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� ;TPl.ICATION FOF. ` <br /> f�e E.erqreen C O N S T R U C T I O N . ��e <br /> cm aF <br /> everett PERMIT <br /> BUILDING DEPARTMENT . <br /> 2,s-8745 TO BE COMPLETED IN !NK• PLEASE PRINT - <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C�MECHANICAL ❑ PLUMBING ❑ SIGM <br /> O'�IIER MAII ADORESS CITY lIP PHONE <br /> LOIS STARK 3409 Kromer Ave . Everett WA 339-2373 <br /> <numecrono[sicr+en MAi�aonness cirv nv vr�or+e <br /> �;u�ermicorrtnnciori �eai�nonness cm zir P110NE ueer+se• <br /> Gf CIUNiUL COMtiPCIOq AUiL qD���ESS CIiV ZIP CIIONE 4CENSE• <br /> RELIABLE SHEET METAL 11947 120th Ave. N.E . Kirkland 98033/622-3950/RE-LZ-AS- <br /> i�iuueir�aea+��acion rananooness cin zir v�we+e ueerv <br /> cuss or wonK <br /> ❑ NEW ❑ AODIiION � ALTERATION ❑ fiF.PAlft ❑ DEMOLIiIOIJ ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> vn�U�rior+or wonk Icost or rnpt[nwi5 r�US�aeoni <br /> O[SCRiOE WORN <br /> Replacement of Furnace and Hot Water Heater <br /> use or nmiou+e <br /> RESIDENTIAL I fiEREBY CERT�FY TfiAT I HAVE P,EAD AND EXAMINED THiS AP- <br /> PLICAT�ON AND KNOW THE SAME TO BETRUE AND CORRECT.ALL <br /> �ccnioescmruoNOFrnoPenrv�srwwr�n,�owonntlnp�rouneoriE,� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> �o�—oioc�—.or IN Ofi NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE 07 CANCEL THE PROVISIONS O� <br /> ANY OTIiEF STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TH[ PERFORMANCE OF CONSTRU ION. <br /> SIGNATURE p RAC/TORORAUiI RjZ 6E� ' ONE <br /> X `��` � / <br /> �• � . <br /> �= <br /> �'ROJECTADDRE55 A A SCIi (JSIN[SSLIC[N 10 <br /> 3404 Kromer Ave . Everett // � � <br /> PWMBING MECHANICAL <br /> NO. TVPE OF FI%TUPE FEE NO. TYPE OF EOUIPMENT FEE <br /> WAIER CLOSET�TOILEp AIR COND. UNiTS—H.P.EA. <br /> B�TIITUB AEFRIGERATION UNITS—H.P.EA. <br /> IAV�TORY(WASH BASIN� BOIIERS—H.P.EA, <br /> SIIOWER GAS fIREO AC. UNIiS—TONNA('E EA <br /> KITCHEN SINN 8 DISP. 1 FORCEO AIR SYSTEMS—B.T.LL IA E0. � 11 OO <br /> OISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRV TRAY 11NfT HEATERS—B,T.U. M <br /> CLO1N'c5 WASHER EVAPOPATNECOOLERS <br /> � WA7EF HEATER CIOTHES DRYEFS <br /> U�IN�L VENTILATION FAN <br /> OHINKING FOUNTAIN RANGE IIOOD <br /> FLOOfi DPAIN AIR HANDLING UNIT— C.F.M. <br /> VACU�M1IBREAKEPS STOVE _ <br /> ROOF DRf.INS—RAWLEAOERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�S[RVICE—BAR,ETC.) �'�'OODSTOVE/FIREPLACEINSERI <br /> 1 IIWT 6 50 <br /> 1�i n Q <br /> SUBTOTAL SUBTOTAL 5 <br /> PERMIT S PENMIT S <br /> TOTALFEE S TOTALFEE S <br /> THIS PORTION TO SE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> IIIONISEIB�CH �Ufi5E1f3PGH SIpESC10AGN �LANCI�ECKNUAIDE(1 PUNCHELHI'EE <br /> FEE BECEIPt NO. <br /> ..i]ON[ LOL�(IE� VRCA�JI Sp[ <br /> FEES VALU�TION FEE <br /> ❑vE5 ONO <br /> �YI`(Off.GNSi OCCUPAN.;VGftOl1P NOOFOWfLLINOUNIlS <br /> �UILDING 5 <br /> �.',¢(pi lILUG ��O.OF StORIES M�%OCC LOAD <br /> PLUMBING <br /> MELMANIC4L <br /> I IRE SPf71NKLERS REOUIRED ❑VES ❑ NO <br /> OTHER <br /> PENALTV <br /> �d�PlIC4110NPf.f. Ov PLRNSCIIECNEOOV ��PR (Of1155UA��CCOY <br /> TOTAL ' <br /> �� h'� <br />