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`�� � C�NSTRUCTION �- n <br />everett PERMIT PERMITNO. � 9�J2 <br />259-8745 <br />� DEMOL�TION ❑ COMBINATION ❑ BUILDING [� MECHANICAL ❑ PLUMBING ❑ SICaN <br />OWNER M4ILROORE55 LITV ZIP PNONE <br />Dorothy Nadeau 2221 Righ]Jyfd Ave. EVerett, WA 98201 252-2042 <br />ARCNI"CTORDESIGN[R MnILAD�RESS CITY ZIP PMONE <br />GENEH�L <br />MAIL FOOPE55 <br />PMONE UCENSE• <br />MECH�NICAL CONTRAGTOR MML PDDR[SS CITY ZiP PNONE UCENSE / <br />Nzy Heating 20221 67th Ave. NE Arlington, WA 98223 �i35-4054 COZYHD*137NC <br />PIUMBING CONTRACTOR MPIL �DDRESS CItY ZiP i9�ONE LICENSE � <br />C NEW ❑ ADDITION QALTERATION ❑ REPAIR <br />IALUATION OF WORK <br />s <br />JESCRIBE WORk <br />InsWll gas wall heater and gas water heater. <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Sinqle family residence <br />nESCRIPTION OF PfiOFERTY ISHOW BElO\V OR <br />l0T � BLOCK _ <br />2221 Highland Ave. <br />PLUMBING <br />NO. <br />WATER CLOSET (TOILET) <br />� BATHTUB <br />�� LAVATOFV�WASHBASIN� <br />! SMOWEN <br />� KITCMEN SINK 8 OISP. <br />OR ITEM <br />CLOTMES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINL[ADERS <br />SINK �SERVICE — BAR. ETC � <br />SUBTOTAL S <br />PERMIT f <br />TOTALFEE S <br />USEmnc '^"�^ VACANTSRE <br />❑YES ❑NO <br />TYPEOFCONST OCGUPRNLVGROIJP NOOFDWELL�NGl1NiT5 <br />512E OF 9lOG NO OF STORIES MA% OCC LOAD <br />FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br />nPFLICATIONALCOV PLANSCMECNEO�Y RPPRrOl1155U4NCEPY <br />S.H. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL FiE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. Ti�E GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIOIdS Of ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN��OF CONTRAQTO?.AUTH% 2ED AGE ' OR OWNER OATE <br />X G2'�, /�'A �.�l.-�v1i �-/ 7 •- `d �v' <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS — HP. <br />REFRIGERATION UNITS — HP. EA. <br />901LER5 — B.T.0 /HP. <br />GAS FIflED A�C. UNITS — BS.U. <br />FORCED AIR SYSTEMS — 8 TL. M EA. <br />WALL HEATERS — B T.U. 6� M <br />UNIT HEATEFS — B T.U. M <br />EVAPOHAiIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIM1INEV <br />FIREPlACE1N5ERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />VERMIT <br />TOTALPEE <br />PLAN CHECHNUMBER FEE <br />FEES � <br />BUILDWG S' <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARGE <br />STATEENERGVSUHCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />Sec.30d�e) <br />NO. <br />FEE <br />WHEN PROP[RLV VALIDATED �1N TMIS SPACE) TNIS IS VOUR PERMIT <br />30 I50 <br />N <br />� <br />L.C) <br />� <br />� <br />