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�� C �NSTRUCTION <br />everet� PERMIT PERMITNO. � 9464 <br />?_59-8745 <br />❑ DEM6l.ITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />O\N�EH MnIL AADRESS CITY 21P h.IONE <br />Fred Turrence 5029 West View Dr. Everett, WA 252-3960 <br />APLNITECT OP DESIGNER 1ARIL ADDR[SS CITV ZIG PNONE <br />GENER�LCOHTRAQOR MAILADDRESS QTY !IP PMONE LICENSE• <br />Valley Natural Gas 11323 Highway 99 Everett 355-7730 VALLENB153LI <br />MEC�.ANICRICON�RAJIOR MAILnDDRE55 pTY Z�P PHONE IILENSE• <br />VLUMBING CONTR�LION <br />CLA55 OF 1YORK <br />❑ NEW ❑ ADDITION k8 ALTERATION ❑ REPAIR <br />VRLU4TION OF WORN <br />$ X�7C %SO. <br />DESCRIBE WORK <br />install wall fLrnace/range/50 gal water heater <br />❑ ELECTRICITY ❑ GAS <br />PROPOSEO USE OF OUILDING <br />single family reside�:�� <br />LOT � B�OCN � OF � <br />JJBROOHE55 <br />5029 W View Ur. <br />PLUMBIMG <br />WATER CLOSET �TOILET� <br />BATMTUO <br />LAVAiORY (:':nJH BASIN) <br />SHOWER <br />KITCNEN SINK 8 DIPP. <br />�ISNWASNER <br />LAUNDRYTHAY <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PFEVENTERS <br />flOOF DRAINS — RA7NLEADERS <br />SINK �SERVICE — BAR. ETC � <br />USE20NE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />RPPLICRTIDN PCC DY <br />Id. M. <br />SUBTOTAL <br />PERMIT <br />TOTRLFEE <br />PL�NSCMECN[DlfV <br />❑ WOODSTOYE <br />FE[ <br />� <br />S <br />f <br />{IJESETpFCN <br />�PCANT SiTE <br />]YES ❑NO <br />10 OF OWELlINO UNITS <br />nnx occ iono <br />APPR FOB ISSURNCE UY <br />❑ DEMOLITION <br />❑ OTHER <br />ZIV PNONE L�CENSE� <br />❑ BUIIDING RELOCATION <br />I HEftEBY CERTIFY THAT I HAVE READ A"0 EXAMINED THIS <br />APPLIC�TION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WIL� DE COMPLIED WITH <br />WHETHER SPECIfIED HEREIN OR NOT. THE GR�NTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE- AUTHOPITY TO <br />VIOLATE OR CANCE: THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNATUqE Of CONTHnCT R. ��12ED 4G[Ni.OR ON'NER %ATE/ <br />X ��S�.�r •'�i _ �. 21 88 <br />/1JV Lf1T <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG Uf1115 — H P. <br />REfRiGEflATION UNITS — HP. EA <br />BOILEflS — 0 T.U1HP <br />GAS FIRED A.C. UNITS — BSL. <br />Fp17CE� AIR SYSTEMS — B.T.0 M EA. <br />WALLHEATERS—OT.U. M <br />UNITMEATEFS—�TU. M <br />EVAPORAiIVE WOLERS <br />CLOTNES D�:YERS <br />VENTILATbN FAN <br />RANGEli00D <br />WATER NEATER <br />wOODSTOVE <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />NEAT PUMP <br />GAS PIPING <br />E%NAUSTFAN <br />SUNTOTAL <br />PERMIT <br />FEE <br />NO. <br />FEES VALUATION FEE <br />BUILDING S <br />PWMBING . . . . <br />MECHANICAL <br />INVESTIGATION FEE Sec. 394�e) ' <br />STATE BUILDINC SURCHARGE - <br />STATE ENERGV SURCHAriGE <br />DRIVEWAV PEflMIT <br />T07AL <br />PERMIT VALIDATION <br />WNEN PROPERLV VALL �4C[J �1N THIS SPAGE) THIS IS VOUR PERMIT <br />..��..�L.�.� � �i.i. <br />37 <br />37 <br />� <br />� <br />