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a <br /> `�� P'�JNSTRUCTION � � <br /> everett PERMIT PERMITNO. ZO26B <br /> 259 -8745 <br /> O �7EMOLITION ❑ COMBINATION O BUILDING C�l MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ON?1ER MAILADDRE55 C.IT• ZIP PMONE <br /> Ivan Freeman 6004 Namor P1. Everett 96203 353-3669 <br /> ARCHiTECT OP OESIGNER MAIL AODRE55 CITV 21P PNONE <br /> GENERALCONTRAGTOR MAILFD�RE55 CITY 21P PHONE LICENSE� <br /> MECHRNICAL CONT(iAGTOR AIAIL ADORE55 LITY 21P PHONE LICENSE� <br /> Natural Gas 5841[pS �.quip. 1625 E. Marine View Dr. Everett 96201 258-2441 <br /> PLUMBINGCONTRACTOR MAILADDRE55 CITY 21P PIIONE LILENSE� <br /> NATURGE320N6 <br /> CUS$Of WORN <br /> ❑ NEW ❑ l.DDITION � ALTEHATION ❑ REPAIR � OEMOLITION ❑ BUILDING RELOCATION <br /> VRLURTION OF WORK <br /> S <br /> DFSCRIBE WORK <br /> New gas furnace, 4td�7(K water heater and gas fireplace logs. <br /> HEATSOUNCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />�� PROPOSEOUSEOF6ULLUING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />,'I Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL0E5CRIPTIONOFVPOPEIitV�SHOWBELOWORAiTACMFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TVPE OF WORK WILL BE COMPIIED WITH <br /> �or_e�ocK _ oF 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 PEFjF� CE O CONST U4T1 . <br /> JOBAODRESS SIGNA OF NFCTOR. TN i2 T.O WNER D E <br /> 6004 A'3nor Pl. X � � <br /> PLUMBING MECHANICAL <br /> qp, TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET(TOILET� A/C—A/HNDLG UNITS—H.P. , <br /> BATHTUB REFRIGERATION UNITS—M.P.EA. <br /> LAVATORY I�NASH BASIN) BOILERS—8 T.U.M.P. <br /> SHOWER GAS FIRED A C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED PIR SVSTEMS—d.T.U. M EA. <br /> DISHWASHER WALIHEATERS—BS.U. M <br /> LAUNDRVTRAV UNITHEATERS—B.T,U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLGTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN RANGE HOOD <br /> BACKFLO�VPREVENTERS 1 WAIERHEATER <br /> ROOF ORAINS—f7AINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETCJ METAI.FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> 3 GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT f PE I <br /> T0TI1L FEE f TO <br /> FRONT5E1BnCK �EARSETOPCN EioF.SEloncK P�.4NCHECKNUMBER F�E��� NECEIPTNO. <br /> pU�.0 cn <br /> USE20NE LOtAREA �M :� •W <br /> VALANTSITE FEES I�T11SN FEE <br /> ❑YES ❑NO �f rvf <br /> TVPEOFCONST. OCCUPANLVGROUP NOOFOWELUNGUNITS BUILOING �� SJ •w <br /> PLUMt31NG �CN 1Le .OcO� <br /> SIZE Of BLDG NO OF STORIES MA% OGG.IOAD '�Cf� S9 .W <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRt SPRINKLERS REOUIRED ❑VES ❑NO STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> pPVLICAT10N ALC �Y PLANS CMECNLD DY ACPP FOR ISSUANCE OY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 30 50 <br /> PEPMIT VALIDATION <br /> WIiEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT � <br /> �� <br /> N <br /> O <br /> N <br />