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�� <br />Cltt OF <br />everett <br />259-8745 <br />❑ DEMOLITION <br />� C''�NSTRUCTION "- � p <br />PERMIT PERMITNO. �O`�� � <br />❑ COMBINATION <br />❑ BUILDING ❑ MECHANICAL '❑ PLUMBING ❑ SIGN <br />OWT�ER MAIIADDRESS G��T `�� •••�••` <br />/ Rnbert Palmer 2417 Harrison Everett, WA 98201 258-4129 <br />APCHITEGTORDESIGNEH MFILPDDRESS GTY ZiP FMONE <br />GENEN�ICONTqACTOR MMLADDRESS GITY ZIP �ONE LICENSE� <br />MECMANIC�L CONTR�LTOR MRIL AO�RES$ CITY 21P ?MONE UCENSE • <br />Valley Natural Gas, Inc. 11323 Highway 99 Everett, WA 98204 355-7730 VALLENG143L1 <br />PLUMBING CONTRRCTOR MRIL ADDRESS CITY 21P WIONE L�LENSE / <br />❑ NEMr ❑ ADDITION <br />v�w�noH oF wonK <br />S Z50.00 <br />DESCRIBE WORN <br />Gas piping for dr.yer <br />NEATSOUACE <br />❑ ELECTRICITY ❑ GAS <br />vnovoseo use ov ew�oiNc <br />Single family residence <br />LEGRL OESCRIPTION OF PROPERTY �SNOW BE101 <br />LOT � BLOCK _ OF <br />JOB�DDRE55 <br />2417 Harrison <br />PLUMBIN(i <br />NO. TYPE OF FIXTURE OR <br />�WATER CLOSET (701LET) <br />LAVATOFV (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNOFVTRAY <br />CLOTHES WASHEP <br />URINAL <br />DFlINKING FOUNLAIN <br />FLOOR DF7RIN <br />ROOF DRAINS — Rn1rvLEnUh <br />SINK (SERVICE — BAR. ETCJ <br />SUlTOTAL <br />PENMIT <br />TOTALFEE <br />$] ALTERATION <br />❑ REPAIR ❑ DEMOLITON <br />❑ WOODSTOVE <br />I �TYPEOFGONST OCCUPANLYGROUP NO OF <br />512E OF BIDG <br />M.M. <br />❑ on+en <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 />CORRtCT. ALL PROVISIONS OF LAWS AHD ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMAN E OF CONSTRUCTION. <br />SIGNAT�UygE OF CpN%RAC R. ��ED AGENT. OR OWNER DATE <br />X ['� �� �i %�%�88 <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — AiHNDLG UNITS — HP. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — B.T.0 /M.P. <br />GAS FlRED AD. UNITS — �.T.U. <br />FORCED AIR SVSTEMS — 8 T.U. M EF. <br />WALL HEATERS — B.T.U. M <br />UNITMEATERS—B.T.U. M <br />EVAPORATIVECOOLERS <br />1 CLOTHESDPYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER • <br />WOODSTOVE <br />METAL FIPEPLACE 8 CHIMNEV <br />FIREPLACEINSEFT <br />NEATPUMP <br />}� GAS PIPING <br />EXHAUSTFAN <br />STORIES �M/%ACC LOFO <br />qCG DY � PLPNSCMECKEDDY � PPPf1 fOR <br />SUBTOTAL <br />VERMIT <br />NUM6ER <br />BUILDING S I <br />PLUMBING <br />MECHANICAL 1 50 <br />INVESTIGATION FEE ��� �41�) <br />STATE BUILDING SURCHARGE � � <br />STATE ENERGV SURCHARGE �{ECI� S2 .SO <br />ORIVEWAV PERMIT <br />TnTAL 21 50 <br />PERMIT VALIDATION <br />WI/EN PROPERLV VALIDATED pN THIS SPACE) TMIS IS VOUR L`ERMIT �, <br />r <br />�' <br />0 <br />N <br />