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u� � <br />cin oF <br />everett <br />259-8745 <br />�^ C'�NSTRUCTION ^ <br />PERMIT <br />,-, <br />PERMITNQ:- �� `��� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIIADDIIESS CITY ZIP PHONE <br />Donald Mutschleu 2228 McDougal Everett 98201 252-6691 _ <br />ARCNITECTORDESIGNEP MAILFDDRE55 QTV ZIP PMONE <br />GENERAL CONTFACTOR MRIL ADDRESS CITY ZIP PHONE LICENSE • <br />MECNANIGALCONiRALTOF MAILROORESS CITY 21P PHONE UCENSE� <br />Valley Nat Gas 2605 McDougal Ave. Everett 98201 259-5492 VALLENG153LI <br />VWUBINGCONTRACTOR MPILAODRESS CITY ZIP PHONE UCENSE� <br />CLAS$ O� WOPN <br />O NEW ❑ ADDITiON C� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BSIILOING RELOCATION <br />VR�Ur1TIONOf WORK <br />S <br />DESCRIBE WORN <br />Install Cixc. Heater <br />HERt50URCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />SFR <br />EGPL OESCRIPI ION OF VROF <br />LpT _ BLOCK __ <br />OB AODRESS <br />222& MCDoui <br />PLUMBING <br />TYPE OF FIXTURE O <br />WATER CLOSET (TOILET� <br />DATHTUB <br />LAVATORY�WASNBASIN) <br />SMOWER <br />KITGhEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTMES WASHER <br />UPINAL <br />DRINKING FOUNTAIN <br />FLOOH DRAIN <br />BACI<FLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAr7. ETCJ <br />TYPF.OF <br />SUBTOTAL <br />PERMIT <br />OCLUPANCYGROUP <br />SIZE OF OLDG <br />PLANS CM[CK[D OV <br />S.H. <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 COMPIIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRE�UN�E TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PPOVISIONS C� i+iVY i�iNER <br />STATE OR LOCAI LAW REGULFTING �ONSTPUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN OF CONiRAC OR. R TM I T.OR OWNER DATE <br />z�i.,,nv� ' � �� 1 �I� ��'�iG <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — 8 T.0 /H P. <br />G�5 fIRED A.C. UNITS — BS.U. <br />FONCED AIP SYSTEMS — 0 T.U. M EA. <br />WALLHEATERS—BT.U. M <br />UNIT HEATERS — BSL. M <br />EVAPORATIVE COOLERS <br />CLOTNESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMN[Y <br />FIREPLACEINSERT <br />HEAT PUMP <br />1 GAS PIFING <br />E%HAUSTFAN <br />s� � <br />sioe se*oncK <br />VAC�NT SITE <br />❑YES ❑NO <br />NO OF OWELLING UNITS <br />MA% OCC LOAD <br />BUILDINC� <br />PLUMBING <br />MECHANICAL <br />FEE <br />9 00 <br />SUB TOTAL 3 9 �� <br />PERMIT S 1S 00 <br />TOTAL FEE Z4 OO <br />�/17/89 2: .'�fEi��4101 *k'k� <br />/ <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAV PEPMIT <br />Sec.3041c) <br />TOTAL I I <br />PEPMIT VALIDIITION <br />WHEN PROPERLV VALIDATED (IN iH15 SPACE) THIS IS YOUR PERMIT <br />l,n��r,� ss I r�E <br />