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r��,�„�� <br />cin oF <br />everett <br />259-8745 <br />('7NSTRUCTI01� <br />PERMIT <br />PERMITNO. � 7774 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING (G7 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MniLAODNE55 CITY ZIP PMONE <br />Kenneth Martin 415 Roseway Everett 98204 355-4539 <br />aacurtccr ne ncoc..��o .. . <br />rl00RE5S <br />GENERr1L CONTqqCTON MAIL RDDRESS — <br />CiTY <br />Z�P PHONE <br />PNONE LICENSE� <br />MECHRNIGALCONTRACTOR MAILqDURE55 GITY ZIP PNONE LICENSE• <br />Natural Gas & Equipment 1625 E. Marine View Dr. Everett 258-2441 NATURGE321K4 <br />PWMBING CONTRACTOR ..... ..._____ _ <br />GLA55 OF WORK <br />�] NEW <br />VALUATION OF Y <br />S <br />GiIY ZIP PHONE <br />❑ ADDITION i� 1LTEppTION O REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Install 75000 6Y BTU R�Yi(Mi� Furnace gas piping, and hot water heater <br />MERTSOURCE — <br />❑ ELECTRICITY I] GAS ❑ WOODSTOVE O OTHER <br />Residence <br />LOT _ PLOCK � <br />415�Rose <br />PLUMBING <br />TVPE OF FllfTl <br />WATER CLOSET �TOILE'i � <br />BATHTUU <br />L4VATORV�WASHBASIN� <br />SIiOWER <br />NITCHEN SINK M1 DISP <br />DISHWASHER <br />LAUNDRYTPAY <br />CIOTMES WASHEF <br />URINqL <br />DRINKING FOUN7AIN <br />FLOOR �RAIN <br />BACNF�OW PREVENTERS <br />ROOFDRAINS- RAINLEAI <br />SINK �56RVICE — BAR. ET( <br />OF CONST <br />S12E OF BLOG <br />OR ITEM <br />SUBTOTAL <br />PEAMIT <br />TOTALFEE <br />GROU�' <br />FOUR <br />FEE <br />VACANT SiTE <br />❑YES ❑NO <br />NO OF pWELLING <br />I� IEREBY CERTIFY TNAT 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 AUTHORITI' TO <br />VIOLATE OR CANCEL THE PRUVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORM E. ONSTAUCTION. <br />SiGNAT�RE OF COYT A A NOB12p❑ pC[NT.OR 01YNER �ATE / <br />X ii :,ii.� -� �� F- <br />MECHANICAI <br />TYPE OF EOUIPMENT <br />A/C — A/HPIOLG UNITS — HP. <br />REFRI �ERATION UNITS — H P. EA. <br />BOILERS — �S.0 �H P. <br />GASFIREDAC UNITS—BT.U. <br />PORCEDAIRSYSTEMS—B.T.U. MEA. <br />WALLHEATERS—OT.U. M <br />UNIT HEATERS — �S.0 M <br />EVAPORATIVECOOLERS <br />CIOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WAiERMEATER <br />WOODSTOVE <br />METAL FIRFPLACE 6 CHIMNEV <br />FIREPLACEINSERT <br />t IEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />BUILDING <br />PLUMBING <br />NO OF STORIES I.IA% OCC LOnD <br />APPLICr1TI04ACCUY PL�NSCIIECHEDOY <br />S.H. <br />APPR FOB <br />MECHANICAL <br />INVESTIGA710N PEE <br />SUBTOTAL <br />PEPMIT <br />FEE � <br />W�00177?a <br />Sec.304�c) <br />NO. <br />S7ATE 6UILDING SURCMARGE <br />STA7EENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMI7 VALIDATION <br />WHEN PROPERLV VALIDATEO �IN THIS SPALE) THIS IS YOUR PERMIT <br />� .. ��i::�_. . �,�.. <br />FEE <br />3U I 50 <br />