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�� � Q'1NSTRUCTION � � . <br /> everett PERMIT �RMIT NQf_ 2O54T. <br /> 259-8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �1 MECHANICAL ❑ PLUMBING ❑ SION <br /> ONt1ER MAiLADDRESS CITV 21P PHONE <br /> Grant Gibson 1425 Grand Ave. Everett 98201 252-3651 <br /> �RCHITECTORDESIGNER M�ILADDNESS CITV ZIP PMONE <br /> OENEMLCONTP�CTOR MAILADDRE55 CITY 21P MONE LICENSE• <br /> MECIUNIC�LCONTRACTOq IAAIL�DDPESS CITY IIP PHONE LICENSE� <br /> Vnlley ][L[Yi[]( Nat Gas 11323 Highway 99 Everett 98204 355-7730 VLALENG153LI <br /> PIUMBINO GONTMCTOB 1AAIL ADOPE55 CITV 21P PMONE LIGENSE� <br /> GUSS OF WdiK <br /> ❑ NEW ❑ ADDITION Cxl ALTERATON ❑ REPAIR ❑ DEMOLITION ❑ BUILDINfi RELOCATtON <br /> V�LWITION Oi WORI( � <br /> s <br /> DESCRIBE WORIt <br /> Install furnace/water heater. <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ 07HER <br /> AIOPOSEO USE OF BUILDING <br /> SFR I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LE6�LDESCflIPT10NOFPROPENTYISMOWUELOWONFTTACHFOIIRCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT�9LOCN _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 /> PERFOPMANCE OF CONSTRUCTION. <br /> JOB�0011ESS SIGNn URE OF CONTR R.R O 2E0�GENT.OR OWNER 'O�TE <br /> 1425 Grand Ave. X <br /> ►LUMBING M �HANICAL � <br /> NO. TYVE OF flXTURE OR ITEMI FEE NO. TYPE OF EOUIPMENI' FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—M.P.EA. <br /> IAVATORY(WASH BASIN) BOILERS—B.T.0/H P. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCNEN SINK 6 DISP. j FORCED AIR SVSTEMS—B.T.LL M EA. B OO <br /> DISHWASHER WALLHEATEFS—BSL. M <br /> LAUNDRYTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WRSMEP EVAPORATIVE COOLERS <br /> URINAL CLOTHES ORVERS <br /> DRINKING FOUNTAIN VENTILATIDN FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS 1 WATEP HEATEP • 1 rj <br /> ROOF DRIIINS—RAINLEADEflS WOOD STOVE <br /> SINK�SENVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMN <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN � <br /> 6UlTOTAL f BUSTOTAL <br /> PEIIMIT f PERMIT <br /> TOTALFEE i TOTALFEE <br /> FNONf SETBACR RE�R SETB�CK SiDE SETBncK p�AN CHECN NUMBER FEE RECEIPT NO. <br /> U9E 20NE LOT AREA yACANT SITE <br /> ❑res ❑No FEES VALUATION FEE <br /> TYPEOFCONST. OGCUVANCYGROUV NOAFDWElLINOUNITS BUILDING S <br /> PLUM0ING <br /> 512EOFBLOO NO.OFSTOFIES MA%.pLCLOAD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.30C�e) <br /> 1 K ERS REOUIRED YES NO <br /> STATE BUILDiNG SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATION�C0.BY PLANSCHECREDBV RPPR.FOqISSUANCEBY <br /> DRIVEWAV PERMIT <br /> S.H. TOTAL 3 50 <br /> venrrcv�uo�noM <br /> WHEN PROPERLV VALIDATED�IN THIS SPACE�THIS IS VOUR PERMIT <br /> �` <br /> � <br /> �� <br /> � <br /> N <br /> A�DFlESS FILE <br />