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rn�� <br />arv oF <br />everett <br />259-8745 <br />�. <br />C'�NSTRUCTION <br />PERMIT <br />PERMITNQ: _ 19957 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUIIDING � MECHANICAL 'O PLUM8ING ❑ SIGN <br />OWNEP MAILA��RESS CITY 21P PHONE <br />William Monlux 3235 52nd P1. SW Everett, WA 98203 353-62%3 <br />ANCHITEGT OR DESIGNEP MAIL ROORE55 CITV ZIP %10NE <br />GENENAL CANTMGTOR MAIL ADORESS CITY 21P PHONE �ICENSE � <br />MECHANICALCONiflACTOR MqILADORESS CITV ZIP PMONE LICENSEI <br />Valley Natural Gas 11323 HiqhwaY 99 Everett, WA 96204 355-7730 VALLENG153LI <br />PLUMBINGCONTMGTOR MAILADORESS CITY ZIP PHONE LICENSE• <br />GL�SS OF WORK <br />❑ NEW ❑ AODITION f.�9 ALTEpATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S <br />OESCRIBE WORK <br />Propane conversion for qool boiler. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ BLOCK _ <br />PLUMBING <br />WATER CLOSE7 (701LE7) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEfi <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVENTEFS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAP. ETC.) <br />TVPE OF CONST. <br />ev <br />S.H. <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />VFCANT SITE <br />❑YES ❑NO <br />MA%.00C �OAD <br />APPR FUR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE FEAD 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 WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING C1F A <br />PEFMIT DOES NOT PRESUME TO GIVE AUTHORI'i'Y TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOC�L LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNNT�REOFCSINTljPCTOR.ljUTHORIZEUf�..ENT.OROWNER DATE <br />X <br />MECHANICAL <br />TVPE OF EOUIPME <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIG! ATION UNITS — H.P. EA. <br />BOILERS — B.T.0 iH.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — 8 T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVECOOLEFS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHGOD <br />WATER HEATEF � <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIHEPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECK <br />BUILDING <br />PIUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />SUBTOTAL <br />PENMIT <br />TOTALFEF <br />$ <br />M <br />M <br />M <br />Sec.304�e) <br />FEE <br />STATE BUILDING SURCHARGE <br />STATEENERGYSUHCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PEflMIi VALIDIITION <br />WHEN PROPERLY VALIDATE� (IN THIS SPACE) THIS IS VOUR PERMIT <br />l�DDRESS r"ILE <br />�+� <br />