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e�.��� <br />CITY OF <br />everett <br />259-8745 <br />- ('`7NSTRUCTI�N � ^ - <br />P�RMIT PERMITNQ:: � ��� � <br />O DEMOLITION ❑ COMBINATION ❑ BUIIDING �1 MECHANI�4L ❑ PLUMBING O S(GN <br />p��R MAI�AOOPE55 CI1Y 21P RIONE <br />Ragna Estep 1722 Mukilteo B'.vd. Everett 355-2275 <br />�PCMIIEGi ON DESIGNEA IAP�L AODRESc CITY IIP 1'MUNE <br />GFkEP�LCON <br />M�IL A01)REES <br />PMONE IICENSE � <br />MECHMIICALCONTRACTO� MRIL/�DRESS CITY 21P PHONE LICENSE� <br />Natural Gas Equip. Co. 1625 C. Mar•Ine View Dr•. Everett 258-2441 NATURGE321K4 <br />R.UMBINGCONTR�CTON MAILAODRESS CITY 21P PMONE IICENSE• <br />CLA55 OF W(�R0. <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR <br />S <br />DESCRIBE WONN <br />Gas pipe to Boiler and water heater <br />� DEMOLITION Ll BUILDING RELOCATION <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />T V V�C V� OViLV�rvu <br />Single family residence <br />EG�L DESCRIPTION Of PPOPERTY �SHOW BELOW O <br />LOT _ BLOCK __ OF <br />OBnODHE55 <br />1722 Mukilteo Bivd. <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATEF CLOSET (TOIIET) <br />BATHTUB <br />LAVATORV (W.1SH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URI�AL <br />�qINKING FOUNTAIN <br />FLOOR OHAIN <br />PACKFLOY/PREVENiEHS <br />FlOOF DRAINS — RAINLEADENS <br />SINK (SfRVICE --[3AP. ETG) <br />SUB TOT�L <br />PERMIT <br />TOTAL FEE <br />USE20NE <br />512E OF BIDG. <br />S.H. <br />FEE <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 ORDItJANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUAIE TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE�CA�AW REGULATING CONSTRUCTION OR <br />THE PE FO AN OF.GQKSTRUCTION. <br />9GYAiUR�� CU TR4 A�/FlIOKizeb AGENT. OR OWNEF DATE <br />NO. TYPE OF EOUIPMENT <br />A/C — AiHNDLG UNIT S— H P. <br />REFRIGERATION UNITS—H P. EA. <br />BOILEPS — B.T.U. H P. <br />GAS FIRED A C. UNITS — d T.U. <br />FORCEO AIR SYSTEMS— B.T.LL M <br />WALLHEATEHS—B.T.U. M <br />UNITHeATCRS—B.T.U. M <br />EVAPORATIVE COOLEflS <br />CLOTHF.SDRYERS <br />VENTIIATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />MEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />f SUBTOTAL <br />s PERMIT <br />s TOTALFEE <br />Si�E SETBnCK PLAN CHECK NUMBER FEE <br />Vr1CRNt SITE FEES VALU <br />]YES ❑NO <br />NO OF D\VELLING U�ITS BUILDING S <br />PLJMBING <br />Mnz ocC i0ao <br />AIECHANICAL <br />APPR FOR ISSVANCE OY <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERh11? <br />Sec.�041e) <br />FEE <br />� <br />FEE <br />TOTAL I I _ <br />PEflMIT VALIDATION <br />WHEN PRnPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />noor�[ss rr [ <br />