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fhrF3rry,mmn C�INSTRUCTION - "� A <br /> ��„ ,,, <br /> everett PERMIT PERMITNO. �O� `�� <br /> 259 - 8745 <br /> ❑ DEMOUTION ❑ COMBINATIUN ❑ BUILDING �D MECHANICAL '❑ PLUMBING ❑ SIGN <br /> o�w[n unn nenurss arr zn• rnoHe <br /> Dr. Aubray Carter 3433 Sw Tulalip Ave Everett 98201 252-4350 <br /> enn�ntcrr�inev�r.N[n emn nunee:: cnr zir r�roH[ <br /> GENF.MlClN11UQOli MMIAppNf.55 CIIY 21P PIION[ UCENSE� <br /> MCC114WGLOONiR�CIOR AIqllAppR6$ CIIY ZIP ���DN[ IICEP6E� <br /> Valley Katural Gas 11323 Highway 99 Everett 98209 355-773U VALLENG153LI <br /> PlU11pIN�iCONiR�CTUB M4ilAD�11C55 CIiY 21P �'��ON6 UG[NSE• <br /> CI.Ati50�N'Of1N <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> \'�IU4TION O!1\'OiiN <br /> $ <br /> 0 SC�i E" ��n <br /> �ns al gas furnace and water heater <br /> ��[nT SOURCL <br /> ❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER _ <br /> �m000seo use ov nu�imr+e <br /> Sin le famil residence I HEREBY CEfiTIFY THAT 1 HAVE READ ANO EXAMINED THIS <br /> 9 Y APPLICATIJN AND KNOW THE SAME TO BE TRUE AND <br /> ieeni�estnivnoNenworenrr�se�owne�owonnitncr�ro�mco�i�si CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br /> 1Oi —°LOC" — "` WHETHER SPECIFIED HEREIN OR NOT. TH�'. GRANTING OF A <br /> PERI�AIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLAT[ OR CANCE� THE PROVISIONS OF �1NY OTHER <br /> STATE OR LOCAL LAW R':GULATING CONSTRUCTION OF <br /> THE PERFORMANCE OF CC VSTRUCTION. <br /> JOOADDRE55 SIGNAi �i[Of Mf1� TOR.AUi D�IZ[D4GENi.OBOWNFN pPTE <br /> 3433 Tulalip Ave X , � 5 18 88 <br /> PLUMBING MECHANICAL <br /> NO. TYPE GF FI)(TURE OP ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILETI rl�C—NMNCLG UNITS- ��� <br /> BATMTUB REFRIG[RATION UNITS--H P EA <br /> LAVATORV I�vASH OASIN� BOILERS—�T U-H P <br /> SHO\vER GnSFIREDAC UNITS—DTU <br /> KITCHEN SINK 3 DISP 1 FORCED AIR SVSTEMS—d i U M EA B OO <br /> DISMWASHER \Y�LLHE�TERS—DTU M <br /> LAUNDPY TRAV UNIi HEATER$—B iL M <br /> CIOTMFS WASH[R EVAPORATIVE COOLEPS <br /> URINAL CLO�HESDRVERS I <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> f1.00R D(iAIN RnNGE HOOD <br /> �ACKPLOW P�7E\-ENTEHS ]. WATER HEATER � G SO <br /> ROOi DRAINS—PAINLEADERS YlOOD STOVE <br /> SINK�SERVICE—DAR,ETC) METAI FlREPLACE A CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> X GAS PIPING <br /> E%NAUSTfAN <br /> SUBTOTAL S SUBTOTAI J.S SO <br /> VERMIT S PENMIT SS OO <br /> iOTAL FEE S TOTRL FEE 3O SO <br /> fRONi SETenCrc nEAR 5E*onGn SiD[SlinnCK PLAN CNECK N� 1�ER FEE �7ECEIPT NO <br /> USE20NE ��TAA�� VACRNTSttG <br /> ❑res ❑No FEES VALUATION FEE <br /> TYPEOFCONST OCCUPANCVGROOP NOOFDWELLINGUNIIS �UI�_DING S <br /> PLUMOING OS/IBIBH I2= 7FM UOUIiNOG4S #tkk <br /> 512E OF OLOG NO Oi STO�iES Ma%OCC LOI.O � <br /> MECHANICAL 3O SO <br /> INV[STIGATION FEE n�{�0��°) S O.SO <br /> FIRE SPRINKLERS REOUIREO YES ❑40 STqTE BUILDING SUFCNARGE CHECY S O.SO <br /> STATEENERGVSURCHARGE <br /> APPLICATIONf�GC [IT PLANOCNECKFOOY AP!'H 1Op55UANGEP! <br /> pRIVEWAV PERMIT <br /> M.M. TQTA� 30 50 <br /> PERMIT VFLIDIITION <br /> WHIN 1'ROPERLV VAIID�TED�1N THIS SPAGE)TNIS IS YOUR PERMIT <br /> Q� <br /> �� <br /> �� <br /> � <br /> N <br /> �: . � ',� C <br />