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�`�" �'7NSTRUCTION _ c <br /> ever. ett PERMIT PERMITNO. � 799u <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING f$MECHANICAL ❑ PLUMBiNG ❑ SION <br /> Q�q MML�ODNE55 CITY IIG RqNE <br /> Dave Eagen 608 Warren St. Everett 252-2839 <br /> •Rp1RECTORDE5IGNER M�II.�DDRESS CrtV ZIP R10NE <br /> GENEHALCOMTPACTOR MAiL�DORE55 CitY ZiP FMUNE LICENSE� <br /> MECHANICI�L GONTNAGTOH MM�ADUFESS GTV ZiP PMOME LiCFMSE• <br /> Natural Gas 6 Equip. 1625 E. Marine View Dr. Everett WA NATUR6E3211L6 <br /> RUNBING CONTN�OTOF MRIL PODPE55 QTY ZIP PMONE LICENSE• <br /> CLASSOF WORK <br /> ❑ NEry El ADDITION O ALTENATION � REPAIR ❑ DEMOLITION ❑ BUILDIN6 flELOCATION <br /> VALU�TION OF WOFK <br /> _ <br /> DESCN'B[WOFK <br /> Install new hot water tank and gas pipinq. <br /> HEATSOUHCE <br /> ❑ ELECTRICIT/ ❑ DAS ❑ WOODSTOVE ❑ OTHER <br /> vnoroseouseorew�one+c.. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single i�ily residence qppLICATION 4ND KNOW THE SAME TO BE TRUE AND <br /> LEGMDESCRIPTIDNOFPROPERTVISNOWOELOWORRTTAGHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LpT�BIOCN �OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE P FORNAM� , ONSTRUCTION. <br /> JOB�DDRE55 SIGNnTII Of C MRAGT R.nll OAIZ[0 AGENT,OR� " (��D�TE <br /> 608 Warren St. � — ' � 2 a ` ' <br /> PLUM81N6 ME KAMCAL <br /> Mp, TYPE OF FI%TURE OR ITEhi FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A'HNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—HP.EA. <br /> LAVATORY(WASH BASIN� BOILERS—B.T.U!HP. _ <br /> SNOWER GAS FIRED A.C.UNITS—B T.U. , <br /> KITCHEN SINK 6 OISP. FORCEO AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WALLHE4TER5—BT.U. �� <br /> LAUNDflY TNAY UNIT ME4TER5—B T.U. M <br /> CLOTHES WASHER EVAPOPATIVE COOLERS <br /> URINAL CLOTHES�RVERS <br /> DRINNING FOUNTAIN VENTILATION FAN <br /> FL0l1F DRAIN RANG[HOOD <br /> BRCKFLAW PREVENTEHS WATEW HEATER <br /> ROCF DRAINS—FAINLtA0EF5 W OOD STOVE <br /> SINK(SEFVICE—BAR.ETC� METhL FIREPLACE 6 CHIMNEV <br /> FIFE�LACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f BUlTOTAL <br /> PERMIT 1 PEIIMIT <br /> TOTIIL FEE f TOTAI FEE <br /> Faonr SETB�cK PE�R$ETBRCK SiDE SETenCK PI.AN CHECK KUMRER FEE RECEIPT NO. <br /> use zor+E ��T""E^ v�cnHr srte FEES YAIUATION FEE <br /> G YES C NO <br /> tYPEOFCONST OCCIIP�NCYGNOUP NOOFDWElLi4GUNItS BU�LDING s <br /> PLUAi81NG <br /> SIZE OF BLDG. NO OF STORIES MA% OCC LORO <br /> MECHANICAL ^ 7 3; F� ppppg47� Sa���K <br /> 'NVESTIGATION FEE ����le) <br /> FIR SPRINKLERS REQUIRED YES NO STATE BUILDING SURCHARGE �CH` ' ��I.SO <br /> STATEENERGYSUHCHAHGE CHECII �'- 1• <br /> APPIIC�TION�CCBY PLRNSCHECNEO9Y RPPRPORISSU�NCEB� <br /> DRIVEWAV PERIAIT <br /> S.H. TOTAL 21 50 <br /> VERMIT VALIDATON <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT CO <br /> Q�� <br /> V7 <br /> L` <br /> � <br /> PDCfiES:: F'�LE <br />