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� °�° "� C"1NSTRUCTION � � <br /> everett PERMIT PERMITNQ:_ 20471 <br /> 259 -8745 <br /> O DEMOLITION ❑ COMBINATION ❑ BUILDING $] MECHANICAL ❑ pLUMBING ❑ SIGN <br /> ��ER MAILAOORESS CITY ZIP PHONE <br /> Barbara Montgomery 3201 Norton 252-1944 <br /> �RCHITECT OR DESIGNEN MAIL AODPE55 CITY 21P PMONE <br /> GENERRL CONTRRCTOR MRIL AD�RE55 CITY 21P PMONE UCENSE� <br /> MECHANICRL CONTqppTON MRIL AOORESS CITY ZIP PMONE 4CENSE• <br /> Cozy Heating/Gas Div. 20221 - 67th Ave NE Arlington 435-4054 <br /> FLUMBING CONTRACTOR Mr11L ApORE55 CITY 21P PMONE LICENSE• <br /> CLA55 OF WpRI( <br /> ❑ NEW ❑ ADDITION g] ALTERATION O REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V�lWTIONOF WOPK <br /> S <br /> DESGRIBE WORI( <br /> Install 4as water heater <br /> NEATSOURCE <br /> ❑ ELECTpICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEN <br /> PROPOSEO USE Of BUILOING <br /> Sin le famil residence 1 HEREBY CERTIFY THAT I HAVE qEAD AND E%AMINED THIS <br /> LEGALDESCRIPTIONOFPqOPERTY�SNOWBELOWORATTACHFOURCOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L07�BLOCK _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 /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBAODRE55 SIGNATURE OF CONTRqCTOR.r1UTHONI2EDAGENT.OR CWNER OATE <br /> 3201 Norton J( x4�(�c 7/19/ <br /> PLUMUING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WAiER CLOSET�TOILET� A/C—A/HNDLG UNITS—HP. <br /> BATHTUB REFRIGERAT�ON UNITS—M.P.EA. <br /> LAVATORV�WASH 9ASIN) BOILERS—B.T.U.MP. <br /> SHOWEfl GAS FIRED A�C.UNITS—B.T.U. <br /> KITCMEN SINK a DISfl FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER _ WALLHEATERS—B.T.U. M <br /> LAUNDRYTqAV UNITHEATERS—B.LU. M <br /> C!OTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CIOTHESORYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PqEVENTERS 1 WATER HEATER � G SO <br /> ROOF DRqINS—RAINLEADERS WOOD STOVE <br /> SINK�SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FINEPLACE INSERT <br /> HEAT PUMf <br /> X GAS PIPING <br /> E%HAUSTFAN <br /> SUB TO7I1L t SUB TOT�L 6 $0 <br /> PERMIT f PENMIT LS OO <br /> TOTALFEE t TOTALfEE 21 50 <br /> FRONT SETBACN RENR S�TBACK SIDE SETBRCK PLAN CHECN NUMBER FEE RECEIPT NO. <br /> USE20NE LOTAREA <br /> VACANTSITE FEES YALU�.fION FEE <br /> ❑vE5 ❑NO <br /> TYPEOFCONST. OCCUPANCYGROUP NOOFOWELUNGUNITS BUILDING s <br /> PLUMBING <br /> SIZE OF OLOG NO OF ST(PIES MA% OCC LOAO <br /> MECHANICAL NOOQGOM1TS 2 50 <br /> INVESTIGATION FEE (e) <br /> FIRE SFRINI(lERS HEOUIRED ❑YES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> •VPLICATIONACC.OY VLANSCHECNEDOY APPR.FONISSUI.NCEOY <br /> ORIVEW�Y PERMIT <br /> M.M, TOTAL 2 50 <br /> PERMIT VALIDATION <br /> WHEN PFOPEFLV VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> � <br /> L` <br /> �� <br /> � <br /> N <br /> ACDRESS FP_E <br />