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`��' �� � �NST�iUCT10N � � q n <br /> everett PERMIT PERMITNQ::- I ���a <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEN MAIIPDDiE55 GITY ZIP PHONE <br /> Barbara Belala 1317 E. Marin�� View Dr. Everett, 98201 259-4473 <br /> qRGHITECTORDESIGNER MRILADDlESS dTY ZiP PHONE <br /> GENER�L CONTRRCTOR MAIL PDORE55 CITY ZIP PNONE LICENSE� <br /> MECHANICALCON�RACTOR MAILAOORE55 CITY 21P PMONE LICENSE• <br /> Valley Natural Gas 11323 Hwy 99 Everett, WA 98204 355-%9 7730 VALLENG153LI <br /> PLUMBING CONTRACTOR MAIL ADURE55 GITY ZIP MIONE LILENSE• <br /> CLASS OF WORN <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING REIOCATION <br /> VRW/.TIONOF WORK <br /> s 1734.54 <br /> OESCRIBE WORN <br /> Install gas furnace and water heater <br /> NE/TSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PPOPOSED USE OF BUILOING <br /> Single family resiAence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG/L�ESCRIPTIONOFPROPERTV�SMOWOELOWORATTAq/fOURCOPIES� CORRECT. AlL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_oiocK _ or 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 /> JOB pODRE55 SIGNlTUfiE OF CONTPA R,AUTII IZED AGENT.OR OWNER 0/TE <br /> 1317 E. Marine View Dr. <br /> PLUMBING ME ANICAL <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDIG UNITS—H P. <br /> BATHTUP REFRIGERATION UNITS—H P.EA. <br /> LAVATORV(WASH BASIN) �OILERS—B T.U./H.P. <br /> SHOWER GAS FIRED A�C.UNITS—B T.U. <br /> NITCHEN SiNK 8 OISP. 1 FORCED AIR SYSTEMS—B T.0 M EA. 9 OO <br /> DISNWASHEF WALLHEATERS—BT.U. �� <br /> 4AUNDRVTRAV UNITMEATERS—D.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAI CLOTHESDRYERS <br /> DHINKING FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN RANGE HOOD <br /> BACNFLOW I'REVENTERS 1 WATER HEATER • G O <br /> ROOF ORAINS—RAINLEADERS WOOD STOVE <br /> SINK�SERVICE—P/+A.ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACE INSE(7T <br /> NEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL f SUB TOTAL 15 50 <br /> PERMIT S PEHMIT 15 OO <br /> TOTALFEE f TOTALFEE 3 5O <br /> FRONT SETBRCK REAR SETBncK 51oE SETonCN PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT ARER yq�pNT SITE <br /> ❑res ❑No FEES VALUATION FEE <br /> TYPEOFCONST. OLCUPANCYGROUP NOOiDWELLINOUNRS BUILDING S <br /> PLUMBING <br /> SIZEOFpLpG NOOFSTORIES MR%.00CLG�J <br /> MECHANICAL 30 50 <br /> INVESTIGATIONfEE Sec.7041e) <br /> FIRE SPRINKLERS REOUIfiED ❑�ES NO �/G4/$7 1�•1 FH OOOf�u�-S9 �1�`��� <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE ��OOOI4F/G I� 3 <br /> APPLICATIONACC.OY PLANSCNECNED�r APPR FORISSUANCEOY <br /> DRIVEWAYPERMI7 MECH X��`� .�O <br /> $.H. TOTAL � 3O 5O <br /> PERMIT VR�IDATION <br /> WHEN P(70PERLY V�IIDATED�IN THIS SPACE)TNIS IS YOUR PERMIT �' <br /> M <br /> Q� <br /> N <br /> � <br /> P..CURL55 f-il "c <br />