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a.�,s,�.� <br />�r� <br />everett <br />259-8745 <br />� �NSTRUCTION � � <br />PERMIT PERMITNO. 17296 <br />❑ DEMOLITIOH ❑ COM8INATION ❑ BUILDINO � iMECHANICAL ❑ PLUMBINO ❑ �pN <br />�� � MAILACDfiE55 <br />�'T�' 21P qp� <br />Camdon L. French 1832 Wa].nut et Everett, WA 98201 252-9212 <br />ARCHITECT OP DESIGNER MML �D04f S div ZIP PMONE <br />pENEMLCONTP�CTOR MqLpDDRESS CRY pIP P110NE LICENSE� <br />MECM/WIGLCONTRACTOR M�It�DDRL55 CRV 21P PMONE LICENSE� <br />Valley Natural Gas 11323 Higliway 99 Everett WA 96204 355-7730 VALLENGI53LI <br />PlUM81NGCONTR�CTOR MAILqOpRE55 CITY ZIP RIONE LICENSE� <br />❑ NEW ❑ ADDITION ❑ ALTfRAT10N <br />s a3o.oa <br />DESCRiBE WORK <br />Install conv. burner <br />HEATSOURCE <br />❑ ELECTRICITV ❑ QAS ❑ WOODSTOVE <br />LOT _ BLOCIf _ <br />St. <br />PLUMBING <br />T1'PE OF FIXTI <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORY�WASN BASIN� <br />$HOK'ER <br />KITCHEN SINN 6 DISP. <br />OISHWASMER <br />LAVNDRYTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADE <br />SINK (SERVICE — BAR. E1C.� <br />TYPE OF' <br />SIiE OF BIOG <br />W �' <br />SUB tOTAI. { <br />PEHMIT f <br />TOTAL FEE { <br />�R SETBACN SIOE SETOACN <br />RPErI � <br />VAC/.NTSRE <br />O�ES ❑NO <br />]OPRNCYGROUP NOOFpWELLI <br />OF$?ORIES Mn% OCL LOn <br />RPPLICATIONRCC.OY I PLFNSCMECNED�Y <br />M.M. <br />fORI55URNCEOY <br />❑ HEPAIR ❑ DEMOLITION <br />❑ OTHER <br />❑ BUIL�INO REIOCATON <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR M7T. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME 7� GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROJI£IONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMAN E OF CONSTRUCTION. <br />°�URE OFFONTq�q.qUT IZEO AGENT, OR ONTJER DATE <br />/ 1 /9 _ ^ �- <br />�����LC-�' /� (}j�p l�,{ l� 10/10/86 <br />aCe�Jwwnu <br />FEE <br />A/C — A/HN�LG UNITS — M P. <br />REFpIGERATION UNITS — H.P. EA. <br />BOILERS — B.TL./H P. <br />GAS FIRED A C. UNITS — B.T.U. <br />FORCEO AIR SYSTEMS — B T U <br />WALL NCATERS — B.T.U. <br />UNIT HEATERS — B.T.0 <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION PAN <br />RANGEHOOD <br />WATER MEATER <br />WOODSTOVE <br />MEiAL FIREPLACE d CMIMNEI' <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL y <br />PEPMIT <br />TOTALFEE <br />PLPNCMECKNUMBER FEE RECEIPTNO. <br />FEES VALUATION FEE <br />�UILDING S <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec, 30J�e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAI <br />PERMIT YALID�TION <br />WMEN PROPERLY VALID4TED (IN TIi15 SPACE� TMIS IS YOUR PERMII' <br />i.,i.'i'l.:.'i � i�... <br />24 I 00 <br />