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theEi�ergreen ,_.. ��NSTRUCTfON ^ � <br /> CITY OF <br /> eve�ett PERMIT PERMITNO. 2� `+76 <br /> 259 - 8745 <br /> ❑ DEMOLITIOPI ❑ CONIBINATION ❑ BUILDING fc7 MECHANICAL ❑ PLUMBING � SIGN <br /> OWNER MlILq00f1E55 CITY ZIP PHONE <br /> Glenn McAlpine 1712 Lombard Ave. Ewerett 98201 252-3939 <br /> AFGHITECTOROHSIGNER MAILAODRESS CITv ZIP PHONE <br /> GENERRLCONTRACTOR MAILADDRE55 CITY ZIP PMONE LiC:NSEM <br /> MECHANICALCONiRACTOR MAILA�ORE55 pTY ZIP PHONE LICENSE� <br /> Va-ley Natural Gas 2605 McDougal Ave. Everett 98201 259-5492 VALLENG153LI <br /> PLUMBINGCONTRAGTOR -- MAI�ApDRE55 CITY 21V PNONE LICENSEr <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDITION QCALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORH <br /> $ <br /> �ESGRIBE WORK ' <br /> Install furnace and water heater <br /> MEATSOURCE <br /> O ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTi1ER <br /> PROPOSED USE OF 6UILpING <br /> I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPROPEPTY�SHOWOELOWORATiACHFOURCOPiES� CORRECT. ALl PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WITH <br /> LOT�OLOCK � OF WHETHER SPECIFIED HERE!N OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONB OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATINtu CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTIOIv. <br /> JO�ADDRESS SIG T 1EOFCONTRqCTOR HORIZEDAGENT,OROWNER DATE <br /> 1712 Lombard X � �.,� �� I <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) FJC—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGEfiATION UNITS—H P.EA. <br /> LAVATORY(WASH BASIN� BOILERS—8 T.UJHP. <br /> SHOWER GAS FIRED A C.UNITS—B.T.U. <br /> KITCHEN SINK&DISP. ]_ FORCED AIR SVSTEMS—B.i.U. M EA B OO <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUN�RVTRAV UNITHEATERS-6.T.U. M <br /> CLOTHES WASHER EVAPORATIVECOOLERS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILA710N FAN <br /> FLOOR ORAIN RANGE HOOD <br /> BACKFLOWPREVENTEHS ]_ WATERHEATER 6 SO <br /> ROOF ORAINS—RAINLEADEflS WOOD STOVE <br /> SINK(SERVICE—BAR,ETCJ METAL FIREPLACE 8 CHI.IANEY <br /> FIREPLACEINSERT <br /> HEATPUMF <br /> 2 GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTUTAL <br /> PEFMIT S PERMIT <br /> TOTAL FEE 5 TO 7�• ^�;� <br /> FqONT$ETBACN REnN SErBnCrc SIOE SETBnCK PLAN CHECK NUMBER FEE � RECEIPT NO. <br /> k000�1476 <br /> 1�5E 20NE LOT FREA yqCANt SITE <br /> ❑YES ❑No FEES ATION '• FEE <br /> � <br /> TVPEOFCONST OCCUPANCVGPOUP NOOFOWELUNGUNITS BUILDING <br /> PLUMBING <br /> SIZE OF BLDG. N0.OF STOqIES MA%.OCC L04D <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINKLERS RECi11RED ❑YES ❑NO <br /> STATE BUILDING SUPCHARGE <br /> STATEENERGYSURCHARGE <br /> APPi1CATiONALC BY PL�NSCHECREOBY PPPR fOiiI55UANCEOV <br /> DRIVEWAY PERMIT <br /> S.g. TOTAL 30 50 <br /> PENMIT VALIDATION <br /> WHEN PROPERLV VALID�TED(W TI115 SPACE)THIS IS VOUR PERMIT <br /> �fl <br /> �` <br /> d� <br /> r� <br /> N <br />