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�� <br />c�n oF <br />everett <br />259-8745 <br />�"'` C'`�NSTRUCTION <br />PERMIT <br />PERMIT NO. 2�� � U <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OVMER , MFIL A�URE55 QTY ZIP PnONE <br />Clare Bagley 5704 Wetmore Everett 98201 353-6395 <br />ARLMITECTORDESIGNEIi MnILRDOR[55 GTY ZIP MIONE <br />GENER�ICONTRACTOA MAIIFDDR[$S CITY ZIP PMON[ IICFNSE� <br />MAIL RD�PE55 CITY > PIION[ LICENSE • <br />MEGH�NIC�LCONIR�CTOR ^ � � <br />YY Valley Nat. Gas 2605 McDougal Everett 98201 259-�:•: _VALLENGI153LI <br />vIUMB�NG CONTRnC�OR <br />MAiI hUDPE55 QTv . PNONE LiCENSE � <br />;LA55 OF WORH <br />❑ NEW ❑ AODITION [� ALTERATION ❑ REPAIR <br />PLWTION OF WORN <br />i <br />)ESCRIBE WOPK <br />install furnace and water heater. <br />NEATSOUACE <br />❑ ELECTRICITY ❑ GAS O WOODSTOVE <br />SFR <br />�or __ o�ocK _ oi <br />5704 Wetmore <br />PLUMBING <br />PTTACN <br />TYPE OF FIXTURE OR <br />WATER CLOSET (TOILE i 1 <br />BATHTUB <br />LAVATOR� (H'�SH BASIN) <br />SHOWER <br />KITCNEN SINK 8 OISP. <br />DISHWASHER <br />LAUNORY7RAY <br />C�OTHES WASHER <br />DRAIN <br />' DRAINS — RAMLEAUt <br />�SERVICE — OAR. ETC � <br />SUBTOTAL <br />TOT�LFEE <br />VACRNT SITE <br />❑ V[5 ❑ NO <br />NO OF D1YELl <br />SiORIES �MANACC LOAO <br />OY PUNSCHECNEOB� I A��R <br />S.H. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. A�L PHOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMPl.lEO WITfi <br />WHETHER SPECIFIED HEREIN OR NOT. THE GflANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN-4Ty RE Of CON�In T01i,ou.T,MO� D PGENT.Oli OWN[R RTE <br />X Mi.�,n o tl. )1�t c p) -- <br />TYPE OF EOUIPMtn i <br />n�C — AiHNDLG UNITS — H P <br />REfFIGERATION UNITS -- HP. [A. <br />DOILERS -� D.T 11 �N A. <br />GASFlFFDI+C UNITS—BTU. <br />FORCED AIR SYSTEhS — 0 T.0 M �A. <br />WALL HEATERS — (3.TL. M <br />UNITNEATERS—BTU M <br />EVnPORATIVECOOLERS <br />CLOTHES DflVERS <br />VENTIIATION FAN <br />RANGEI100D <br />WAIER 11EATEfl <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSEHT <br />HEAT PUMP <br />GAS PIPING <br />E%HPUSTFAN _ <br />PLAN CHEGV <br />OUILDING <br />PLUMBING <br />PERMIT / <br />TOT <br />INUMBER F <br />G4ECY. � •� <br />FEES VALUATION <br />g <br />MECHANICAI <br />INVESTIGATION FEE <br />STATE BUIIDING SURCHARG <br />STATE ENERGY SU(iCNARGE <br />DRIVEWAV PERMIT <br />Sec.304�e) <br />FEE <br />TOTAL � I <br />PERMIT VALIDRTION <br />WHEN PROPERLV VALInATED pN THIS SPACE) THI515 VOUR PERMIT <br />��� <br />