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`h��}�'-�""� C'7NSTRUCTION � "� c <br />everett PERMIT PERMITNO. � 85JO <br />259-8745 <br />❑ DEMOLIT�ON ❑ COMBINATION ❑ BUILD�NG � MECHANICAL � PLUMBING ❑ SIGN <br />nwvn+ u�nn nnnnu:; utv vu� vr�oH[ <br />Gene Booth 2417 Virginia Ave. Everett 98201 252-7572 <br />•naarrc'.rnntsi;;�urn M�iuoon�s, atr zir n�oNe <br />GCN[�i�l CONIR�GTOR A4il �DDfiE55 <br />21P <br />IILCNSE � <br />MCOUNiUI CONTIUCTOn M4i� ApORC55 Cliv LP R�OrvE LICENS[ � <br />Valley Natural Gas 11323 11wy 99 Gverett 98204 355-7730 VN.LENG153LI <br />riuMn�wccou*n�cron Mnrt nnnnu::: arv r�� rr�orvc i cENsc <br />a+ss ar waaa <br />❑ NEW ❑ ADDITION <br />v��uenon o�� wnnn <br />S <br />�G ALTEHATION ❑ NEPAIR <br />WpFN <br />Install conv. burner/water heater <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />vnorosco us[ ov nui�m�+c <br />iot _ o�ocK _ oi <br />PLUMBING <br />TYPE OF FIx7URE O <br />WATEn CLOSET 170�LET1 <br />�nTNTUt3 <br />LAVATORY IWASN BA31N� <br />SMOWER <br />KITCIIEN SINK A DISP <br />D�SMWASMEN <br />�AUND(iV TflAY <br />GLOTHE$ WASHER <br />URINAI. <br />DPINNING �OUNTAIN <br />FLOOR DFAIN <br />pACKfLOW vqEVFNTERS <br />FOOF DRAINS - R/.WlEA0F1i5 <br />SINK ISERVICE - DA0. ETC 1 <br />TY1'E O� CONST <br />(1fiqTTAl;11 <br />❑ OEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCIITION <br />I H[RE6Y CERTIFY THAT I HAVE REAU AND EXAMINED THIS <br />APPLICATION AND KNOVJ THE SAME TO BE TRUE AND <br />COfiRECT. ALL PROVISiONS OF LAWS AND OHDINANCES <br />GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED I1EfiEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR <br />THE PERFOHMANCE OF CONSTRUCTION. <br />s�t'.r�ntune ov comm�yip�� nujrttyn¢m ncErvr. oa oWncn ��nrE �_ <br />ITEM FEE HO. TYPE OF EOUIPMENT <br />A C- �/NNDLG UNITS - N P <br />(iEFRIGERATIONUNITS-NP EA <br />DOIL[RS - O T U; M P <br />GASfIR[�AC UNITS-BTL <br />�1 FORCED AIR SYSTEMS - B T U M EA <br />\vMLHEnT[RS-[ItU. M <br />UNITHEA7LRS-OTU M <br />EVAPORA7IVE COOLERS <br />CLO7HE5 DRVLAS <br />VEIJTII.ATION FAN <br />RANGEHOOD <br />WATERNEATER <br />WOODSTOVF. <br />METAI fIPEP1.ACE 8 CHIMNEY <br />FIREPLACEINSERT <br />NEAT PUMP <br />GAS PIPWG <br />L%I1AU5T FAN <br />SUBTOTAL f <br />PERMIT f <br />TOTRLFEE S <br />RE/.RS[TA�CK SIOESCYOACN <br />IOTAqEA VAGANi51TE <br />❑Y[5 ❑NO <br />ocwrancr caour no or owciunc <br />size oF o�oc no ov <br />FIPESPRINKLERSREOWRE� ❑1 <br />P�{'LICRTIONPCC (1V I Pl/.N$ <br />S.li. I <br />Irnnx occ iano <br />O <br />❑v nrrnroni;sunwcefiv <br />SUBTOTRL <br />VERMIT <br />CHECKNUMOER <br />FEE <br />FEES VAWATION � �� FEE <br />oui�oiNc S � <br />PLUMOING <br />MECHANICAL <br />INVESTIGATION FEE Sec. 30a(e) <br />STf.TE �UILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRNEWAY PLfiMIT <br />TOTAL <br />PERMIT VALIDAI'ION <br />1YI ICN PROPEBLV VALIOATC� (IN THIS $PACE) THI515 VOI1R PEPMIT <br />