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`h�E° �",�-�" . C,�,'�NSTRUCTION --- � - <br />everEtt PERMIT PERMIT NQ:, � �0�� <br />�,�I� �'`�r-88�0 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING CI MECHANICAL � PLUMBING ❑ SIGN <br />ovm[n uni�noonEss c�Tr zm rroNE <br />Thomas Drophy 9504 5 3rd Ave Everett, WA 252-8617 <br />FRCHIi[CTOi1�E5GNER MNILAODRE55 CIiY ZiP FMONE <br />G[NEPRICONTRFCTOP MAILRDDRE55 CITV IIP PMONE UCUJSF.0 <br />MECIIANICRL CONiPACTOii MAIL AD�RE55 CITV ZIF PMON[ LICENSC • <br />Cozy Heating / Gas Div. 2�221 - 67th Ave NE Arlington 98223 435-4909 ¢0E CO2YHD137NC <br />rwMou+ccoH*nncron uni�aooness crtv ziN vnoye ucEnse• <br />CLI.$$ OF WORK <br />C�i NEW ❑ AUDITION ❑ ALTERATION ❑ REPAIR <br />VALURTION Of N'ORK <br />S 18�� <br />�ESCRiBE WORK <br />Replace wall teater w/forced air system <br />HEnTsounce <br />❑ ELECTRICITY ❑ GAS ❑ WOOUSTOVE <br />iot _ o�ocn _ or <br />eo�nooncss <br />4504 S. 3rd Ave <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />\HATER CLOSET �TOILET) <br />OATHTUB <br />LAVATORY�WASHOASIW <br />SHOWER <br />KITCHEN SINK H DISP. <br />DISHWASHER <br />LAUNDAVTRAV <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAItJ <br />�ACKFLOW PREVENTERS <br />FOOF DRAINS — RAINLEA�EliS <br />SIIJK �SERVICE — �AR. ETCJ <br />E ZONE <br />{'E OF CONST. <br />'E OF OL�G <br />PE SPRINKI.ERS P <br />'PLICATIONACC OY <br />M.M. <br />SUBTOTAL <br />PEflbllT <br />TOTAIFEE <br />ANCY GROLIP <br />STORiES <br />[S ❑ NO <br />c�iecn�o or <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNI,VG THIS TYPE OF WORK WIIL 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 'ROVISIONS OF ANY OTHER <br />STATE JR LOCAL LAW REGuLATING CONSTRUCTION OR <br />THE PE!iF/ORMANCE OF CON$TRUCTION. <br />SIGN UBE01"GONTP�Ofj.�UT11pRl l/.GCNT.OIiOW��A OAIE <br />X ��LY( � %� ,� io/z2/s� <br />MECHANICAL � <br />FEE NO. TYPE OF EOUIPMENT <br />4:C—A'HNDLGUNIA- HP <br />REFRIGERATION UNITS -� H P EA. <br />�OILERS — 0 T.0 "H P. <br />GASFIREDAC VNITS—OT.U. <br />1 FORCEO 41R SYSTEMS — 0 T U. M EA. <br />W�LLH[ATERS -OTU M <br />UNITHEATLRS—�lU M <br />EVAPONATIVE COOLENS <br />CLOTHESDRVEPS <br />VENTIIATION FAN <br />RANGEHOOD <br />1 1VATHR HEATEfl � <br />WOODSTOVE <br />ME1Al FI�EPLACE 8 CHIMNEV <br />FIREPLACE INSEPT <br />H@AT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />� <br />5 <br />S <br />:i�E SET�PCK <br />/ACFNTSRE <br />]YES ❑NO <br />VO OP ON'EluNu UNITS <br />unx occ �ono <br />nvnn ron tssunr�c[ nv <br />SUB TOTAL <br />PEPMIT <br />TOTALFEE <br />NUMOEF <br />ft�� <br />NO <br />FEES VALUATION FEE <br />OUIL�ING $ <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE SeC. 304(e) <br />STATE BUILDIN(i SURCHARGE <br />STATEEN[RGYSURCHARGE �� ' <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMIT VALI�ATION <br />WMCN PfiOPERLY VALIDAiEO � W THIS SPACL) Tf115 IS VOUfi PERMIT <br />