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r� a,Asreen <br />cin oF <br />everett <br />259-8745 <br />� �ONSTRUCTION -� <br />PERMIT <br />PERMIT NO. � 7462 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING {�7 MECHANICAL O PLUMBING ❑ SIGN <br />OWNER MAILRC�RE55 CITV ZIP PNUNE <br />Dan:iel R Nordauist 2007 MeDnuaait rava Everett 98201 25Q_n8d7 <br />ARCHITECT ON �E7IGNER MRIL ADDPESS GITY ZiP PNONE <br />GENEML CONTRACTOR MAIL ADURE55 CITY 2�P VMONE LICENSE • <br />AIECH�NIGAL� "9ACTOR MAILACDPE55 CITY 21P PMONE �ICENSE� <br />Valley .: cural Gas 11323 Hwv 99 Everett �g�nd zss_77�n <br />PLUMBING CONiRRCTOR MSII AOORESS CITV 21P :'MONE LIGENSE � <br />VALLENG153LI <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />V�LUATION OF WORft <br />32.206.49 <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />Inetall water heater and furnace <br />HE�TSOUALE <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />LpT �. BLOCK <br />PLUMBING <br />TYPE <br />TYPE OF PIXTU <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVA?ORY�WASFIBASIN) <br />SHOWER <br />KITCHEN SINN 8 OISP. <br />OISHWASHER <br />LAUNDRYTRAV <br />GLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENT <br />ROOF ORAIHS — RAIP <br />SINK (SERVICE — BAF <br />SUBTOTAL <br />PERMIT <br />TOTRLFEE <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 />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 />SiGN4TURE OF GONTRrujOR. AU'fh(IDI2ED 4GENT. OR OWNER UATE <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A�HNDLG UNITS — H P. <br />REFRIGERATION UNITS — HP. EA. <br />�OILERS — B.T.LLMP. <br />GAS FIREC A�C. UNITS — B.T.C. <br />FORCEDAIRSYSTEMS—BT.U.gn MEA. <br />WALIHEATERS—BS.U. M <br />UNITHEATERS—O.T.U. M <br />EVAPORATIVE COOLERS <br />CIOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEFTER �0�� <br />WOODSTOVE tt��_ <br />METAL FIREPLACE 6 CHIMN6YF��.�� <br />6 <br />FIREPLACEINSERi <br />HEATPUMP -- <br />GAS PIPING <br />E%HAUSTFAN <br />f SiTE <br />❑ NO <br />SUB T0TI1L <br />PEHMIT <br />TOTALFEE <br />OCCUf'FNC�'GROUP NOOfDWELLINGUNRS OUILDING <br />S�2E OF BLOG � NO O° STCRiES � MR% <br />r�aNscreeKeoav � nara vonissunNCEov <br />PLUMBING <br />MECNANICAL <br />INVESTIGATION FEE <br />STATE BUILD'NG SURCHAt7G <br />STATEENERGVSURCHAFGE <br />DRIVE\YAY PERMIT <br />5 <br />SeC.304(c) <br />FEE <br />TOTAL I I <br />PEHMIT V�LIDATION <br />WMEN PROPERLV VALIDATED pN TNIS SPACE) THIS IS VOUR PERMIT <br />,: . ,�: ., , , . <br />N <br />C.� <br />�d- <br />L�- <br />�- <br />