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"��"� C1NSTRUCTION ` � C <br /> ;�„ �„ <br /> everett PERMfT PERMlTNO. ZO'1J6 <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION I� BUILOING I� MECHANICAL ❑ PLUMBING ❑ 816N <br /> ONNE� unn nnnn[s: r.Rv I��' �oN[ <br /> Lecnard Haugen 19� Wetmore LWerett 98201 <br /> encrana on ncs�cvcn unu nnnn�ss c�rr nn a�+or+e <br /> f.CHC��ICONiR�C10R M�i1FDDR[55 CIfY ZIP MIONE LIGENSEY <br /> MECIQNiULCONiMCTOq M�IIRD�Pf55 CITY IIP P110NC UCENSE� <br /> Natural Gas Equip. 1625 E. Marine View Dr. IVerett 98201 258-2491 NATORGE320N6 <br /> auMoir�ceoHrn�c�on Mnu �onnn;:; crtr nv M�ove uceNse. <br /> C1A550��WRK <br /> ❑ NfW ❑ ADDITION �l ALTERATION ❑ REPA4a ❑ DEMOUTION ❑ SUILDIN6 RELOCATON <br /> VMU�iION Of WqIK <br /> 3 <br /> DESCRiBE wnPn <br /> Install gas water heater <br /> NE�I:AUPCC <br /> ❑ELECTRICITY ❑ G11S ❑ WOOOSfOVE � OTHER <br /> +wo�osm use or eu�iowc <br /> I HEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS <br /> Single famil residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iec.�oesenirnoeor�norcnTva�ownuownnni�nu�rouncorics CORRECT. ALL PFOVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITM <br /> ioi_eiocK _ or WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOI_ATE OR CANCEL TIiE PROVISIONS Of ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PE ORMANCE OF CONSTRUCTIUN. <br /> JOB��OnE55 I(� SiGHqT� .AU �ORiZ[D nGEHI.ON ONMER D T <br /> ��i-We�tmore X � <br /> PLUMMING MECHANICAL <br /> Np. TI�PE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILETI A�C�-A'NNDLG UNITS--N P <br /> BATMTUB REFRIGERAT101JUNITS--MP EA <br /> LMVRTORY(WASN BASIN) OOILERS-B T U'M P <br /> SHOWER GASFlREf1AC UNITS-BTU <br /> NITLHEN SINN 8 DISP fORCED AIH 51'STEMS-0 T U M EA <br /> DISMY�SMER W�LI HEATERS-B T U M <br /> IRUNDRY TRAV UNIT HEATEFS-P T U M <br /> CLOTMES WASHER EVA�ORATNE COOLERS <br /> URINAI CLOTHES PRYERS <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> fLOOR DRAIN� RPNGE HOOD <br /> BACKfLOW PREVENTERS 1 WATER HEATER <br /> ROOF DRRINS- RAWLEADERS WO00 STOVE <br /> SINK ISERVICE-BAH,ETC 1 METAI FlREPLACE 8 CHIMNFY <br /> FlREPLACEINSEFT <br /> IiEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> BUB TOTAL f BUB <br /> PERMIT f VERMIT <br /> TOTALFEE f TOTALFEE <br /> GRONTSEiBRCe RERPSEiBRGn 5��[SEtOACK PLANCNECNNUMBER fEE RECEIPTNO. <br /> USE IONE ����A�A VnCnNT S�IE <br /> ❑ves ❑Na FEES VALUATION FEE <br /> 1YPEOfCONSi OCCUPnNCYGROUP NDOfDW[LLINGUNRS �UILDING $ <br /> PLUMBING <br /> 512[OI�l W NO OF STONI[5 MAM OCC LOAD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec 7041e) <br /> FIRE SPRINKLENS REOUIRED VES NO STATE�UILDING SURCHARGE <br /> STATEENERGYSUFCHnRGE <br /> �PRICATIONPCG BY PIPNSCHECNE�OY PP{'R 1ORISSUPNCEBV <br /> DRNEWAV PERMIT <br /> S.H. TOTAL 21 50 <br /> PERMIT V�LIDRTION <br /> WMEN PROPE(iLV VALIIJAiED(IN THIS SP�GGI THIS IS VOl1R PERMIT <br /> �a <br /> Ln <br /> �� <br /> Q <br /> N <br />