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IhrEi ,� ---. C'�NSTRUCTION � " <br /> everett PERMIT PERMIT NQ:_ �� � �� <br /> 259 -8745 <br /> O DEMOUTION ❑ COMBINATION ❑ BUIIDING �3I MECHANICAL ❑ PLUMBING ❑ SI6N <br /> OwN[n r.�ni, nOUr�65 f�tr ziP c��oNE <br /> Vladimar Sklenar 212G Rucker L•berett 98201 259-3231 <br /> �arrarcn o�a o�sicvrn r.mn�nnn[ss r.nr zir rr�oNe <br /> G[NCN�ICONT1UQOf1 AIAILAI)DIIC55 CIiY !IP PIIONf LICENiE� <br /> M[CNANIL�I CONTB4CtOq MAiL LOOIIC55 f.I1Y ZIP MIONE LICENSE I <br /> Valley Natrual Gas 2605 McDougal Everett 98201 259-5492 VALLENG153LI <br /> riuu.oiNcconnucioi� r.uiienon�ss cirv zm rr�ove LiCENSE� <br /> CI�SS Of N'ON4 <br /> ❑ NEW ❑ ADDITION ❑ ALTERIITION ❑ REPAIA ❑ DEMOLITION ❑ BUILDIN6 RELOCATION <br /> VALU�TION O�N'OR• <br /> S <br /> oc�cn�N[wonK <br /> Install furnace and water heater. <br /> r�w souncc <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> raorr.sEo usc or ouaoiHc <br /> SFR I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iecniocscnivtioHovmoreniris��ownnowo�ant*nnrtouncor¢si CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior_e�ocK _or GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT OOES NOT PRESUME TO GIVE AUTHOR�TY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LUCAL LAW REGULATING CONSTRUCTION OR <br /> TH RFORMANCE K C6NSTRUCTION. <br /> JOGppPE55 SIfN i 1hE O N � ,iQR, 1T11 ql ED AGEN„ NMER I I= <br /> 2126 Rucker ! ' � { `' ,i� � <br /> PLUMBIN6 MECHANICAL I � <br /> NO. TYPE OF FIXTUPE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A:C—A�MNDLG UNITS—H P <br /> BAiHTUB RGFPoGEFATION UNITS—H P.EA <br /> LAV�TORY IWASH BASIN� OOILERS—B.T U.iN P <br /> SHOWcR Gl.S FlPEO A C.UNITS—B T U <br /> KITCHEN$INK b�ISF FORCED AIR SYSiEMS—8 TL M EA. <br /> �ISFIWASHER WALLNEATGRS—DTU. M <br /> IAVNDRY TRAV UNIT HEAiERS—B T U M <br /> CIATNES WASNER EVAPORATIVE COOLERS <br /> URINAL CLOTNES DHYBRS <br /> OR!NKING FOUNTAIN YENiILATION FAN <br /> FLOOF DRAIN flANGE HOOU <br /> BACNiLOW PREVENTERS WATER NEATER � O SO <br /> ROOF DI7AIN5—flAINLEA�ERS WO00 STOVE <br /> SINK�SERVICE—BAfl.ETC� METAL FIREPLACE 8 CHIMNEV <br /> fIREPLACEINSERT <br /> MEATPUMP <br /> GAS PIPING <br /> E%NAUSTfAN <br /> SUB TOTAL f SUB TOT�L LS SO <br /> PERMIT S PERMIT LS OO <br /> TOTAL FEE f TOT11L PEE <br /> FRONi SETBACN nepn 5[Tn<cn Sio[SlipnCn PLAN CHECN NUMBER FEB RECEIPT NO. <br /> USE 20NE l.OT nRU y�Cn��i SIIE <br /> n vC5 �Na FEES O , <br /> TYPE Of CONSi OCCUPANCY GNOU' NO O�OWEIIMG UNITS OUILDING S � <br /> PLUMBING � <br /> $IZE Of BLDG NO O(STORIE$ MAR OCC IORp <br /> MECHANICAL ��ISTB 3O SO <br /> INVESTIGATfON FEE .90G�e) r� <br /> FIRE SPRIIJKLERS REOUIRED ❑VEu NO <br /> STATE�UILDING SURCHARGE <br /> ST�TEENERGVSURCIIARGE <br /> APPLICRTIONACCOY RPNSCIICCnEO�Y APPPtORI55JnrvCCBY <br /> DRIVEWAY PERMIT <br /> S y TOTAL 3 50 <br /> PERMIT VA�IDIITION <br /> WHEN PROP[�lV VALIDATED(M THIS SPACE�THIS IS YOUR PERMIT <br /> Q� <br /> �� <br /> r <br /> i� <br /> N <br />