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k� <br /> fhrF'i•rry¢nrn C -�NSTRUGTION � �` <br /> CIi1 t1f <br /> everett PERMIT PERMITNQ:: �0��� <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Ix� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> i;i�r �ir PMONE <br /> o�eNrn nmu nunncss <br /> Robert Dfaple 3630 Upland Ave. Everett 98203 259-0199 <br /> NR'��il[C]0�106�f.NC11 M/.II �fl[)IIEtiti <br /> cirv zir r��oN[ <br /> 6[NCR�LCONiRM1Cip11 <br /> R141lA�llq[55 CITY Ili' MION[ LIL'ENSE� <br /> C1iV Zp� PHON[ L�CENSE� <br /> 1,1[CMANiGL CONi11AC1011 AINI ApOfIC55 <br /> Natural Gas Equip 1G25 E. Dlarine View Dr. Everett 98201 258-2441 NA�NURGE320N6sE. <br /> RUMf11NG CONi11RCTOR <br /> euq nnrnitss r.ttr zm <br /> (;�pSSOi N'OON <br /> ❑ NEW ❑ ADDITION ❑ A�TERATION Cl REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATIO <br /> v�w�non o�w'onK <br /> S <br /> nescniee�mnK <br /> r�Eei soun�. <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> aaeroseoi6[o�nun.ort+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence APPLICATION �ND KNOW THE SAME TO BE TRUE AND <br /> �ecsioescn�v*ior+ormornmrisHowne�owonnrrnu�rwnco�'iesi CORFECT. ALl PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL �E COMPLIED WITH <br /> to*._.o�ocrc _ or Wf!ETHER SP[CIFIED HEFEIN OR N07. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROV�SIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERF RMANCE OF CONSTRUCTION. <br /> 9GNA1U�[ � .ONTf1ACiOR.AUi IZEO< ENT,OROI4NCR ' � o�ATE� <br /> JOB�ODRE55 ��J <br /> 3630 U land Ave. X � , � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM <br /> FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET�TOILET� NC—A:HNDLG UNITS—M P <br /> REFRIGERATION UNRS—H P FA <br /> BATHTL/8 <br /> LAVATORY(W�SM DASIN� �OILERS� 0 T U-H P <br /> G�SfIREDFC ��hliS—UTU <br /> SHOWEfi <br /> FORCED AIR SYSTEMS—0 T U. M EA <br /> KITGHEN SINK d DISP M <br /> VlnlL MEnTEf15—0 T U <br /> DISHWASHER M <br /> UNIT M[ATEHS—D T U <br /> LAUNDRY7RA� <br /> EVAPORATIVECOOiC�S <br /> CLOTME$WASHER <br /> CLOT�iC�UI�VERS <br /> UPINAL <br /> VENi ILATION FAN <br /> D�INKING�OUNTAIN q�NGE HOUD <br /> FLOOR DPAIN <br /> WATEfiNEATER � _. <br /> PnCKFLOw PREV@NTERS <br /> ROOF DRAINS—RAINLEA�EI9S <br /> WOODSTOVE <br /> SINN�SERVICE—BAR.ETC� METAL FlRFPLACE 8 CHIMNEY <br /> FIREPLACE INSFIiT <br /> MEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> 1 Conversion burner 00 <br /> SUB TOTAL n� <br /> SUB TOTAL f ].S OO <br /> PEHMIT S PERMIT <br /> TOTAI FEE 24 O <br /> TOTAL FEE s RECEIPT NO <br /> fnONi SETO�CM pEaa 5¢To��CK SmE SEi[�nCK PLAN CHECK NUM�ER FEE <br /> usezorve � 'AAE� vAcnNtsrte FEES VALUATION FEE <br /> u.es ❑�+o Bd/25/Bg 4; bPM OOORtt^ci89 IGK# <br /> TYI�EOFCONST OCCIIVANGYGR011V NOOf�WELLINGUNIP.; <br /> E3UILDING <br /> PLUMBING � <br /> sizeo�oioc �o orsTo�ies ���* occ iono MECH $ 4•� 24 00 <br /> MECNANICAL <br /> a <br /> — INVESTIGATION FEE xc.�O41c� <br /> FIRE SPRINNLERS REOU RED I-I YES ❑NO STATE BUILDING SUFCHARGE <br /> STATEENERGYSUViCHARGE <br /> qF%IGqTIONPiAOY PL�NSCHCCNEOOV �NPiIlORISSURNC[�V DRIVEWAYPERMIT <br /> 24 00 <br /> S.H. TOTAL <br /> PERMIT VALIDATION <br /> �y��[ry pppPEfiLY VALIUAL[D�IN THIS SPACEI illl$IS YOUR PERMIT �. <br /> �� <br /> �`' <br /> � <br /> N <br />