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u�E��„� <br />cin oF <br />everett <br />259-8745 <br />t'`7NSTRUCTION � <br />PERMIT <br />�. <br />PERMIT NQ = I � I � � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDBE55 CITY Zli PHONE <br />Selva Mudalier 1336 Madrona Everett 9820d 3 258-1794 <br />ARCHITECTOROESIGN[R MAILADDHE55 CITY ZIP PHON[ <br />GENEPRICONTRRCTOR MAILADDFESS CITY ZIP PMONE �ICENSE� <br />MECHRNICALCONTRAGTOH MAILNDOPE55 GITY 21P PHONE UCENSE� <br />Valley Natural Gas 11323 Highway 99 Everett 355-7730 VALLENG135LI <br />PLUMBINGCONTRACTOR MAILA�ORESS piY ZIP PHGNE LICENSE� <br />❑ NEW ❑ ADDITION C3�ALTERATION ❑ REPAIH � DEMOLITION ❑ BUILDING RELOCATION <br />/ALUATIOh OF WORK <br />E IrJ0�.�0 <br />Install gas fired furnace and water heater <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />PFOPOSEO USE OF BUiL01NG <br />ATTACN FOUF GOPIES� <br />LOT _ BLOCN <br />J09AODAE55 <br />PLUMBING <br />NO. TYGE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORYIWASH BASIN) <br />SHOWER <br />KITCHCN $INK 8 UISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTNES WASHER <br />URINAL <br />DRINKING FOl1NTAIN <br />FLOOR DRAIN <br />84CHFLOW PREVENTERS <br />fl00'r DRAIN$ — RAINLEADERS <br />SINK �SERVICE — BAR. ETC.� <br />SUB TO <br />PERMIT <br />TOTALI <br />LOT AREA <br />TYPEOFCONST. I �CCUPANCYGROUP <br />5R[ OF 9LDG. <br />APPUCAT1�N ACC. 9Y <br />S.H. <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAAAINED THIS <br />APPLICATION AND KNOW THE SAME TO EE TRUE AND <br />CORRECT. ALL 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 AUTHCRITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTI�IER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE FERFORMANCE OF CONSTRUCTION. <br />'=iGN�@O�NACTOP,qU��'�AGE�ROWNE9 �UATE�� <br />X J; ,. . �%. '� � <br />MECHANICAL <br />TYPE OF <br />NC — A/HNOLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. <br />BOILERS — flT.U./H.P. <br />GAS FIRED A�Q UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. A7 EA. <br />WALLHEATERS—B.T.LL M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOU <br />WATER HEATER • <br />WOOPSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />ANT SITE FEES <br />ES ❑NO <br />OFDWELLINGUNITS tlUlLIi:NG <br />PLUMBING <br />NOAF STOPiES � Mrl%. OCC LOAD <br />PLANS CHECNEO 9Y <br />qPPR FOR ISSUANCE OY <br />MECHANICAL <br />INVES7IGATION FEE <br />STATE eUILDING SU <br />SUB?OTAL <br />PEflMIT <br />TOTALFEE <br />FEE RECEIPT NO. <br />VALUATION FE'� <br />S <br />� , / . .. <br />� .5 tidi az <br />�E ct+=cr; �.> ,.sa <br />STATEENERGYSUFCHARGE <br />DRIVEWAY PERMIT <br />rte <br />TOTAL � I <br />PERMIT VALIOATION <br />Wl1EN PROPERLV VALIOATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />��I���{��J Fi�E <br />30 I 50 <br />