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"��n C'�NSTRUCTION � A <br />CITY OF <br />everett PERMIT PERMITNO. �� � �`� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION O 6UILDING $] MECHANICAL ❑ PLUMBING ❑ SIGN <br />ON?1ER MPILRODR[55 CITV Z�P PMONE <br />EB Stephenson 1312 McDougal Everett, WA 98201 259-3693 <br />pRCMITECTORO[SIGNER MFILAppRE55 CITY 2iP PHONE <br />GENERAL CONTRACTOR MRIL AODRE55 CITV 2�� <br />LiCENS[ � <br />MECHRNICRL CONTRACTOR MAIL ADORE55 qiY ZIP PNONE LI�ENSE � <br />Valley Natural Gas 2G05 tld McDougal Everett, WA 98201 259-549? VALLENB153L1 <br />PLUMBINGGUNiR4CTOF MI.LLADDRE55 CITY ZIP PHON[ LiCENSE� <br />:LASS OF WORK <br />❑ NEW C ADDITION fC7 ALTERATION <br />lAWATION OF WORN <br />t <br />DESCRI�E WOFN <br />Install furnace and water heater <br />❑ ELECTRICITY ❑ GI1S <br />VROPOSED USE OF HUIL�iNG <br />Single family rexsidence <br />�or _ o�ocK _ <br />JOB / �ON[55 <br />1312 McDougal <br />PLUMBING <br />TYPE OF FI%7l <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY �WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASMER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF ORAIN$ — R�INLEA�E <br />SINK (SERVICE — BAR. ETC � <br />TYPE OF <br />SIZE OF I1LDG <br />APPUCATION <br />M.M. <br />ATTACH <br />❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />❑ WOODSTOVE ❑ OTHER <br />OR ITEM � FEE <br />SUBTOTAL S <br />PERMIT f <br />TOTAL FEE S <br />LOT RfiEA <br />OCCUFANCYGROUP <br />No ov sronies <br />) ❑ VES O NO <br />PL�N$ CHECNED F1Y <br />VFCRNi SITE <br />❑Y[5 ❑NO <br />NO OF OWELIiNG 11NIt5 <br />unM occ iono <br />qPPq fO11155UANCEOY <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 />WHETHEFl SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NGT PRESUME TO G�VE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSJRUCTION. <br />sIC.NATU9E OF CONTR4CTOR. AUjHORIZ[�D'9GENT. OR 01N�EP � �D�TE/ <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — MHNDLG UNITS — N P. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — B.TL MP. <br />GAS FlREO AC. UNITS — B.T.U. <br />FORCED AIR SV57EMS — 8 iL. M[A. <br />WALLMEATEfiS--eT.U. M <br />UNITHEATERS—BT.U. M <br />EVAPORATIVE COOLERS <br />CI.OiHES DRVERS ___ <br />VENTILATION FAN <br />RANGEHOOU <br />WATER HEATER <br />WOODSiOVE <br />METAL PREPLACE 8 CNIMNE� <br />FIREPLACCINSERT <br />HEAT PUTAP <br />GAS PIPING <br />EY.HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHEGNNUMtlLH <br />FEES <br />�UILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E OUILDING SURCHhRG <br />STATEENERGYSURCHARGE <br />I OFIVEWAY PERMIT <br />�t000�i 1�4 <br />Sec.30d1e) <br />TOTAL I I _ <br />PERMIT VALIDATION <br />WH[N PROPERLV VALIDATED pN THIS SPACE) THI515 VOUf7 PERMIT <br />50 <br />30 <br />30150 <br />�' <br />N <br />� <br />a-- <br />N <br />