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`��'�� - r71VS�RUCTION � � <br /> everett �ERMIT PERMITNO. � �O � S <br /> �� .259-��b <br /> ❑ QEMOLITION ❑ COMBINATION ❑ BUILDING �7 MECtIANICAL O PLUMBING ❑ SIGN <br /> OWNEP MAIL�BDRESS CITV ZIP PHONE <br /> Mary Ann Dorman 1801 E�diXXX Lombard Ave. Everett, WA 98201 252-2851 <br /> ARCHITECTORDESIGNEH MAILAODRE55 CItY ZIP PHONE <br /> CENENALCONTRAGTOR MAILADORESS dTY ZIP PMONE LICENSE� <br /> MECNANICALCONTRACTOP MAILAOORE55 CITY 21P PHONE LICENSEh <br /> Cozy Htg ./Gas Div. g8 20221 67th Ave . NE Arlington 435-4904 COZYHD*137NC <br /> PWMBI4GCONTRACTOR MAILADORESS CITY 21P PMONE LICENSE� <br /> CLASS OF WORK <br /> ❑ NEW �J ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> — i <br /> !'/WATION OF WOFK <br /> S !'J�0. 0� � <br /> DESCRIBE WORK � <br /> Change elec. water htr to a gas one . <br /> MEATSOUPCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOOUSTOVE ❑ OTHER <br /> PROPOSED W E OF BW 101N0 ( <br /> t HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> Sinqle fmaily residence qppLICATION AND KNOW THE SAME TO BE TRUE ANG i <br /> LEGALDESCRIPTIONOFGPOPERTV�SMOWBELOWORATfFCNFOUPCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK _ GF GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED FiEREiN 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 PE FORMANCE OF CONSTRUCTtON. <br /> JOO/D�HE55 SIGN TU OF CONT GTOR AUT 9R1�E0 4GENT.OA OWNER OATE <br /> � x ' Cc./�/, � � /O-.�a-£�`7 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVA7'ORV(WASH BASIN) BOILERS—B.T.LLM.P. <br /> SHO\NER GAS FIRED A.C.UNITS—B.T.U. <br /> FITCHEN SINK 8 OISP. FORCED AIR SYSTEMS—O.T.U. M EA. <br /> DISIiWASHER WALLIIEATERS—B.T.U. M <br /> �.AUNDRVTRAV UNITNEATERS—B.T.U. M <br /> CLOTHES WASNER EVAPORATIVE COOLERS <br /> URINAL CIOTHESDRVERS I <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOORDRAW � RANGEHOOD <br /> BACKFLOW PREVENTERS j WATEF HEATEP 6 S O <br /> ROOF ORAINS--RAINLEADERS WOOD STOV[ <br /> SINK(SERVICE—BAR.ETCJ METAL FIREPLACE&CHIMNEY ( <br /> FIflEPLACEINSERT <br /> HEAT PUMP <br /> I <br /> GAS PIPING <br /> E%HAUSTFAN I <br /> SUBTOTAL S SUBTOTAL ( <br /> I <br /> PEqM1T S PEHMIT I <br /> TOTAL FEE S TOTAI FEE I <br /> FPONTSETBACK REARSETBACN SiDESETBACK PLANCNECKNUMBER FEE RECEIPTNO. <br /> U9E:ONE LOTAREF yqLANTSItE <br /> ❑ves ❑No FEES .;VAWATION;r, ( -"��I:EEE�-!:1 <br /> TTPEOFCONST. OCCUPANCYGROUP NO.OF�WELIINGUNITS BUILDING S � <br /> �;-.:.�_.. ,..;...� <br /> PLUMBING <br /> S12ECF8LDG NOOFSTORIES MA%.00CLOAp <br /> MECHANICAL �� - � � - <br /> INVESTIGATION FEE Sec.304(e) � <br /> FIRE SPRINKLERS PEOUIREC ❑VES O NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APFLICRTION ACC DY PLFNS CHELKED DY APPN.FOR ISSURNCE DY <br /> �RIVEWAV PERMIT <br /> S.H. TOTAL 21 50 <br /> PEflM1T VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> � <br /> r' <br /> 0 <br /> Q� <br /> t� <br />