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`��'� �- "'ONST�UCTION <br /> CITV OF <br /> everett PER�AIT PERM17N0. � 7J8`� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUIaBING ❑ SIGN <br /> ON4ER MAILADDRE55 CITY ZIP PMONE <br /> Rail n. Iioffr�ar. 22C9 Lombard Ave Everett, WA 98201 334-2613 <br /> ARLHITLCTGRDESIGNER MAILADDRE55 CITY ZIP PNONE <br /> GENERALCONiPACTOR MAILAOORESS C�TY ZIP PHONE UCENSE� <br /> MECHnNICALCONTRACTOF !.1nILADORE55 CITY 21P PHONE LICENSE" <br /> Valley Natural Gas 11323 Hwy 99 Everett, t9A 98204 355-7730 VALLENG153LI <br /> PLUMBINGCONTFACTOF MAILAODBESS QTY ZIP oMONE �ICENSEr <br /> CLA55OF WOFN <br /> ❑ NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOIITION ❑ BUILDING RELOCATION <br /> VqLU!TION OF WORN � <br /> 5 863.73 <br /> DESCFIBE WOFK � <br /> Install conv. burner/Install water heater _ <br /> NEAT SOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ O7MER <br /> PROPOSEO USE Of BUILDING <br /> Residential single family 1 HEREBY CERTIfY THAT I ��IAVE (:EAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCR�PTIONOFPROPERTV�SMOW�ELOWORATT�CH�'OURLOPIES� CORRECT. ALL ?ROVISIONS OF LAWS AND ORDINANCES <br /> �oT_e�ocK _oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �NITH <br /> WHETHER SPECIFIED HEREIV OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR <br /> THE PERFOFMANCE OF CONSTRUCTION. <br /> JO�ADORE55 SIGNATi�REOFCONTRACTO UT110 2 AGENT,OROWNEP DAT[ <br /> 2209 Lombard Ave � � _ 12/22/86 <br /> PLUMBING M PNICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> \NATER CLOSET�TOILET� A/C-A/HNDLG UNITS-HP. <br /> BATHTUB FcFRIGERATION UNITS-HP.EA. <br /> LAVATORY�WASH PASIN� BOILERS-BS.0/HP <br /> SHOWER GAS RRED A.C.UNITS—B.TL. <br /> KITCHEN SINK 8 DISP. 1 FORCED AIR SYSTEMS—BS.0 ]_OOM EA. <br /> DISHWASHER WALLHEATERS—BS.U. M <br /> LAUNURYTFAY UNIT HEATERS— �TL. M <br /> CIOTNES WASHER EVAP09aTi;E COOLERS <br /> UFINAL CLOTHES ORYEr:C <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS 1 WATER HEATER <br /> FOOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETG) METAL FIREPLACE&CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HALIST FAN <br /> SUBTOTAL S SUBTOTAL <br /> PEf1M1T S PEflM1T <br /> TOTAL FEE S TOTAL FEE <br /> FROr+T5E1BncK REnaSETBnCK SiDESETBnCK PLANCHECKNUMBER FEE RECEIPTNO. <br /> USE20NE LOTAREA yqCANT5ITE <br /> ❑res ❑r+o FEES VALUATION FEE <br /> TVPEOFCONST. OCCUPANCYGRO�P NOOFOWE�IINGUNITS BUILDING S <br /> i' �L/ G •4" i 1 - .i 'r'o"'� <br /> PLUMBING <br /> SIZEOFBL�G. NO.OFSTORIES Mq%.00C LOAD <br /> MECHANICAL ki0Q017584 3� 5� <br /> . • .J <br /> INVESTIGATION FEE 6i304�e) ;..,� S <br /> FIRE SPRINKLEFS REOUIRE� ❑VES O NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APVLICATION ACC.�Y PLANS CNECKED OY APPR FOR ISSUANCE�Y <br /> DRIVEWAV PERI.IIT <br /> M.M. <br /> TOTAL <br /> PEHMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> � <br /> �S� <br /> L� <br /> t� <br /> i J�.' , . i i�i' .. <br />