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'��" '' C''�NSTRUCTION ` � <br /> E%ve�� PERMIT PERMIT NO. 17616 <br /> 259-8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN(i Q MECHANICAL ❑ PLUMBIN6 ❑ 810N <br /> ��q MMLAODRE55 CITY ZIP PHONE <br /> Thelma Long 1317 Oakes Ave Everett, WA 98201 252-0457 <br /> ARCNITECTOROESIONEN I.UiLADOPE55 CITY ZIP PHONE <br /> OENEMLCONTR�CTOR MAIL�UDRESS CITY ZIP VNONE LICENSE• <br /> MECHMlIGLCONTR�CTOIt M�ILADDRE55 CITY 21P VMONE 4CENSE� <br /> Valley Natural Gas 21323 Hwy 99 Everett, WA 96204 355-7730 VALLENG153LI <br /> RUMBINpCANTR�CTOii AIAILADDRESS LITY 21P R10NE UCENSEi <br /> CL�59 OF WORI( <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ SUILDINO RELOCATION <br /> VALUATION OF WOfiK <br /> s 420.74 <br /> DESC111BE WORK <br /> Install conversion burner <br /> MFATSOURCE <br /> ❑ ELECTRICIT' ❑ 6AS ❑ WOODSTOVE ❑ OTMER <br /> vaeroseouseareuaoiNc I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS � <br /> Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND ' <br /> LEO�LOESCRIPTIONOFRIOPEPTY�SHON'BELOWORATTRCMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES �� <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> LOT�_BIOCK _OF WHETHER SPECIFIED 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 PERFORMANCE OF C NSTFUCTION. <br /> JOBADORE55 SIGNRTURE OF CONfRR N.AUT R ��GENT,OR ONMER D�TE <br /> 1317 Oakes Ave 1�2�8� <br /> PLUAAlINO HANICAL � <br /> NO. T11PE OF FIRTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE �I <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATOflV(WASH BASiN) BOILERS—B.T.U.M.P. <br /> SMOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK a DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T,U. M <br /> LAUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> �RINKING FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN � RANGE HOOD <br /> BACKFLOW PREVENTEPS WATER MEATER <br /> i <br /> ROOF DR�INS—FAINLEADERS W OOD STOVE <br /> SINK(SERVICE—BAR.ETC.� METAL FIREPLACE 6 CHIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SU!TOTAL f 5U!T0TI1L 9 OO <br /> PERMIT f PERMIT S5 O <br /> TOTALFEE f TO�ALfEE <br /> FRONT SETB�CN REAR SETBRCN SIDE SEiBRCk PLAN CHECN NUMdE(1 FEE RECEIPT NO. <br /> USE20NE LOTAREA yq�pNTSITE FEES 0��"�' �1'S �*��� � <br /> ❑YES ONO <br /> TYPEOfCONST. OCCUP�NCYGFOUP NO.OFpWELUNGUNITS BUILDING S � <br /> PLUMBING IjECH S� •OO <br /> SREOFBLDG NO.OFSTORIES ��A%.00CIOnD C��, SL .� 24 OO <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.3011e) <br /> FIRE SPRI4KLERS REOUIRED YES NO STATE BUILDING SURCHARGE <br /> STATEENEFlGYSURCHPRGE <br /> �PPLIGATION�CG.BY PLANSCNECKEDBY APPRFORISSl1�hCEBY <br /> ORIVEWAV PERMIT <br /> M.M. TOTAL OO <br /> PEHMIT VALIOATON <br /> WHEN PROPERLY VALIDAiED�IN TMI:SPACE)THIS IS VOUR PERMIT `D <br /> !� <br /> �� <br /> L` <br /> !� <br /> f,(lufiiS$ f:l�.-. <br />