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'"'��' ��"'�'"'°� C 'INSTRUCTION - ^ � C <br /> everett PERMIT PERMIT NQ:: �O`��� <br /> 259 - 8745 <br /> O OEMOLITION ❑ COMBINATION ❑ BUILDING p MECH�NICAL ❑ PLUMBING ❑ S16N <br /> OKN(It Mnll AOp1IC;; f.l1V III' RIONE <br /> Leon Provacek 3624 Shore Ave. Everett 98203 353-4134 <br /> �ucrut[a an rn siaN[n unn nunnl•:•, atr rir rHOv[ <br /> YYYY7[�tXKY%XBYKXXXXI2888XNCt]I X89X XXX XSYi[XM1t1CXXX X988�i XXX R888itiYSiRXX XYItESSNBI8882 <br /> GCN[MICONiPeClO� MhiLAflNll!VG CIiV dIV PMONE UCENSE� <br /> MBCN�NIULCONTR�GIOq MNI AI>DfILSS G1Y ZI� �'MOAc IICEN$E� <br /> Valley Nat Gas 11323 flwy 99 Everett 98204 353-4134 VALLENG153LI <br /> 1RVMAINGCONTIUCTOR MMlM1fIDlSti f.l1V ZIP �ONE UCENSE• <br /> ��15501"WO�N <br /> O NEW ❑ ADOITION �7 ALTERIIT�ON ❑ REPAIR ❑ DEMOLITION ❑ BUILDIN6 RELOC�TION <br /> W�UATION Of NTMK <br /> 3 <br /> p[SCRipE WORK <br /> Install furnace d and water heater. <br /> �u*sounc� <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> rworoseouscorou�iort+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iw�tncscnmriovorrnor�nnisHownciowonAnnc��roi�ncorits� CORRECT. ALL FROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITM <br /> io*_eioc� — or WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PEFMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�OORE55 SIGN4T C OI L NiR� i �i2k0�G[Ni,OR OWN[R �ATE <br /> 3624 Shore Ave. X L � � ` � <br /> VLUMSING MECMANICAL <br /> NO. TY%E OF FIKTURE OR ITEM FEE NO. TYPE OF EQUIPMENT �E <br /> WATER CLUSET�TOILETI A'C—NHNDLG UNITS— H P <br /> OATHTUB REFRIGEqAT10N UNITS—H fl EP <br /> LAVATORV(WASH DASIN� DOILERS—�T U iHP <br /> SNOWER GAS FlR[D A C UNITS—B T U <br /> KIiCMEN SINN 6 DISP FORCED AIR SVSTEMS—0 T U. M EA. <br /> DISHWASHEA WALL HEAiERS—B T U. M <br /> UVNDRV THAY UNIT HEATERS—01 U M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> UR�NAL CLO1H[SDRVERS <br /> ORINI(MG FOUNTPIN VENTILATION FAN <br /> fLOOR DRAIN RANGE HOOD <br /> BACNFLOW PREJENTERS WATER HEATER � <br /> ROOF DRA�NS—RAINLE/�ERS W OOD STOVE <br /> SINK(SERVICE—BAN.ETC� METAI FlNEPIACE 8 CHIMNEY <br /> FIFEPLACEINSERT <br /> HEAT PUMP <br /> GFS PIPING <br /> E%HAUSTFAN <br /> SUB TOT�L f SUB TOT�L <br /> PERMIT S PERMIT ZS OO <br /> TOTALFEE f TOTALFEE O <br /> fRONT SETBACK NERn SET[inCn i�DE SETARCK PLqN CM[CK NUMBER FEE RECEIPT NO. <br /> 08/10/86 il: OOORN1869 #ftt <br /> USE20NE ��T AAEA ypGANTSrtE <br /> ❑rts ❑r+o FEES VALU TION � <br /> TV1'E Of CONSi OCCUPANGY GROUP NO OF�W[LLINC UNITS OUILOING <br /> PLUM�ING �Cf� ;• •� <br /> 512E O�dLDG NO OF STOAI[5 MA%OCC l0I•0 <br /> MECHANICAL $0 5O <br /> INVESTIGATION FEE Sec.30a�e) <br /> FIRE SPRINKLERS REOUIRED ❑�ES ❑NO STATE�UILDING SURCHARGE <br /> STATEENEFGVSURCHARGE <br /> qPRICdTION hCC 0Y 1'LRNS CHECKEO BV RP�R 1 OR i;SUI.NCf[1Y <br /> DRIVEWAV PERMIT <br /> S.H. TOTAL 30 50 <br /> PERMIT V�LIDIITION <br /> WHEN PROPE�LY VPLIO��ED(IN THIS SPACEI TIilSIS VOUR FERMIT L_ <br /> �7 <br /> �..�� <br /> � <br /> N <br /> i , .,�.� .�s, � �. E <br />