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LheEverBreen <br />C�TY OF <br />everett <br />25°-8745 <br />�' C�NSTRUCTION <br />PERMIT <br />r-- <br />PERMIT NO. 2 ( =+40 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING $$ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEF MAILNDURE55 CITV ZIP PHONE <br />Rick Thom-s 607 Madison Everet.t 98201 355-8627 <br />ARCMITECTOROESIGNEfl MRIIAJDRE55 CITY ZiP PNONE <br />GENERAL CONTRAGTOR MAIL RDDRESS CITY ZIP PMONE LICENSE � <br />MELHA��ICALCONTRACTOF MNIIADDRE55 CITV 21� PMONE LICENSEM <br />Valley Natural Gas 2605 McDougal <br />Everett 98201 259-5492 <br />PWMBINGGONTRACTOF MAILADDRE55 CITY 21P PMONE LICENSE+ <br />VALLENG153LI <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION L�ALYERATION ❑ HEPAIR <br />VPLUATION OF WOFN <br />S <br />OESCHIBE WORK <br />Install furnace & water heater <br />NEAT SOLIRCE <br />O ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />SFR <br />.EGAL!lESCRIPTION OF PROP <br />LOT _ BLOGK __ <br />IOBAODRE$$ <br />607 Madison <br />PLUMBING <br />TYPE OF FIXTURE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVAfORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASNER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINi(ING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLGW PREVENTERS <br />ROOF DRAINS — RAINLE�DE <br />SINK (SERVICE — BAR. ETC.) <br />BLDG <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />5 <br />S <br />❑ VES <br />GROUP NO OF <br />STORIES � MA%. <br />AGC OY PLANSCHECKEO�Y I APPR, <br />❑ DF.MOLITION <br />❑ OTHER <br />❑ 9UILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPcCIFIED 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 CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA RE OF CONt ACTO ED AGENT. OR OWNER DATE <br />X ?�'..,�.� .�-F-�;'�'� � /� I� <br />A/C — A/HNDLG UNIT$ — H.P. <br />REFRIGERA fION UNITS — IA�� <br />BOILERS — B.T.U./H. P. <br />GAS FIRED A�C. UNITS — B TI(OI <br />FORCED AIR SVSTEMS — B.�tiE' <br />WALL HEATERS — B.T.U. HO <br />UNITHEATERS—B.T.U. HE <br />EVAPORATIVF COC��EflS CH <br />CLOTNESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />MEfAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />M EA. <br />M <br />FEE <br />SUBTOTAL <br />PEFMIT LS <br />TOTAI FEE <br />CK PLAN CHECK NUMBER FEE RECEIPT NO. <br />�E FEES VALUATION FEE <br />NO <br />ELLINGUNITS BUILDING S <br />PLUMBING <br />LOAD <br />MECHANICAL 30 <br />INVESTIGATION FEE Sec.304(e) <br />STATE BUILOING SURCHARGE <br />STA7EENERGVSURCHARGE <br />I ISSVANCE �Y <br />DRIVEWAY PERMIT <br />TOTAL 30 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDAIED (IN THIS SPACE) THIS IS VOUR PERMIT <br />A ii � :.:. �. ., ��, i �; ��, <br />5� <br />50 <br />