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�� <br />��NOF <br />everett <br />259-8745 <br />� <br />CINSTRUCTION <br />PERMIT <br />PERMITNQ: _ �OG`�`� <br />❑ DEMOLiTION ❑ COMBINATION ❑ BUILDING �1 MECHANICAL 'O PLUMBING ❑ SIGN <br />04VNER MrlILA00RE55 CITY ZIP PMONE <br />Jack Lowen 1313 50th St. Everett 9&203 259-3703 <br />ARGHITECT OR OESIGNER MAIL q�ORE55 CITY 21P PHONE <br />GENEMLCONTMCTOfl MAILADDRE55 CITY ZIP Pf10NE LICENSE� <br />MECM�NICA�COMRACTON MAILp�DRE55 CITY LIP PHONE LICENSE� <br />Vallev Nat. Gas 11323 Hwv 99 Everett 98204 355-7'I30 VALLENG153LI <br />PLUMBINGCONiRAGTOfl MFILFppRE55 CITY 21P PNCNE LICENSE� <br />O NEW ❑ ADDITION � AITERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATION � <br />VALUATION OF WORN <br />f <br />DESCRIBE WORN ' <br />Install forced air system, water heater, and gas YgYYK;. piping. <br />HEATSOURCE � <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE � OTHER <br />LOT _ BLOCN _ <br />PLUMBING <br />TYPE OF FOfTURE OH ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCMEN SINK fl OISP. <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR ORAIN <br />ROOF DRAINS — RAINI <br />SINK (SEFVICE — BAR, <br />SUBTO7AL <br />PERMIT <br />OCCUPANCYGROUP <br />BY <br />S.H. <br />FEE <br />ANT SITE <br />=s ❑No <br />OF OW EILING UNITS <br />1 HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL ?HOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE UF WOFiK WILL BE COMPLIED WITH <br />WHETHER 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 PERFORMAyCE OF CONSTRUCTION. <br />SIGNAT RE OF J <br />X �- Y <br />MECHANICAL <br />AGENT, OH OWNEN <br />FEE <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGEHATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UN�TS — B.T.U. <br />FORCEDAIRSVSTEMS�-BT.U. MEA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—BT.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />aANGEHOOD <br />WATER HEATER � <br />WOOD S70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB 70TAL / <br />PER� <br />TOT�N i.3O <br />PLAN CHECK NUMBER F�' � REC! <br />� .� ..� <br />FEES <br />BUILDING �� <br />PLUMBING �� _ •`� <br />MECHANICAL �� _ �� <br />INVESTIGATIONFEE �YV041e�s1 .� <br />STATE BUILDING SURCMARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED (�N THIS SPACE� THIS IS VOUR PERMIT <br />AUGNESS FILE <br />9 <br />�� <br />�7 <br />N <br />O <br />N <br />