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ene�e.s•�►� <br />CITY OF <br />everett <br />259-8745 <br />�ONSTRUCTION �� <br />PEF�MIT <br />PERMITNO. ZOL4� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAODRE55 CITV ZIP PHONE <br />Robert Ehlers 1307 SOth St. Everett, WA 98201 252-2376 <br />ARCHITECTORDESIGNEP MAILRODHESS CITY 21P PHONE <br />�ENEMLCONTR�CTOR M�ILAOURESS CITY ZIP PHONE LICENSE• <br />MECHANIC�LCONTRACTOR MAilA00RE55 CITY ZIP PMOPoE LICENSE� <br />Valley Natural Gas 11323 Hrr,� 99 Everett, WA 98204 355-7730 VALLENG153LI <br />PLUMBING LONTRACTOR MRIL ADDRES� CITV ZIP PHONE UCENSE Y <br />❑ NEyy�V^^ ❑ ADDITION D�ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDIN6 RELOCATON <br />VALU�TION OF WORR <br />S <br />Inatall furnace / water heater <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Sinqle family residence <br />LOT _ BLOCN �_ OF <br />Io9 nuuneas <br />1307 - 50th St. 5� <br />PLUMBING <br />OH ITEM <br />WATEH CLOSET (TOILETI <br />BATHTUB <br />LAVATORV(WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�RVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DflAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAP. ETC.� <br />OFCONST. <br />ALf,. BY <br />M.M. <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />GROUP <br />� <br />S <br />S <br />SIDE 0[TOACK <br />VACANT SITE <br />❑YES ❑NO <br />No.oFowe�u <br />MR%.00G LOP <br />qppq FON I55 <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 />GQVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEFEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CP.NCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANC OF CO TRUCTION. <br />�yPTUREO�TRACT R. UiHOR E GENT.OROWNER DATE <br />����� 6/6/88 <br />ie <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H,P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIFt SYSTEMS — B.T.U. M EA. <br />WALLHEATEHS—B.T.U. M <br />UNIlHEA?FRS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDFVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEA7ER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE I�!SERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />�I AN CHECK NUMBER FEE <br />���/ <br />FEES <br />BUILDING �(�{ <br />PLUMBING �� <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATFENERGYSURCHARGE <br />ORIVEWAV PERMIT <br />Sec.304(e) <br />FEE <br />111'� 1•1. ♦�• <br />TOTAL � I <br />PERMIT VIILIDATION <br />WHEN PROPERLV VALIDATED �IN TMIS SPACE) THIS IS VOUR PERMIT <br />kCORL;,S Il� <br />30 <br />50 <br />� <br />� <br />N <br />. O <br />N <br />