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_-�, <br /> ��° � (' 7NSTRUCTION � <br /> everett PERMIT PERMITNQ_ � �� �� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL AODRESS CITY ZIP PHONE <br /> Gentry, Elgie K. 1210 Maple Everett, WA 98201 252-5362 <br /> ARCHITEGTOROESIGNER MRILqD�RESS CITV ZIP PHONE <br /> GENENAL CONTR4CTOq MqIL ROORE55 CITY 21P PHONE LICENSE� <br /> MECM�NICALCONTRAGTOR MAILpD�RESS QTV ZIP PHONE LICENSE� <br /> Valley Natural Gas 11323 Highway 99 Everett, WA 98209 355-7730 VALLENB153LI <br /> PLUMBING CONTR�CTOR MAIL ADDPE55 CITY ZIP PMONE IICENSE• <br /> CL�SS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ R[PAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> V�LUATION OF WORK <br /> S 1084.00 <br /> OESLRIBE WORN <br /> Install Yayne furnace 75M HTU <br /> NEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PilOPOSED USE OF BUILOING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGALOESCRIPTIONOFPROPEHTY�SMOWBELOWORATTALHFOJRCOP.ES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_tllC1CN _OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIN� 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 A�ORESS SIGNATUp`j OF CONTRAC OR.AUTHORIZ D AGENT.OR ONRJER �NTE <br /> 1210 Maple X /, � � 9/8/86 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIICTUHE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—HP. <br /> BATHTUfi REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A.C.UNITS—BS.U. <br /> KITCHEN SINK 8 OISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> IAUNDRYTIIAY UNITHEATERS—B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> UFINAI CLOTHES DflYERS <br /> DRINNING FOUNTAIN VENTILATI'JN FAN <br /> FLOOR ORAIN RANGE HOOD <br /> BACNFLOW PFiEVENTERS WATER HEATER • <br /> HOOF DRqINS—FAINLEADERS WOOD STOVE <br /> SINK�SERVICE—BAR,ETC.) METAL FIREPLACE d CHIMNEY <br /> FIREPLACEINSERT <br /> HEA;PUMP <br /> GAS PIP�4G <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL 12 O <br /> PEHMIT S PERMIT 1 <br /> TOTALFEE S TOTALFEE <br /> FRONT SETBACK nEAR SEroaCK SioE SETeACK PLAN CHECK NUMBF.R FEE RECEIPT NO. <br /> USE20NE IOTAREA <br /> VACANTSITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TVVEOFCONST. OCCUPANCYGROUP NOOFDWELLINGUNITS BUILDING <br /> PLUMBING }4L�OO1'jIJ3 <br /> SIZE OF BLOG. NO.OF STORIES MAX OCC IOF� <br /> MECHANICAL 2� 00 <br /> r <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRE SPHINKLERS REOUIRED ❑YES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGI'SURCHARGE <br /> APPLICATIONACC.OY PUNSCRECKE00� �PPRPORISSUANCEOY <br /> DRIVEWAY PERMIT <br /> M.M. TOTAL 27 00 <br /> PERMIT VALIOATION <br /> WHE�PROPF.RLY VAIIDATED(IN THIS SPACE)TH1515 VOUR PERMIT <br /> M <br /> M <br /> a-- <br /> N <br /> � <br /> ADDRESS l=1LE <br />