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ew.��.ir.� <br />Gn oF <br />everett <br />259-8745 <br />� �Nsr�ucTioN � � : � <br />PERMIT PERMITNQ': � ���� <br />O DEMOLITION ❑ COMNNATON ❑ lUILDINfi I� MECHANICAI ❑ PLUMSNIO ❑ NOM <br />� eua �oo�ss cirv rv A�or� <br />Snohomish Co. 9oaxd of Realtors 3201 Wetlrore Everett, WA 98201 <br />�RCHITELT OR OESIGNE4 MAIL �DORE55 ��T�' Z�P pp� <br />OENEMLGONTR�CTOR MRiLADDRE55 CITY ZIV PMONE IICENSE� <br />MECM�NIGLCONTP/1CTOR � M�iL�UDRE55 ��TY Z�P �� ���E��� <br />Natural Gac Equipe�M+ 1625 E. Marine Vew Drive Everett 98?O1 NATURGE321K4 <br />PLUMBINGCONTHACIDF MAIL�DDRESS CITY 21P RtONE UCENSE• <br />❑ NEW �^ O ADDIT�IN ❑ AL7ERIITON ❑ REPAIR � DEMOLITION ❑ SUILDINfi RELOCATON <br />S <br />pE$CPIBE WOHN <br />Install furnace, 80,000 BTU <br />�EI1T SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSS"OVE ❑ OTHER <br />LOT _ BLOCN _ <br />IIDDRE55 <br />?O1 Wefmore Ave <br />PLUMBIN6 <br />OR ITEM <br />WATER CLOSET �TOILET) <br />BATHTUB <br />UVATORY (WASH BASIN' <br />SINN 8 DISP. <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER$ <br />ROOF DRAINS — RAINLEADERS <br />SINN ISERVICE — BAR, ETC.) <br />OFCONST <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />GROUP <br />SIZE OF BLDG � NO Oi STORIES <br />♦CC fiY <br />M.M. <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE///��� CANCEL THE PROVISIONS OF ANY OTHER <br />STATE �OCA� �AW REGULATING CONSTRUCTION OR <br />THE PE O MAI�1C.!9 bF CONSTRUCTION. <br />cir.uenia c NiRndroY AUi��ORREDAGENt.OROWNER DATE <br />�_TYPE OF EOUIPME <br />— A/NNDIG UNITS — N P. <br />91(:FRATION 11NIT5 — M P. EA. <br />BOILERS — e T U1H P. <br />GAS FIRED A C. UNIiS — B T.U. <br />FORCED AIR SVSTEMS — BS.0 <br />WALL HEAIERS — BS.U. <br />UNIT HEATERS — BS.U. <br />EVAPORATIVE COOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIHEPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />F%HAIIST FAN <br />SUB TOTAL <br />VERMIT <br />vacnHrsi*e FEES ' <br />❑YES ❑NO <br />NO OF OWELL�NG UNrtS BUILDING $ <br />PLUMBING <br />MR% OCC LORD <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHFRGE � <br />STATEENERGYSUR(.HARGE <br />A{'PR :OR ISSUANCE BY �� <br />DRIVEWAV PERMIT . <br />TOTAL <br />� <br />0 <br />� <br />Sec.30a1e) <br />q00017671 <br />ree <br />WHEN PRO'ENLY VALIDATED (M TNIS SPACE) THIS IS VOUR PERMIT <br />aonr,rss r��F <br />9 <br />1$ <br />