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��° "` C'�NS�'RUCTION � `� <br /> ever ett pERMIT PERMIT NO. � 5-�46 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L�1 MECHANICAL ❑ PLUMBING p SI6N <br /> ONMER MAI�ADDRESS CITY 21P p�E , <br /> Milton Haner 1208 48th St. Everett, WA 98=01 259-3022 � <br /> ARCHITEGTOROESIGNER MAILAODRE55 CITY 21P pHONE <br /> OENEMLCONTRACTOR MAILFDDRE55 CITY ZIP PNONE LICENSEI <br /> MECH�NIC�LGONTRACTOH MAILADORESS CITY . 21P PHONE LICENSE� <br /> Valley Natural Gas 11323 Highway 99, N Eh.erett, WA 355-7730 Y7t7[ VALLENG153LZ <br /> PLUMBINOCONTRACTOR MAILAD�HE55 CITY ZIP PMONE LICENSE/ <br /> CUSS OF WOAN <br /> O NEW ❑ADDITION L�ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATON <br /> VALU�TION OF Wpqlt <br /> s �rJ�.�O <br /> DESCPIBE WORK <br /> Inetall qas fired boiler and water heater. <br /> HE�TSOURCE <br /> ❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTMER <br /> vnoroseo use oF euaoiNo <br /> Sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TqUE AND <br /> LEGALOESGRIPTIONOFVROPEflTY�SHOWBELOWOflATT/.CHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN _OF GOVERNING THIS TYPE OF WORK WILL 6E COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT �OES NOT PqESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDflESS SIGNAT EOFCONT AC T. FIZEDAf,ENT,OROWNER OFTE <br /> 1208 48th St. X �/,s'gd` <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUqE OR ITEM FEE NO. TYVE OF EOUIPMENT �E <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFflIGERATION UNII'S—H.P.EA. <br /> LAVATORV(WASH BASIN� BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A.C.UNITS—B T.U. <br /> K�TCHEN SINK 8 DISP. ], FORCED AIR SVSTEMS—B.T.U. M EA. <br /> �ISHWASHER WALLHEA7ERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN ' RANGE HOOD <br /> BACKFLOW PREVENTERS 1 WATER HEA7ER <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINN(SERVICE—BAR.ETG) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PENMIT t PEpMIT <br /> TOTALFEE f 70TALFEE <br /> FHONT SETBACK pEAR SETBnCK SIJE SET6ACK P�AN CHECK NUMBER FEE RECEIPT NO. <br /> USEZONE LOTAREA ypCANTSITE <br /> ❑ves ❑No FEES VALUATION FEE <br /> TYPEOiCONST. OCCUPANCYGROUP NOAFOWELLINGUNITS BUILDING $`. ' . �.. �. �:'. ' i-I�-�� <br /> PLUMBING <br /> S12EOFBLDG. NO.OFSTOflIE� MA%.00C10nD <br /> MECHANICAL -.. - -- 30 50 <br /> INVESTIGATION FEE ' S0C.304(e) <br /> FIRE SPRINKLERS REOUIRED ❑'/ES NO <br /> STATE BUILDING SURCHARGE � <br /> STATEENERGYSURCHARGE <br /> APPLICATION ACC.BY VLANS CHECKED BY APPR.FOR ISSUANCE BY �p <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 30 50 <br /> PEHMIT VALIDATON <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> � <br /> �' <br /> � � <br /> Q1 <br /> r� <br /> AD[!RLSS i liE <br />