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`�� �" C'�NSTRUCTION --� '�' <br /> everett R�RMIT PERMITNO. 20746 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING f� MECHANICAL ❑ PLUMBING ❑ S16N <br /> ONNER MRILADDRE55 CITY ZIP VMONE <br /> 7bm Lomax 1315 Oakes Ave. Everett 98201 259-1448 <br /> ARCMITECT OR�ESiGNER MRII p00RE5S CI7Y 21P MONE <br /> GENEHRLCONTRACiOR MAILADOPESS GTY 21P PMONE LIGENSE� <br /> MECH�NICAICONTP�GTOR M�ILAD�RESS dTY ZIP PMONE LICENSE� <br /> Natural Gas Equip 1625 E. Marine View Dr. Everett 98201 258-2441 NATURGE320L6 <br /> PLUMBIN6CONTR�CTOR MAllA00RE55 CITV 21P PMONE LICENSE� <br /> CL�SSOF WOHK <br /> ❑ NEW ❑ ADDITION C�ALTERATION ❑ NEPAIH ❑ DEMOLITION ❑ BUILOIN6 RELOCATION <br /> VALUATION OF WOIIK <br /> f <br /> UESCRIBE WORR � <br /> Install conversion burner <br /> NEATSOURCE <br /> ❑ ELECTRICITY ❑ fiAS ❑ WOODSTOVE ❑ OTHER <br /> %iOPOSED USE OF BUILDING <br /> Fesidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APP!ICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEG��DESCRIPt10NOFPROPEFTY�SHOWBEIOWORATTI.CNiOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_e�ocK — 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 UTFiER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERF RMANCE OF CONSTRUCTION. <br /> JOB ADORE55 SIGNr1TURE i ONTR CTOR.RUTN R ZED r1GENT.OR OWNER OATE <br /> !" <br /> 1315 Oakes Ave. X -0�5- <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FDITURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/MNDLG UNITS—M.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> UVATORV I WASH BASIN) BOILERS—B.T.U.MP. <br /> SMOWER GAS FIflED A.C.UNITS—B.T.U. <br /> NITCMEN SINK 8 DISP. FORCEO AIR SYSTEMS—B.T.U. M EA. <br /> DI$HWRSHER WALLHEATERS—B.T.U. M <br /> LAUNORV THAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DFAIN AANGE HOOD <br /> BACNFLOW PREVENTERS WATER HEATER <br /> FOOF DRAINS—RAINLEADEflS WOOD STOVE <br /> SINN(SEPVICE—BAF,EiC.� METAL FIHEPLACE 8 CNIMNEV <br /> FIFEPLACEINSERT <br /> HEAT PUMP <br /> G.1S PIPING <br /> E%l1AU5T FAN <br /> 1 Conversion burner 9 00 <br /> SUBTOTAL f SUBTOTAL 9 00 <br /> PENMIT f PENMIT LS 0� <br /> TOTALFEE t TOTALFEE <br /> FHONTSETBACK RE/.RSEiBRCK SIOESETBACK P�ANCHECKNUMBEF FEE flECEIPTNO. <br /> USEZONE LOTAREA yp�qNTSITE <br /> ❑res ❑No FEES � <br /> TYPEOFCONST. OCCUPANCYGROUP NOOfOWELLINGUNITS BUILDING § � <br /> PLUMBING <br /> 512E OF 9LDG. NO.OF STOPIES MAX.OCC.IOAD <br /> MECHANICAL (("�(�( ,� ZQ <br /> INVESTIGATION FEE Sec.30d�e) <br /> FIRE SM7INKLERS fiEOUIRED ❑VES NO <br /> STATE BUILDING SIIRCHARGE <br /> STA7EENERGVSURCHARGE <br /> APP�,ICATION ACC DY VLPNS CM[CNED OY APPO 'Ofl ISSUANCE OY <br /> DRIVEWAV PERMIT <br /> TOTAL Zq <br /> S.H. <br /> PERMIT VALIDATION <br /> WIiEN PROPERLV VALIDATED(IN THIS SPACE)TNIS IS VOUR PEHMIT CD <br /> �' <br /> L` <br /> � <br /> N <br /> , .����:�:� : _ <br />