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`�� f 7NSTRUCTION <br /> everett PERMIT PERMITNO. � 8332 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINPTION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SI6N <br /> ONMER MML�UOPE55 CITY ZiP PHONE <br /> Joseph Michaels 1111 Grand Ave. 98201 252-1828 <br /> ARCMITECTOf10E51GNEf1 MAR�DDf1E55 CRY ZIP PNONE <br /> GENER�L CONTRRCTOR MnIL�DDf1E5S C.ITY ZiP MIONE IILENSE• <br /> MECNANIC�L CONTRTCTOR MRIL ADDPESS QTV 21P PHONE LICENSE� <br /> Natur.al Gas & Equip. 1625 E. Maiine View Dr. 98201 258-2441 NATURGE321K4 <br /> PWMBINGCONif1�CTOR MFILADORE55 pTY 21P PMONE LICENSE• <br /> CL�55OF WORK <br /> ❑ NEW L�ADDITION O ALTERAT�ON ❑ pEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VRLUAtiON OF WORN <br /> S <br /> DESCRIBE WOPN , <br /> Install gas piping, hot water tank, furnace <br /> HERTSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br /> PROPOSEO USE OF OUILDING <br /> I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br /> Sin le famil X1SXY8M residence APPLICATION AND KNOW THE SAME 70 BE TRUE AND <br /> LEGALOESC1iIPTIDNOFVliOPERTY�5MOW0EWWORATi�CHFOURCOPIES� COHRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_o�ocK _ oF_ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> 1111 Grand Ave. THEPERFORMANCE OFCONSTRUCTION. <br /> JOB r1�DHE55 SIGNATURE OL CONTRACT04 Al1THOR2ED AGENt,OR OWNER OFTE <br /> X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WA7EF CLOSET�TOILET� ArC—AiHND�G UNITS—H P. <br /> BATMTUB REFRIGERAiION LNITS—H P.EA. <br /> LAVATORY�N'ASH BASIN) BOILEFS—�SL/H P. <br /> SHOWER GASFIREDAC UNITS—BTU. <br /> KITCHEN SINK d DISP. 1 FORCED AIR SVSTE1dS—BSL. M EA. 9 OO <br /> DISHWASHER WALLHEATERS—BS.U. M <br /> LAUNDRYTRAY UNITHEATERS-8'.U. M <br /> CLOTMES WASHER EVAPORATIVC-COOLERS <br /> URINAL CLOTHESORYER$ <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR�RAIN RANGE HOOD <br /> BACKFLOW PREVENTERS 1 WATER FIEATER <br /> ROOF DRAINS—RAINLEAUERS WOOD STOVE <br /> SINK�SERVICE—BAq.ETC.� METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 GAS PIPING <br /> E%NAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PEHMIT S PERMIT <br /> TOTALFEE S TOTALFEE <br /> FRONrSETBnGK REan5Ei0nCK SiDESEiBnCK PLANCHECKNUMBER FEE RECEIPTNO. <br /> USE 20NE LOT�PEA yqCANT SITE <br /> ❑res ❑�+o FEES VALUATION FEE <br /> TYFEOFCONST. OCCVPRNCYGROUP NO O��WELLINGUNITS BUILDING ,�S �y_ .�f, �� ,� �,.^� � .` Q .,,� . ; <br /> PLUMBING � <br /> SiZE OF BLOG NO OF STORIES MA% OCC LORO <br /> MECHANICAL ���VU!`v�:�]�'• <br /> ;.¢T:1 ^., � c�l <br /> ItJVES7IGATIONFEE �;��tj304jo) <br /> FIPESPRINKIEFSREOUIRED OYES ❑NO �i.y�.{ -.: ��� <br /> STATE BUILDING SURCHAFGE ` - <br /> - �c nn <br /> S7ATEENERGVSURCHARGE <br /> APPLIC/TIONACCBV PL/NSCHECNEDBV APPRFOf1155UFNLEDY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 30 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED�IN THIS SPACE)TMIS IS YOUR PERMIT <br /> N <br /> Cr'� <br /> M <br /> � <br /> � <br /> i�i1!.:,�J:: i i�.�.. <br />