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�o-a� �� <br />everett ^ �NSTRUCTION = '� _ _ <br />259-8745 PERMIT PERMITNQ:-� S`���. <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONTlER MAIL qpDRE55 PMONE <br />Suzette McCollough 1206 W. Mukilteo Blvd. Everett, �WA 252-5509 Z'P <br />ARCHITECTOqDESIGNER M4ILAODRESS CITY ZIP PHONE <br />GENEHALCONTRACTOq MAILAOORES$ CITY 21P PHONE <br />UCENSE • <br />MECHANICAL CONTR�CTOR MAIL AO�RE55 CITY 21P PHONE LICENSE • <br />Natural Gas Equipment 1625 E Marine View Dr. Everett, WA 252-2991 NATURGE312K4 <br />PLUMBINGCONTRnCiOR MnILADDRE55 CITY 21P PHONE UCENSE• <br />❑ NEW ❑ A�DITION C]1 ALTEHATION <br />U�TION OF WOPN <br />S <br />❑ NEPAIR ❑ DEMOLITION ❑ BUIL'JING RELOCATON <br />Install conversion burner on oil furnace and 50 gal hot water heater <br />❑ ELECTRICITY <br />Residence <br />LOT _ BIOCK � <br />❑ GAS ❑ WOODSTOVE O OTHER <br />1206 W Mukilteo Blvd <br />PLUMBING <br />NO. TYPE OF FIXTI <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN� <br />SHOWER <br />KITCMEN SINK d DISP. <br />WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINlEAOERS <br />SINN (SERVICE — BAR, ETC.) <br />M.M. <br />I HEREBY CEflTIFY 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 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 />IGry�[qt URIE1OF CONT'RjA'�CTOF. AUTHORRED AGENT. OR OWNER DATE <br />XT.Vci-'L1/Ji Cl'iC�li1'ItY7 �..'1c�P"7 <br />�TEM� FEE NO. TYPEOFEUUIPI <br />A/C — AMNOLG UNI75 — H.P. <br />_ REFRIGERATION UNITS — HP. I <br />BOILERS — U.T.0 MP. <br />GAS FIREO A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — 8 T.U. <br />WALL HEATERS — OS.U. <br />UNIT l�EATERS — O.T.U. <br />EVAPORATIVECOOIERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEF HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL f <br />PERMIT s <br />TOTAL FEE s <br />1RSETB/CN SiDE5ET84CN <br />fqREA <br />VACANT SIiE <br />❑YES ❑ND <br />7UPANGVGROUP NO.OFDWEILINi <br />OF STORIES MA% OCC LOAp <br />pY I PLANS CMECNED pY APpB FOR ISSUANCE DY <br />BUILDING <br />PLUMBI.VG <br />MECHANICAL <br />INVESTIGATION FEE <br />M EA. <br />M <br />M <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEb'� : . <br />% <br />, ATION , <br />"�v���%L1J(:�f . <br />"�I:H Y <br />� �'Y a: <br />�1ZL� � <br />STA7E BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAV PEfiMli <br />70TAL <br />Fi��i�l 1i4�� <br />WHEN PROPERLY VALIOATED �1N THIS SK10E� THIS IS VOUR PEPMIT <br />AOOREtiS fILE <br />