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rne ES,e,green <br />an oF <br />everett <br />259-8745 <br />`'` f�NSTRUCTION --� <br />PERMIT <br />�. <br />PERMIT NQ: � � � J J <br />❑ DEMOLITION � COMBINATION ❑ BUILDING k7 MECHANICAL '❑ PLUMBING ❑ SIGN <br />OWNER MlIL.10�RE55 CITY 2iP PHONE <br />JiM�es Hopkir.s 1415 Madrona Ave. Everett, WA 96203 252-7420 <br />pqCHrtECTOR�E5IGNER MAILADDRE55 GITV ZIP PHONE <br />GENERAL CONTRACTOR MAIL AD�RE55 QTY ZIP PHONE IICENSE r <br />MECHANICALGONTRRCTOfi MRILADORE55 CITV 21P PHONE LICENSEr <br />Natural Gas Equip. 1625 E. Marine View Dr. Everett, WA 98201 258-2441 NATURGE320N6 <br />PLPM6ING LONTRAGTOH MAIL A�ORE55 CITY ZIP PHONE LiCENSE • <br />CLAS$ OF WOPK <br />❑ NEW ❑ ADDITION <br />f <br />�ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING PELOCATION <br />Install as furnace and water heater <br />MEA:souncE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />�oT _ eiocK _ <br />PLUMBING <br />FIXTURE OR <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINN 8 OISP. <br />OISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHCR <br />UF11NAl <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLcADE <br />SINK ISERVICE — BAR, ETC.) <br />JSE20NE <br />iYPE OF CONST. <br />S�ZE Of �LDG <br />FIRE SPRINNLEflS REC <br />pPPUCATION�CC.BY <br />S$6 S.H. <br />SUBTOTAL <br />FEE <br />GROUC <br />STORiES <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />HPPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOUnCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRpNTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF P,NY OTHER <br />STATE OR OCAL LAW REGULATING CONSTRUCTION OR <br />THE PERF M NCE��NS� T�ON. �17,�, <br />SIGNFfT RE CO AC�TO 'A O ED FG � OR OWNER D TE <br />X / Lf .�s-"J' --�'./ �1 � <br />ME�HANICAL o <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />�OILERS — B.T.U./H.P. <br />GAS FIPE� A�C. UNITS — B.T.U. <br />1 FOHCED AIR SVSTEMS — B T.U. M cA. <br />WAILHEATERS—BT.LL �-� <br />UNITHEATERS—BT.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />,1 WATER HEATER • <br />WOODSTOVE <br />METAI FIREPLACE 8 CHIMNEY <br />FIHEPLACEINSERT <br />HEATPUMP <br />GA$ PIPING <br />EXH4USTPAN <br />Nt SITE <br />i ❑NO <br />�F OWELLING UNITS <br />occ iono <br />i FOR ISSUANCE �Y <br />SUBTOTAL <br />PENMIT <br />NUMOER <br />BUILDING <br />PLUM8ING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATE ENERGV SURChIARGE <br />Df71VEWAV PERMIT <br />5 <br />Sec.304�e) <br />TOTAL I � <br />PE(iM1T VALIDATION <br />WHEN PROPE.RLY VALIDATED �IN THIS SPACE� THIS IS YOUR PERMIT <br />i ...�Id.']� F!�,.E <br />� <br />� <br />11 <br />� <br />