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the Eaergmen <br />cilv oF <br />eve�ett <br />259-8745 <br />� C"16VSTRUCTIUN <br />PERMIT <br />,.,.. r <br />PERMIT NO. � � `� u � <br />❑ DEMOLITI6Y ❑ COMBINATION � BUILDING � MECHANICAL '❑ PLUMBING ❑ SIGN <br />OWNEP MAllA00RE55 CiTY ZIP PHONE <br />Bruce Aayton 706 Laurel Dr. Everett 258-4920 <br />ARCHITECi OR DESIGNER <br />MAllA00RE55 CITY ZIP ONONE <br />GENEFn� CONTRnCT08 Mni: nD�PE55 CITY ZIP PNONE LICENSE • <br />MECMANICaLGONTPACTOR MFILADOAE55 Cltt ZIP PMONE UCEN$[• <br />Valley Natural Gas 11323 Hignway 99 Everett, t9A 355-7730 VALLENG153LI _ <br />PLUM�ING CONTRACTOF <br />MAILAOORE55 CITV 21P FHONE LICENSEx <br />.��» ..� ..,,..,. <br />❑ NEW ❑ A�DITION C� ALTERATION ❑ REPAIR <br />�ALUATION OF WORN <br />s 1619.00 <br />)ESG��BE WORH <br />Install gas fired furnace and water heater <br />iEnrsouncE <br />❑ ELECTNICITY ❑ GAS ❑ WOODSTOVE <br />single family residence <br />�GT _ BLOCK __ <br />706 Laurel Drive <br />PLUMBING <br />TYPE OF FIXTUHE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATpRY �WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />pl$NWASHER <br />LAUNOP�TPAY <br />CLOTHES WASHER <br />URINAL <br />CRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PAEVENTER$ <br />ROOF DRAINS — RAINLEADERS <br />SINH (SERVICE — eAR. EiC.) <br />SUBTOTAL <br />PEflMIT <br />TOTAIFEE <br />FRONTSETBACN RERfiSETBACK <br />L15EZONE LOT�REn <br />TYPE Oi CON51 OCCUPaNCV G( <br />SiZ[OFOIDG NJOFSTO'ilES <br />pY I Pl�NS <br />M.M. <br />roun <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINFD THI$ <br />APPLICATION AND KNOW THE SAME TO BE TftUE AN"� <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING TIi15 TYPE OF WORK WILL BE COMPLIED WITH <br />1NHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T� <br />VIOLATE OR CANCEL THE PROVISIOPJS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEriFORMANCE OF CCNSTRUCTIO�' <br />���.�„����K��r�raarin�YnuLHoareFulncENt.onc ruEa cnrE <br />X <br />MECHANICAL <br />FEE NO. TVPE OF EOUIPME <br />A/G — AMNOLG UNITS — H P- <br />REFRIGF.RA1 ION UNITS — HP. EA <br />BOILERS — B.T.U: H P. <br />GAS FIRED A�Q UNITS — B T U. <br />FORCED AIF SVSTEMS — C4.T.U. <br />1 WALLHEATERS—BT.U. <br />UNIT HEATERS — B TL. <br />EVAPORA7IVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAiJ <br />RPNGEHOOD <br />,1 WATER HEA7ER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSF.RT <br />HEAI' PUMP <br />GAS PIPING <br />EXHAU�TFAN <br />SUB TOTAL <br />PERMIT <br />TOTALiEE <br />CHECK <br />VACFNTSRC <br />[]YES ❑NO <br />NOOFOWEIUNGl1Nrt5 gUIIDING <br />nrra ron issw+�+c[ or <br />PLUtA81NG <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILOING SURCNARGI <br />STATEENEflGVSURCHARGE <br />[1RIVEWAV PERMIT <br />TOTAL <br />S <br />Sec 904�e� <br />NO. <br />r��m�� ...,.�.......,.. <br />WHEN PROPEFLV VALIDATED �IN TIIIS SPACE� TNIS IS �Ol1R PERMI <br />� <br />�1 <br />30�50 <br />30150 <br />