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�� <br />cino- <br />everett <br />259-87i+5 <br />- f�NSTRUCTION � <br />PERMIT <br />PERMIT NO. 17294 <br />❑ DEMOLITION ❑ CQMBINATION ❑ BUILDING f� MECHANICAL ❑ PLUMBING ❑ SIGN <br />QµqEq MAII nODRE55 CrtY 2�P PMONE <br />John E. Thompson 4531 Seahurst Ave Everett, wA 98203 822-5213 <br />MAiL A�OPESS <br />ciTr <br />MONE <br />OENERAL CONTR�CTOR M�il RDDRE55 UtY 21P �ONE LiCENSE � <br />MECN�NIC�LCONTR�CTOR MAu �DOPE55 pTY 21P PMONE LICENSE• <br />Valley Natural Gas 11323 Highway 99 Everett, WA 98204 822-5213 JALLENG153LI <br />RUMBINO CONTR�GTOP MRIL PDDRE55 CITY 21P �ONE LICENSE • <br />CL�SSOF WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ PEPAIR <br />f 1211.00 <br />DESCRIBE WONK <br />Inatall Payne 95 M BTU fi�rnace <br />HEATSOURCE <br />❑ ELECTNICITY ❑ OAS ❑ WOODSTOVE <br />io* _ o�ocK _ ov <br />PLUMBING <br />NO. TYPE OF FIXTI <br />WATER CLOSE� �TOILET) <br />BATMTUB <br />LAVATORY (NASH BASIN) <br />SHOWER <br />KITCHEN <�NN 8 �ISP. <br />LAUNDRYTRNV <br />CLOTHES'.YASMER <br />URINA� <br />DRINKING FOUHTpIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINlEAOERS <br />SINK �SERVICE — BnR. ETC � <br />SUBTOTAL <br />PERMIT <br />USEZONE ��TAA�A <br />SIZE OF DLDG <br />PPPLIG�TION ACC BY <br />M.M. <br />FEE <br />SIDE <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDINC RELOCATION <br />I HEREBY CtnT�FY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND l:NOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIUi:S OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WOHri :NILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. ii!F GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTIIORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION Ufl <br />THE PERFORMANCE OF CONSTRUCTION. <br />c�r.uciuuF n[ f.nHnnfi4�ilAlIT110Ri1[D AGENT.OR OWNEN D�1TE <br />A/C — A/HNDLG UNITS — I-lg.� <br />REFRIGERATION UNITS — <br />BOILERS -- B T.U.M.P. <br />GAS ('IRED A�C. UNITS — B.T <br />FOPCED AIR SYSTEMS — B. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B TL. � <br />EVHPORATWECOOLERS � <br />CLOTHESDRVEHS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER <br />WOOD STOVE <br />MEiAL FIREPLACE B CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E7(H+UST FAN <br />SUBTOTAL <br />PEflM1T <br />TVTAIFEE <br />FEE <br />vncnHr sire FEES <br />❑ vE5 ❑ NO <br />NOOFDWELLINGUNIiS BUILDING <br />PLUMOING <br />MP% OCC LOAD <br />MECHANICAL <br />INVEST IGATIOt� FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />APPq fOR ISSUANC[ �V <br />DRIVEWAV PERMIT <br />VALUATION <br />5 <br />Sec.30a�e) <br />TOTAL I I <br />PERMIT VRLIDATION <br />K'HEN PROPERLV VALIDAiED (IN THIS SPACE� THI5151'OUR PERMIT <br />27 <br />27 � 00 <br />