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r�a,�,�., <br />CITY OF <br />everett <br />259-8745 <br />"� ('�NSTRUCTION <br />PERMIT <br />PERMIT NQ� _� o`� J � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Q MECHANICAL ❑ PLUMBINQ O 316N <br />ONNEP MMl ADDRESS GTY 21P pq0� <br />Roae Faneer 3910 Rucker Ave. Everett 96201 725-4224 <br />APCHITEGT OR OESIGNER M�IL �DORE55 CrtY IIP pHONE <br />GENEH�LCONTq�pTOR M�IL�ODRE55 LITV ZIP PHONE LICENSE• <br />MECM�NIGLCONTR�GTOF M�ILAD�PESS GRY ZiP PNpN[ �ICENSE• <br />Valley Natural Gas 11323 Hwv 99 x�,a.oFr oa�nn ���_��... ..____._______ <br />citr Zi� <br />:USS OF WORK <br />❑�W ❑ AUDITON CJ ALTERATION ❑ pEPA1R ❑ DEMO�ITION O BUILDINO RELOCATON <br />f 1449.00 <br />DESCHIBE WORR <br />Iaetall furnace and water heater <br />HEATSpUHCE <br />❑ ELECTRICIT' ❑ fiAS ❑ WOODSTOVE O OTHER <br />lOT � BLOCK � <br />PLUMBINfi <br />NO. TYPE OF FI7RURE Op <br />WATER CLOSET (TOILET� <br />BATHTUB <br />UVATORY (WqSH BASINI <br />SMOWER <br />KITCMEN SINK 8 OISP. <br />DISHWASMER <br />LAUNDRYTRAV <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR ORAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR ETC.1 <br />OF LONST <br />aGc Bv <br />S.H. <br />FEE <br />SUB TOTAL s <br />PERMR { <br />TOTALFEE f <br />�RSETBAGN Si0E5ETeqCN <br />fANEA <br />VAC�NT SIT[ <br />❑1E5 ❑NO <br />CUPANGYGFOUP NOOFOWELIINGUN <br />OF STORIES MA% OCC LOAD <br />� VES ❑ NO <br />NSCNECNEOBY APPR 60RISSUA4CE <br />I HEREBY CERTIFV Ti-IAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. A�L PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CAN�EL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LHW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF C(j[lSTRUCTION. <br />SiGNATUREOFCUNTRRCT9R+�.UTl�qbizaDAGENI.OROWNER � bATE . <br />TYP% OF EOUIPM! <br />A/C — AMNDLG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./HP. <br />G�S FIRED A.C. UNITS — B T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL MEATERS — 97 U. M <br />UNIT HEATERS — BS.U. M <br />EVAPORATIVE COOLERS <br />CIOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METpL FIRFPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />MEAT PUMP <br />GAS PIPING <br />EXMAUSTFAN <br />BUILDING <br />PLUMdING <br />SUB TOT11L <br />PERMIT <br />TOTALFEE <br />NUMBER FEE <br />_s';_, , �; �:.'„i','_,�p � +:., <br />MECHANICAL I i',FL�: }-;.I?,.�.fl <br />INVESTIGATION FEE � " $e`c �3pe�e� <br />STA7E BUILDING SUPCHARGE <br />STATEENERGYSURCHARGE <br />DRIVEW.4V PERMIT <br />TOTAL <br />PERMIT V�LIDATION <br />WHEN PROPEFLV VA�tDATED (IN TI115 SPACE) THIS IS VOUR PERMIT <br />ACDFESS FiLE <br />Z <br />