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the E vt ITg <br />CITY <br />f")NSTRUCTION <br />everett PERMIT PERMIT NO. 19304 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING CQMECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER ppf��� �Tap MAIL ADDRESS CITY ZIP PHONE <br />Mike Stephens 309 fIK�OR Rd Everett WA OB203 347-4638 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Natural Gas Equip <br />1625E Marine View Dr. <br />Everett WA 98201 <br />258-2441 NATURGKE321K4 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION 91 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VAI UATION OF WORK <br />Install cony -burner nad gas water heater. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED V ITH <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 />SIGNAT RE OF CONTRACTOR. AUTHORIZED AGENT, OR OWNER DATE -1 <br />X �.y �L.'t• ��/�-� ti�-� <br />LEGAL DESCRIPTION OF PROPERTY ISHO'N BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK — OF <br />JOB ADDRESS <br />309 NKOIp{iBXPA. Morgan Rd. <br />PLUMBING <br />MECAANICALI <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A'C - A,HNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS - H P. FA <br />LAVATORY (WASH BASIN) <br />BOILERS - B T.0 M.P. <br />SHOWER <br />GAS FIRED A C. UNITS - B T.U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.0 M EA. <br />DISHWASHER <br />WALL HEATERS -B.T.0 M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />Q <br />On <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTAL FEE <br />f <br />TOTAL FEE <br />in <br />rn <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SRC <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />5 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />3C <br />SO <br />FIRE SPRINKLERS REQUIRED YES ❑ NO <br />INVESTIGATION FEE <br />SEC. 904(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT- <br />TOTAL <br />3 <br />50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT �- <br />cn <br />Q� <br />ADDRESS FILE <br />