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aka,ss�+�•� <br />an oF <br />everett <br />259-8745 <br />❑ DEMOLITION <br />C^N�TRUCTION <br />PFRMIT <br />❑ COMBINATION <br />PERMIT NQ: t � � � � <br />O BUIWIN6 �l MECHANICAL 'O PLUMBIN6 ❑ &6N <br />VA1YC11 <br />Allan P�tter 5726 Wetmore EVerett, WA 98201 355-5902 <br />ARMITEGT OR DESIGNER MRIL RDDRE55 ��TY Z�P �� <br />pENER�LGOMTMCTOR �nAILADDRESS dTY ZIP R�ONE LICEN9E� <br />MECM�NIGALGONTR�CTOR M�iL�DDRESS ��TY Z�P �� ����� <br />Va11ey Natural Gas 11323 H 99 Everett, WA 98209 355-7730 VALLENG153Li <br />PLWBINGCONTR�LTOR M�iLADORE55 Ci�� ZIP PMCAE UCENSE• <br />❑ ►�w ❑ ADDITION <br />f <br />Q ALTER�TION O REPAIR ❑ DEMOLITON ❑ BUIlO1N6RELOCATION <br />Install furnace and water heater. <br />NEAt SOIIPCE <br />❑ ELECTRICITY ❑ 6AS ❑ WOODSTOVE ❑ OTHER <br />lOT �_ BLOLK _ <br />PLUMISIN6 <br />NO. T'PE OF <br />WRTEA CLOSET �TI <br />BATHTUB <br />SINK 8 DISP. <br />LAUNDR�TRAY <br />CIOTMES WASNER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PPEVENiERS <br />ROOF DR41N5 — RN�NLEA: £RS <br />SINK �SERVICE — BAR, EiC.� <br />TYPE OF GONLT <br />SIZE OF BLDG <br />FIRE SPRINNLERS RE <br />APPIIC�TION RCG BV <br />S.H. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CvRRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNINC� THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEF 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 OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEflFORMANCE OF CONSTRUCTION. <br />cir.uan iac oX Cfl{�91A�OR. AUTHORI2ED RGENT, ON OWNER � D�TE <br />X / y <br />MECNANICAL <br />TYPE OF EOUIPMENT <br />A/C — A'HNOLG UNITS — M P. <br />REFRIGERATION UNITS — HP. EA. <br />BOILERS — B T.0 /H P. <br />GAS FIHED A C. UNITS — 8 T.U. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALLMEP'EflS—BT.0 M <br />UNITHEATERS—BT.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYEPS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � __ <br />WOODSTOVE _ <br />MEiAL °IREPLACE 8 CI�IMNEY <br />fIREPLACEINSERT <br />11EAT PUMP <br />GAS PIPING <br />E%MAUSTFAN <br />tUs TOTIIL t <br />PEHMIT t <br />TO�AL FEE � <br />�R SEiB4CN SIOE SETBNCK PLAN CHECK N <br />f nRE� ypCRNT SiTE FF <br />❑YES ❑NO <br />CUPANGYGNOUP NOCF�WEIUNCUNITS BUILDING <br />PLUMBING <br />OF STORIES MRM GCC LOAD <br />MECHANICAL <br />PL�NS <br />AM'P <br />SlH `�TI1L 1 <br />PERMIT 1 <br />TOTALFEE� � <br />FEE RECEIPT NO. <br />VALUATION �E <br />s <br />30 <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />nRIVEW.:7 PERMI7 <br />TOTAL <br />$CC.�04�e) <br />WMEN PROPERLV VALIDATED pN TNIS SPACE� THIS IS YOUR PERMIT <br />AIiDHE55 ( iLE <br />� <br />�� <br />M <br />CO <br />� <br />� <br />