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the E�erKreen <br />CIT\' Of <br />everett <br />259-8745 <br />- � C-�NSTRUCTIOfd <br />PERMIT <br />PEFiP,AIT NO. I � � � O <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING .rI MECHANICAL ❑ PLUMBING ❑ SIGN <br />FIAILADDRE55 (:IiY ZIP PHONE <br />OWNEA <br />Rick Ring 1817 I.eland Drive Ev�rett 397-5268 <br />APCHREGT OA OESIGNER MAIL ADOiiE55 <br />c�Tv z�P rHONE <br />GENERALLOVTR/CTOR MAILAOORE55 <br />CITY Zlr PHONE LICENSE � <br />MECHAN�CALCONTPACTOR <br />MRILADDP.E55 CITY 21P PHO4E LICENSEa <br />Valley Nakxxa Natural Gas 11323 Highway Everett, WA 347-5268 VALLENGI P"ONE ucEr+se. <br />PLUMOING CONTRFQOR <br />AIAILPODiiE55 ��TY Z�P <br />;�q550Y WONR <br />❑ NEW U �.ODITION ❑ A�TERATION ❑ REPAIR <br />IFWAT�ON 0� WOPK <br />E <br />JESCRIBE WOPK <br />Install 2 circ. heaters, gas dryer, water heater <br />IEFTSOURCE <br />❑ ELECTRICITY <br />single family home <br />LOT — Bl OCK � <br />1817 Leland Dr. <br />PLUMBING <br />USE <br />❑ GAS <br />WATEF CLOSET (TOILET� <br />BATHTUB <br />LAVATOR� (�'�'ASH DASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF <br />SINK � <br />RE <br />— qAWLEADERS <br />— BAR, ETC.) <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />[] WOODSTOVE ❑ OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TfiE SAME TO BE TRUE AND <br />onnTrac��rauacoaiEsi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF `NORK WILL BE COMPLIED WITH <br />WHETHER SPECIF{ED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PflESUME TO GIVE F,UTHCIRITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF AMY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCT'ON OR <br />THE PERFORMANCE OF CONSTRUC710N. <br />...,....r����..«nun�ncrnnAuiHOai2E�AGEN'.00OWNER _ DniE <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />ARFA <br />X <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI.tENT <br />A/C — A�HNDLG UNITS — H P. <br />REFRIGERATION UWTS — H P. EA. <br />�OILERS — B.T.0 /H P. <br />GAS PIRED A�C. UIJITS — B TL. <br />2 FORCE� NR SVSTEMS — B T.U. M FA. <br />V:ALLHE�TERS—BT.U. M <br />UNITHEATERS—�.T-�1- M <br />� EVAPOFATNECOOLERS <br />1 CLOTHESORYEfiS <br />VFNTILATION FAN <br />f�ANGEHOOD <br />WATER NEATER <br />WOODSTOVE <br />METAL FIRLPLACE 8 CHI��NEV <br />FIREPLACEINSLRT <br />HEATPUMP <br />— GAS PIPING <br />� E%NAUSTFAN _ <br />SUBTOTAL <br />PEFlMIT <br />TOTALFE'c <br />VACANT SIiE <br />❑ YES ❑ NO <br />NOOFOWELIINGIJNIi� dUILDING <br />OF BLDG NO OF STORIES -- MA%. OCC LOAO <br />:SPRINKLERSREOUIRED ❑ YES ❑ NO <br />LIC�TIONACC BV PL�NSC��ECKE�IIT <br />ni��-r� ron issu�Nce ov <br />M.61. <br />PLUMBING <br />MECHANII'AL <br />INVESTIGnTION FEE <br />STA`E BUILDING SURCHARGI <br />STATEENERGVSURCHARGE <br />DRIVEWAV PEf7MIT <br />S <br />Sec.704(e) <br />RECEIPT <br />� <br />FEE <br />FEE <br />TOTAL � I — _ <br />PE�MIT VALIDATION <br />WHEN PROPERLV VALIO�Tf.� IW THIS SPAC[) TNIS �$ YOUR PERMIT <br />46 <br />96 <br />