONOFPFOPERTY�SHO\YtlELOWORATTACHfDURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> wT_ewcrc _ oF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> f'ERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> YIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDRE55 SiGN�TIIRE OF CONTRACTOR.AUtl'DPIZED AGENT,O!i OWNER OtiTE <br /> 1406 Lombard X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FFE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIL[T� A/C—A/HNDLG UNITS—H.P. <br /> Bf+THTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) �OILERS—B.T.0 MP. <br /> SHOWEB GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK&DISP. ]. FORCED AIR SYSTEMS—B.T.U. M EA B OO <br /> DISHWASHEH WALLHEATERS—PS.U. M <br /> LAUNDRVTRAY LJNITHEATERS—B.T.U. M <br /> CLOTMES WASHER EVAPORATIVECOOLtRS <br /> URINAL CLOTHES DRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOWPREVENTERS 1 WATERHEATER • G SO <br /> ROOF DRAINS—RAINLEA�ERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNFy <br /> FIRE?LACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL S S <br /> PERMIT S PEpM�T S <br /> TOTALFEF. 5 TOTALFEE <br /> FRor�T5ET8nCK REARSEroncK SioESEToncK pLANCHECKNUMBER FEE RECEIPTNO. <br /> USE ZONE LOT AFEA VACANT SITE <br /> ❑ves ❑No FEES VALUATION FEE <br /> TYPEOFWNST. OCCUPANGYGROUP NOOFDWELLINGUNIT$ BUILDING S <br /> PLUMBING �lf�, i rf'�, . '1.',i�G. <br /> 512EOFBLOG. NO OFSTORIES IdA% OCC LOAD , � � � � ' <br /> MECHANICAI • <br /> INVESTIGATIONFEE ���S�eci304(e) :� ,� c�� <br /> FIRE SPRINKLERS REOUIRED ❑VES ❑NO g7qTE BUILDING SURCHARGE {:CCUlb'��'� <br /> � •JV <br /> STATE ENEFGV SURCHARGE (;�j`CP :���,+J� <br /> APPLICATION ACC.�Y PLPNS CHECKED�Y APPR FOB ISSl1FNCE BY — <br /> DRIVEWAY PEFiMIT <br /> S.H. TOTAL 30 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> M <br /> M <br /> � <br /> � <br /> !�'.]DFe;>S f ILE <br />