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Ihr F.lrs�¢nYv� <br />� ,,, �„ <br />everett <br />259 - f374 �i <br />C`'�NSTRUCTION <br />PERMIT <br />PERMIT NO. 2 � �� 6 <br />O DEMOUTION ❑ COMBINATION ❑ BUILDING I%l MECHANICAL ❑ PLUMBING O SIGN <br />ONNI.IV A141LADIlB[^i f:IfY ZII� PlqN[ <br />7'im Neiser 2325 Virginia Everett, WP. 98201 252-3494 <br />A�O�IlCCi0110[$�GNCfi AIMI�UDR65 CItY lIV %IONE <br />GEHEMICONtnnC10�� M�iI�DO�f55 Ci1Y ZiP �'��ONC LiCCN56• <br />M[CN�NiU1.CONTRRtlOfl MMlA0I1Pf.5$ GTV 21P i'MON[ UCCNSE� <br />Valley Natural Gas 11323 Hwy 99 Everett, WA 9820�1 355-7730 VALLENG1532I <br />1'IUMPMGCON104f.iOR MA11411D�Cti5 CIIY ZII` M10NE LIC[NSE� <br />(:Uti'lOf WOliR <br />❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR <br />vnu�nuoH o� wonn <br />S <br />OCSC��INC N'O�N <br />Install furnace / water heater <br />��u, souncc <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Single family residen..e <br />�nr _ f�iocK _ � <br />2325 Virginia <br />PLUMBING <br />TVPE OF FIX7U <br />WATER CLOSET �TOILF.T� <br />BATHTVO <br />LAVATOR� I��ASH DASIN� <br />SMOWEA <br />KITCHEN S�NR b OISP <br />OISHWASHER <br />�AUNOP�IRAV <br />CLOTHES wnSNER <br />URINAI <br />D(71NKINCi POUNTAIN <br />FLOOR DFAIN <br />ROOF ON�� W 5 - � <br />S�NK �SERVICE - <br />on <br />ITFM <br />SUBTOTRL S <br />PEflM�T f <br />TOTRLFEE f <br />p lOT M[A <br />Cons* occuvnHcrcnour <br />eLp� I NO OF <br />APPUC�TION <br />M.M. <br />❑ DEMOLITION <br />❑ OTHEH <br />❑ BUILDING RELOCATION <br />I HCREBV CC-NTIFY THA � I HAVE READ AND F%AMINED THIS <br />APPLICATION AND KNOW l"HE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />30VERNING THIS TYPE OF WORK 1NILL �E CONP�IED WITH <br />WFIETHER SPECIFiED HEREIN OR NOT. THE GRFNTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THF PROVISIONS OF �NY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTHUCTION OR <br />THE PERFORMAN'C'�E� O''.F/ CONSTRUCTION. <br />!biGNPi�$iC01 �(�Yt��,yy�y�....y�MO�i12EDI.G[N1.OqOWNEfV DATE <br />4 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />� C - A�NNI7LG UNITS - �� �' <br />REFRIGERATION UNITS -- M P E4 <br />BOILEIiS -- [3 T U -H P <br />GASFI(iLDAC UNI15-OTU <br />FORCEDAIRSYSTEMS-�TU��p MEA <br />WALLHEAIERS-(1TU M <br />UNITHEATER5-0TU M <br />LV�PORATIVE COOLENS <br />CLOTNES DRVE(iS <br />VENTILA71CN FAN <br />RANGLMJOD <br />]. WATER HEATER <br />WOODStOVE <br />METAL FIREPLACE & CHIMNEV <br />FlREPLACL WSERT <br />HEAT PUMP <br />X GAS PIPING <br />EXlIAUST FAN <br />vnCnNT SITE <br />❑YES ❑NO <br />ND Of DWELIING UNIi'. <br />uPN OCC LOPO <br />nrrn ron issunr�ce nv <br />% <br />SUBTOTRL j <br />VEPMIT <br />TOTALFEE <br />'LAN CHECK NUMBER FEL RECEIPT NO <br />FEES VALUATION FEE <br />�UILDING �����88 1:5 �i OD�±bIrJ72 �i� <br />f'LUMOING nooa'oies <br />MECNnNicn� I'�[CH 4� .50 30 50 <br />INVESTIGATION FEE <br />STATE �UI:OING SURCHARGI <br />STATF ENEfiG\' SURCHAPGE <br />DRIVEWAV PERMIT <br />Sec. <br />TOTAL I I <br />PEAMIT VALIDATION <br />1VHFN PROP[fiLY VALIDATED IIN THIS SPACE) TNI515 YOl1R PEPMIT <br />50 <br />