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"�E""�" C �NSTRUCTION <br /> C�T��F <br /> everett PERMIT PERMIT NO. ZO9O6 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER <br /> AIA�I ApDRE55 GtV ZIP PnONE <br /> RI(�iARD Fortman 1931 Grand Ave. Everett 98201 252-3727 <br /> RRCHITECT OR 0[SIGN[R MAIL nU0RE55 CITY 21P I410NE <br /> GENERAL CONTRGCTOR 1.IAIL�DDl1ES5 CrtV ZIV PHONE LICENSE• <br /> MECNANICnLCOMRnCTOP MAILnODRE55 Ciiv 2iP PHONi IICENSE• <br /> �z Heatin 20221 67th Ave. NE Arlin ton 935-4054 COZYHD*137NC pHONE uceNse. <br /> PLlIM01NG CONTRACTOP AIAIL ROOP[SS CITY Z�P <br /> CUSS OF WORK <br /> ❑ NEW ❑ ADDITION C�3 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATI <br /> VAWATION OF WORK <br /> t <br /> DESCHIOE WORN <br /> Oonvert furnace to natural as and water heater. <br /> HEATSOURCE <br /> D ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEOUSEOFHUILOING 1 HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS <br /> Sin le famil residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEWl0E5CPIPTIONOFPf10fERTY�SMOwOELOWORATTRCNiOURCOV'iE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �oT_awcK _ ov 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 ON <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ROORE55 513NA UR[OF CONTR�CTOR.AUT110RI ED 4GENT.O!1 O�VNER DATE <br /> 1431 Grand Ave. X�'� ��`~ c� —��'gg <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A�C—A�HNOLG UNITS—H P. <br /> BATHTUB REFRIGERATION UNIiS—H P.GA. _ <br /> LAVATORV(WASi 1�ASIN) DOILERS—B TL1H P. <br /> SHOWER GAS FIRED A C.UNITS—B T U. <br /> KITCHEN SINK 8�ISP. j FORCED AIR SVSTEMS—B T U M EA. B OO <br /> 01SHWASHER WALLMEATERS—OT.0 M <br /> LAUNDRY TRAV UNIT HEATER$—�T.0 �✓ <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> URINAL CLOTMESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN fiANGE HOOD <br /> BACKFLOWPPEVENTERS 1 WATERIIEATER Ci SO <br /> ROOF DRAINS—RAINLEADERS \YOOD STpVE <br /> SINK(SERVICE—B4R.ETC� METAL FIREPLACE 8 CHIMNEV <br /> FlREPLACEINSERT <br /> H[ATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTRL ZS S <br /> PERMIT S PEPMIT ZS OO <br /> TOTALFEE S TOTALFEE <br /> rnoNTSEiBnCN nEnnS�ionCK 9o[SEionCK PLANCHECKNUMDER FEE RECEIPTNO <br /> U$[20NE LOTAREA VAC4Ni511E FEES OM� * <br /> ❑VES ❑NO <br /> Tv�EOFCONST OCCUPFNCVGBOl1P NOOFOWEIIINGUNITS BUILDING S ,� <br /> PLUMBING MECH $' •� <br /> 512EOFpLOG NO OFSTORIES MAX OCC LOAU <br /> MECHANICAL <br /> INVESTIGATION FEE �(��LAb <br /> FIRESPRINKLERSREOUIRED VES NO STAT[OUILDINGSU(7CHARGE <br /> r <br /> STATEENERGVSURCHARGE <br /> A�PLICATIONALCOY PL�NSCHECKED�Y /�'P� FORISSU/NCEOV - <br /> DRIVEWAV PERMIT <br /> S.H. TOTAL 30 0 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED�IN THIS 5�'ACEI THIS IS YOUR PER611T CO <br /> � <br /> Q� <br /> � <br /> N <br />