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`�� "� C`�NSTRUCTION � '� - <br /> everett PERMIT PERMITNQ:- � H6O7 <br /> 259 -8745 - <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �1 MECHANICAL ❑ pLUMBING ❑ SIGN <br /> OWNER MRILADORE55 CITY ZIP PHONE <br /> Ken Gast 2619 Pine St. E�erett 98201 <br /> �RCHITECT OR DESIGNER MM�ADDf1E55 CITY z�p p�IONE <br /> GENERAL CONTR�CTOR MAIL ADDRE55 CITY �IP PMONE LICENSE� <br /> MECHANICALCONTRRGTOR MAILpDDRESS CITY ZIP PHONE �ICCNSE• <br /> G&S Heating Co. Inc. 500 E. Main St. Nomroe, WA 98272 794-7306 ESHEACI147JD <br /> RUMBINGCONTRACTOR MAILADORESS CITY ZIP PHONE � LICENSE• <br /> CUSS OF WORK <br /> ❑ NEW ❑ ADDITION [� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V��UATION OF WDRK <br /> S <br /> DESCRIBE WORK <br /> Take out old electric furnace and install new gas furnace and hot water tank. <br /> HEAT SOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE O OTHEH <br /> PROPOSED USE OF Bl11LDING <br /> Sinqle famill• residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCFIPTIONOFPROPERTY�SNOWBE�OWORATTACNFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT_PI��K _OF GOVERNING THIS TYP[ 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 /> THE PERFORMANCE OF CONSTqUCTION. <br /> JOBAOONE55 SIGNAiUREOFCONiRACTOR.AUTNORIZEOAGENT.OAOWNEN DATE <br /> 2619 Pine St. �,�, 7„�Q,-�t,,.` $-��..$ <br /> PLUMBING M HANICA <br /> NO. TYPE OF FII(TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—B.T,U/H.P. <br /> SHOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK 6 OISP. 1 FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISMWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRYTRAY UNITHEATERS—B.T.LL M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CIOTHES DRYERS <br /> DRINNING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS 1 WATER HEATER • G SO <br /> ROOF ORAINS—RAINIEADERS WOOD STOVE <br /> SINK(SERVICE—BAF,ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB TOTAL S SUB TOTAL ].S SO <br /> PENMIT S PEflMIT ZS OO <br /> TOTALFEE S TOTALFEE O 5 <br /> FPONT SETBRCK qEAR SETORCN SIOE SETBr1CK P�AN CHECK NUAIBER FEE RECEIPT NO. <br /> USEZONE LOTAREA <br /> VACANTSITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST OCCUPRNGVGROUP NOOFOWELLINGUNITS BUILDING g <br /> Si2EOL8lOG NOOFSTOpIES MA%ACCLOR� PLUMBING ��,.:/'.1;:', �E:!1 ^l-'i�`-��7i';.iCi�r i�'.t.�f. <br /> MECHANICAL � 30 50 <br /> !i ��J:I..�J� <br /> INVESTIGATIONFEE .,�Sec,304�e) .- � `_`, <br /> FIRE SPRINKLERS REOUIRED VES ❑NO - <br /> STATfiBUILDINGSURCHARGE �H��_�_I�. � ��.�'� <br /> STATEENERGYSURCHARGE <br /> APPUCNTIONALC OY PLANSCNECNEOOY APPR FORISSUANCEDY <br /> ORIVEWAV PERMIT <br /> S.H. TOTAL 30 50 <br /> PERMIT VALIDATION <br /> WNEN PROPERLV VALIDATED pN THIS SPACE)THIS IS YOUR f`ERh11T <br /> L� <br /> 0 <br /> �� <br /> � <br /> l� <br /> i,L'�fl[;�S I i c <br />