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�� <br />CITY OF <br />everett <br />259-8745 <br />- C�NSTRUCTION <br />PERMIT <br />PERMIT NO. Z O O 9 2 <br />� DEMOLITION ❑ COMBINATION ❑ BUILDING (� MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONMER MAIL4DDPE55 GtY ZIP PHONE <br />X Larry Peterson 4718 Harbor Lane Everett, WA 98203 353-2234 <br />RHCMR[LTOROESIGNFR M/ILADDRE55 CITY IIP P��ONE <br />GEN[R�ICONiRACTOR MAIIAD�RE55 GTY ZIP VMONE UCENS[� <br />MEGIIPNIULCONTRACTOR MAILADDpCSS CITV ZIP i'110NC LICENSC� <br />i'LUMBINfi CONTNFC� <br />Natural Gas <br />CUSS O� WOI1N <br />❑ NEW <br />VRLWTION O( WOfIN <br />f <br />Co. <br />❑ ADDITION <br />MRILAOORL55 ❑iY Z�P f'110NE UCENSE� <br />1625 E Marine View Dr. Everett 258-2991 NATURGE320N6 <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Install gas furnace and hot water heater <br />O ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Residence <br />ior _ oiocK <br />tfO 4718 Harbor Lane <br />PLUMBING <br />NO. <br />TYP[ <br />WATER CLOSET �TOI:ET� <br />BATHTU� <br />LAVATORV�WASNDASIN) <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASIIER <br />URINAL <br />DFINKING FGUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAMS — RAINLEADE <br />SINY. �SERVICE — BAR, ETCJ <br />OR ITEM <br />I HEREBY CERTIFY TI1AT I HAVE READ AND EXAMINED THIS <br />APPIiCAiION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND URDINANCES <br />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 AUTHURITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STP.TE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4i�U/R/E� � COMM/CiOR AUIHORIZCO �C[NT, O� OWNEfi DATE G <br />X ��. /'��r%�i.. . .5�/7'O� <br />FEE NO. TYPE OF EOUIPMEN7 <br />A: C— A� ��NDLG UNITS — H P <br />RLF(iIGERATION UIJTS — H P. EA <br />ooaens �- o t u-ii r. <br />GIIS FIRLU A G UNIiS — 0 TL. <br />]. FORCEDAIliSYSTEMS—BTULZOMEA. <br />\yALIME�TERS—OTU M <br />UNITHEATERS—�TU M <br />I EVAPORATIVE COOLERS <br />CLOiHESDRVERS <br />VENTILATION FAN <br />RANGENOO� <br />WATER IIEATER <br />WOOD STOVE <br />MGTAL FIRE�LACE 8 CHIMNEY <br />FIREPLACEINSERi <br />HEATPUMP <br />GA$ PIPING <br />E%HAUSTFAN <br />SUBTOTAL S <br />PEflMIT 5 <br />TOTAL FEE S <br />OR S[T[lr1CN SIpE $ETB/CK <br />TAPEA ypCqNT51TE <br />❑YES ❑NO <br />�,CUP�NGY GROUP NO OF pWELL <br />512EOF�LOC INOOFSip��iEs <br />FIRE SPRINNIEF$ REOUIRED � YES ❑ NO <br />q{`{'LIC/iION�CC (iY �IANSGHCCNEO�Y <br />MA% OCC <br />nvrn ron is;UnmcE nv <br />PLAN CHEGI( NUMutn <br />FEES <br />�UILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARGI <br />STATEENERGVSURCHARGE <br />DAIVEWAY PERMI7 <br />Ii000��111,46 <br />Sec.304�e) <br />rec <br />FEE <br />TOTAL � I <br />PERMIT VALIDATION <br />WHEN PfiOPERLV VALIDAiED �W THI$ SPACE) THIS IS VOUR FERMIT <br />50 <br />