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`�� '`� C'�NSTRUCTION � '`� <br /> everett PERMIT PERMITNQ:- �0��� <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING k3c MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEF MAILADDRE55 CITY ZIP PNONE <br /> James Miller. 4910 23rd Ave. W. Everett 98203 347-5060 <br /> ARCHITECTORDESIGNEF MAILeqORE55 CITY ZIP PMONE <br /> GENEHAL CGNTRACTOfl MAIL AODRE55 CITY ZIP PMONE UCENSE x <br /> MECMANICALCONIRACTOR MAILADO�IESS CITY ]IP PHONE LICENSEx <br /> Valley Nat. Gas 11323 Highway 99 Everett 98204 355-7730 VALLENG153LI <br /> PLUMBING CONTRACTOF MAIL AO�PESS CITY ZIP PHONE LICENSE r <br /> CUSS OF WOPK <br /> ❑ NEW ❑ ADOI?ION ❑ AITEpATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> � <br /> DESLRIBE WORY. <br /> Install natural gas furnace and water heater. <br /> HEATSOUPCE <br /> O ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> GROPOSED USE OF 6UILOING <br /> Single family residence I HEREBY CERTIFY fHAT I HAVE READ AND EXAMINED THIS <br /> qPPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPEPTY�SHOWBELOWORATTACMFOMCOPIES) CpRFiECT. ALL PROVISIONS OF LAWS AND QRDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LUT_BLOCK __ OF :NHETHER SPECIFIED HEREIN OR NOT. THE GRANT�NG OF A <br /> PERMIT DOFS NOT PRESUME TO GIVE AUTHORITY TO <br /> _ _ VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> � � STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> a,,. � THE PERFORMA CE OF,CONSTRUCTION. <br /> - ' JOB AODRE55 SIGRAT E OF C T CT .P HOR2F0 AGENT.OR OWNER �A/�TE �/ <br /> . . $9�#f 4910 23rd �?ve. W. X ,C/ i �'�( �611 <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. 1'YPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNI'fS—H.P.EA. <br /> LAVATORY(WASH BASIN) - BOILERS—B.T.U!H.P. <br /> S:iOWER GAS FIRED A C.UNITS—B.T.U. <br /> KIFCHEN SINK 8 DISP. F�:RCED AIR SVSTEMS—B T.U. M EA. <br /> DISHWASHER WALI.HEATERS—B.T.U. �� <br /> LAUNDRYTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> UF�NAL CLOTHES DRYEFS _ <br /> DRIIdKING FOUNTAIN VFNTILATION FAN <br /> � FLOOR DRAIN RANGE HOOD _ <br /> BACKFLOW PREVENTERS 1 WATER HEATEF � 6 SO <br /> ROOF DRAINS—RAINLEA�ERS �NOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPIACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> 2 GAS PIPING <br /> ' EXHAUSTFAN <br /> 09/14/B8 2�54P OOOAN2515 :KtKk <br /> SUBTOTAL S SUBTOTAL 1S SO <br /> PEflM1T f PEH IS OO <br /> TOTAL FEE S TOT 30 50 <br /> FRONT SETBACK REAR SETBFCN SIDE SETBqCK P�AN CHECK NUMBER FF��+M�� RECEIPT NO. <br /> Rwucvo <br /> MECH f .50 <br /> USE20NE IOTAREA ypCANT5IT! <br /> ❑vEs ❑r+o FEES TION FEE <br /> TYPEOFCONST. OCLUPANCYGROUP NOOFOWELLINGUNITS BUILDING S <br /> PLUMBING I <br /> 512E Oi BL��� NO.OF STORIES MA%.00C.LOAD I <br /> MECHANICAL 30 SO i <br /> INVESTIGATION FEE Sec.304�e) i <br /> FIRE SPRINKLERS REOUIRED ❑�ES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> qPPLICATION ACC.pY PLANS CHECKED�Y APPR.iOF ISSUANCE OY <br /> DRIVEWAY PERMIT <br /> TOTAL 30 50 <br /> S.H. <br /> PENMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)TNIS IS YOUR PERMIT <br /> �..�� <br /> M <br /> � <br /> O <br /> N <br /> nuoa�ss riLt <br />