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the E�a6o'een <br />cirv oF <br />everett <br />259-8745 <br />'^' C'�NSTRUCTION <br />PERIVIIT <br />^ <br />PERMIT NQ: - �� � � `� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfi MFILAODRESS CITV ZIP PHONE <br />Brian RMAt� Thornes 6927 Lower Ridae Rd. Everett 98203 355-9749 <br />ARCHITEGTOPOESIGNEP MAILADORESS CItY ZIP PHONE <br />GENERALCONTRACTOP MAILAOORESS CITY 21P PMONE LICENSE� <br />MECHANICALLONTl1ACTOR MAILAODRE55 CITY 21P PHONE 4CENSE• <br />Valley Nat Gas 11323 Hiahway 99 Ever=tt 98204 355-7730 VALi,ENG153i.I <br />PLUMBINGCONTRAGTOR MAILNODRESS CITY ZIP iMONE LICENSER <br />CLAS$ 0: WORK <br />❑ NEW ❑ ADOIT!QN <br />VALUATION OF WORK <br />S <br />�ALTERATION O AEPAIR <br />OESCRIBE WORN <br />Install furnace and water heater. <br />MEAT iOURCE <br />❑ ELECTRICITY ❑ GAS O WOODSTOVE <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY �SHOW <br />LOT _ OIOCK _ <br />PLUMBING <br />CPI�� <br />YJATER CLGSET �TOILET� <br />BATHTUB <br />LAVATORVIWASHBASIN� <br />SHOWER <br />KITCHEN SINK & OISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOH �RAIN <br />BACKFLOW PflEVENTERS <br />ROOF ORAIN$ — RAWLEA <br />SINK �SERVICE — BAR. ET <br />USEZONE <br />TVPE OF GONST. <br />SIZE OF OLDG. <br />FIRE SPRINKLERS P <br />/,PPUCATIONACC OY <br />S.H. <br />OR ITEM <br />SUB TOTAL <br />PENMIT <br />TOTALFEE <br />PLANS CNECNED BV <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I 4EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />API=�!!' :T�Giv AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. Al L PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN 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 CONSTRUCTIOfv OR <br />THE PERFORMANCE OF CONSTRUCTIOV. <br />SIG�NATyy' RE OF GON�T qqLCi�0Ip�-� 1U��� \EO AGENT, CA OKNER D/ <br />X/ 7.I A Y1Y1 n 1 � i�71 t� 1� J� ; I I� '� <br />FEE NO. TYPE OF E�UIPMENT <br />A/C — A/HNDLG UNITS — F:.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILF.RS — B.T.U./H.P. <br />GAS FIPED A C. UNITS — B.T.U. <br />1 FORCEDAIRSYSTEMS—BT.U. MEA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEH007 <br />WATER HEATER � <br />WOOOSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSEFT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSiFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECK NUMBER FEE <br />sire FE <br />❑ NO <br />�WELLINGUNRS BUILOING <br />PWMBING <br />c �ono <br />MECHANICAL <br />BY <br />INVESTIGATION FEE <br />S7A7E BUILDING SURCHARG <br />STA7EENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />a000zii9s <br />Sec.3�4(e) <br />ree <br />NO. <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACf) THIS IS YOUR PEFMIT <br />ADDEE:iS Fii E <br />