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rne�,sr�.� <br />CITY OF <br />everett <br />259-8745 <br />'�' C`�1NSTRUCTION �� � <br />PERMIT PERMITNO. Z� ZSO <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C� MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONRJER MAILAODPESS CITY ZIP PHONE <br />Don Whitled 927 Morqan Rd. Everett 98203 �sa_nsan <br />•FCMITECTORDESIGNER MIIL/.ODPE55 CITY 21P PMONE <br />GENERALCONTRACTOR <br />MAIL ADDRE55 <br />CITY <br />MECHANICRLCONTRAC70R MAILADpRESS QTY 21P PNONE UGENSE� <br />Valley Nat Gas 2605 McDouaal Everett 9820] 95Q-S497 �rar.rFrs�lS�.r <br />PIUMBINGCONiPRCTOR MAILADORE:S CITY 21P PHJNE LIGENSE• <br />CLA55 OF WORN <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATION <br />VRLUATION OF WORK <br />S <br />Insatll furnace and water heater. <br />1EAT SOURCE <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE <br />LOT _ 6LOCK _ <br />PLUMBING <br />WATEP CLOSET (TOILET� <br />BATMTUB <br />LAVATOPV�WASMBASIN) <br />KITCHEN SINN BOISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />ROOF ORAINS — RAINLEADERS <br />SINK (SEFVICE — BAR. ETC.) <br />TYPE OF CONST <br />512E OF BLDG <br />APPLICATION ACC DY <br />S.H <br />SUB TOTAL <br />PENMIT <br />r1NT SITE <br />:S ❑NO <br />❑ OTHER <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BF TRUE AND <br />CORRECT. ALL PROVISIONS OF �AWS AND ORDINANCES <br />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 />SIGNAT REOFCONT-RA�C{T�-O-p-ye� \TMGWIIEDAGENT.OROWNER OR E <br />X�I �V1V1 � 1 1 1 1� / n\1 � � l.� �1�c/ <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — M P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEHS — B.T.U./N.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIP. SVSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNIT HEATERS — BS.U. M <br />EVAPORATIVE COOLERS <br />CIOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE � <br />METAL FIREPLACE 8 CHIMNEV <br />fIREPLACEINSERT � <br />HEATPUMP <br />GAS PIPING <br />EXh1AU5T FAN <br />OFDWELLINGUNITS BUILOING <br />NO OF STORIES I MA%. OCG LOAD <br />i ❑ VES ❑ NO <br />PLPNSCN[CKEOOY APPRFORISSURNCE�T <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />SUB <br />TOTIIL FEE <br />3 <br />Sec.30a�e) <br />STATE BUILOING SURCHARGE <br />STATEENERGVSURCHARGE <br />ORIVEWAY PERMIT <br />TOTAL <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED �IN THIS SPACE) THIS t5 VOUR PERMIT <br />� <br />� <br />N <br />� <br />N <br />