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ar.��,,.., <br />everett � �NSTRUCTION � � _ <br />259-8745 PERMIT PERMiTNQ:�_ � 7681 <br />❑ DEMOLITION ❑ COMlINATION ❑ BUILDINfi �1 MECHANICAL ❑ PLUMlING �7 qpN <br />��� M1111 �DORE55 A�� <br />Bruce Peterson 8408 Xavier Way Everett WA 98204 652 0608 <br />AR�HITECT OR DESIGNER . <br />���• 21P <br />GENER�I CONTR�CTOR MRiL RDDRE55 C�Ty ZiP PNONE UCENSE • <br />�' ��Naturai`Gas Equipnent Co. """��u��Es�. Marine View Dr.`�TM Everett, WAP 98201 �I�URGE3���K�� <br />VIUMBINGLONTB�CTOR MMLApORE55 CITV zIP PHONE LICENSE• <br />CL�SS OF WORR - <br />❑ NEW O ADDITION � ALTERATON O REPAIR ❑ DEMOLITION ❑ BUILDINQ RELOCATON <br />VALU�TION OF WORK <br />S 77CR !1n <br />ace oil furnace with gas <br />❑ ELECTRICITY O 6AS ❑ WOOUSTOVE ❑ OTHER <br />Single family residence <br />.EG�L �ES:' ..Pi�ON OF PBOPERTY �SNOW BELOW OP <br />lOi � BLOCK _ OF <br />DB �DOR <br />8��8 Xavier Way <br />PLUMBING <br />NO. TYPE Of FIXTUqE OR ITEM <br />USE <br />TYPE <br />WATER CLOSET (TOILET� <br />BATMTUD <br />LAVATORV�WASMBASM) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHF.R <br />I DRINKING FOUNTAIN <br />� FLOOR DNAIN <br />BACKFLOW PREVENTE <br />ROOF DRAINS — RAINi <br />SINK �SERVICE — BAR, <br />8UlTOTAL <br />PERMIT <br />TOTALFEE <br />�R SETB�CK <br />RREA <br />:11P4NCY GRCUr <br />I HEREBY 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 WILI BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR PJOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofl <br />THE PE FORMANCE OF CONSTRUCTION. <br />SiGNRTU OF CO �RCTOR. RUTIIOqIZED RGENT, OR OWNER DRiE <br />X � w w �1f0 �Q i�� <br />MECHANICAL � <br />FEE NO. TYPE OF EOiIIPMENT <br />A/C — A/HNOLG UNITS — M P. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — BS.0 /H P. <br />GAS FIRED A�C. UNITS — O.T.U. <br />FOHCED AIR SVS7EM5 — D.T.U. M EA. <br />WALLMFATERS—BT.0 M <br />UNITMEATEHS—B.T.U. M <br />EVAPORATIVECOOLEflS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />iiANGE HOOD <br />WATERHEATER • <br />WOODSTOVE <br />METAL FIREPLACE 6 CMIMNEY <br />FIREPLACEINSEqT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOT�L <br />PERMIT <br />FLAN <br />V/ CnNT SITE <br />❑VES �NO <br />r+oorowE�uncunits BUILOING <br />SIZEOFBLp^� NOOFSiORIES MAMOCC <br />fIRE $PRINK�ERS REOUIRED ❑ YES ❑ NO <br />RPPLICRTIONACC OV f�IANSCMECKE�OY APPR fOR <br />S.H. <br />PLUMBING <br />MECHANICAL <br />� <br />INVES7IGATION FEE I ��tK304�e) <br />SiATE BUILDING SURCHARG <br />STATEENEPGYSURCNARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />WMEN PROPERLY VALIDATEO �IN TMIS SPACE� TM1515 VOUP PERMIT <br />nur,�tss ri�E <br />