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u�� <br />CITY OF <br />everett <br />259-8745 <br />- C�NSTRUCTION <br />PERMIT <br />PERMIT NQ: _�� o J J <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �I MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONNER MAILAODRE55 CITV ZIP PNONE <br />Curtis Smith 1622 Mukilteo Hlvd EvereY.t, WA 98203 927-6969 <br />ARCHITEGTONDESIGNER MAILAODRE55 CITY 21P PHONE <br />GENEN�LCONTRACTOR MAILAOOf1E5S CITV 21P PHONE LICENSE� <br />MECMANICALCONTRACTOR M�ILA��PESS CITY IIP PMONE UCENSE� <br />Valley Natural Gas 11323 Hwy 99, Everett, WA 98204 355-7730 VALLE:dG153LT <br />PLUMBINGCONTR/.CTOR MRILAOORESS CIIY ZIP PNONE UCENSE� <br />❑ NEW ❑ ADDITION <br />/ALUATION OF WORK <br />s 940.00 <br />JESCRIBE WONK <br />install furnace <br />❑ ELECTRIC�TY ❑ GAS <br />LOT � BLOGK � <br />1622 Mukilteo Blvd. <br />PLUMBING <br />TYPE OF FIIITU <br />WATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />NITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />ROOF ORPINS — I <br />SINK �SERVICE — <br />1YPE <br />S12E OF BLDG <br />❑ ALTERATION ❑ REPAIH <br />❑ WOODSTO�'E <br />SUBTOTAL S <br />PEPMIT f <br />TOTALFEE f <br />OCCUPANCYGROUP <br />pY I P�ANSCnECeEUBY <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <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 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 />4�NAtUREOFCONTq[GTOR.y�TNOPIZEDAGENT.OROWNER OATE <br />FEE NO. TYPE OF EOUIYMtn 1 <br />A/C — A/HNOLG UNITS — HP. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS �- B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B T.U. <br />FORCEOAIRSVSTEMS—AS.LL MEA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — BS.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEHOOO <br />WATEPHEATER • <br />'NOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPL��EINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />VACANT SItE <br />❑YES rJNO <br />SUBTOTAL <br />PEIIMIT <br />T�OiALFEE � <br />fEE;_I 1.; _�� . - <br />NOOFD\YEIlING11NI7S BUILDING <br />AIA% OCC <br />PLUMBING <br />MECHANICAL <br />INVESTIGATiON FEE <br />STATE BUILDING SUfICHARG <br />STATEENERGYSURCHARGE <br />DHIVEWAV PERMI7 <br />TOTAL <br />b ,;._ I .r't <br />Sec.3041c) <br />FEE <br />\YHEN PROPERLV VALIDnTED (�N THIS SPACE) iH1515 VOUR PERMIT <br />ADDRESS FILE <br />24 <br />• <br />� <br />