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`�� �"` C�NSTRUCTION """� �``' cc <br /> everett PERMIT PERMITNQ�- �� � U`� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEfl MAILAOORESS CITY ZI� PHONE <br /> 1bm Szaley 5306 23rd Ave. W. EVerett 98203 <br /> ARCMITECT OR OESIGNER MAIL ADDRESS CITY 21P PMONE <br /> GENEOALCONTRACTOfl MAILApORESS CITY ZIP PMONE LICENSE� <br /> MECY.ANICAL CONTNAGTOR MAIL ADDRE55 CITY ZIP PMONE UCENSE• <br /> Valley Natur: l. Gas 2605 McDougal Everett 98203 259-5492 VALLRNG153LI <br /> PLUMBING CONTFACTOR MAIL AOORE55 CITY ZIP PHONE LICENSE M <br /> CLA55 OF WORK <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ F�EPAIfl � DEMOLITION ❑ BUILDING RELOCATION <br /> VRLUATION OF WORK <br /> 5 <br /> OESCRIBE WORK <br /> Install furnace axd and gas piping <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGNLDESCRI•iIONOFPROPERTY�5HOW0ELOWORATTACHFOURCOPIES� CORRECT. ALI_ PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPt OF WORK WILL BE COMPLIED WITH <br /> LOT_�BLOCK _ Oi WHETHER SPECIFIED HER81N OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PR':SUME TO GIVE AUTHORITY TO <br /> VIOLATF OR CANCEL iHE f`FlOVISIONS OF ANY OTHER i <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANC OF ONSTRUCTION. <br /> JOBAODNE55 SIGN T R OFC NT A T q,AUT F.EDAG 1 OflOW ER DASE <br /> 5306 23rd Ave. W. ' — � � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—MP. <br /> BATHTUB REFRIGERATIGN UNITS—H.P.E.4. <br /> LAVATORY(WASH BASIN) BOILERS—B.T.0/H.P. <br /> SHOWER GAS FIRED A�C.UNITS—9.T.U. <br /> KITCHEN SINK&DISP. FORCED AIH SVSTEMS—8 T.U. �d EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPOflATIVE COOLERS <br /> URINAL CIOTHES DRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RA4GE HOOD <br /> BACKFLOW PAEVENTERS WATER HEATER � <br /> ROOF DFIAINS—RAINLEADERS WOOD STOVE <br /> SINK(SIERVICE—BAR,ETG) METAL FIREPLACE 8 CHIMNEV _ <br /> FIREPIACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUB TOTAL 9 00 <br /> PEqM1T S PERMIT ].S OO <br /> TOTALFEE S TOTALFEE Z�I OO <br /> FNONTSETBACK REARSETBAGN SIpESETBACK FLANCHECKNUMBEF FEF/OlIVO S� lA'�EUUUHR3Z+3� •bMT�K . <br /> 11 <br /> � <br /> USEZONE LOTAREA yqCANT5ITE <br /> ❑ves ❑r:� FEES A FFE I <br /> TYPE OF CONST. OCCUPANCY GROIIP NO.O�CN'G��:,JG UNITS BUILDING S � � I <br /> PLUMBING <br /> SIZE OF BLDG NO OF STOFIES NA%ACC.LOAD I <br /> MECHANICAL 24 00 � <br /> i <br /> INVESTIGATION FEE Sec.304�e) I <br /> FIRE SPRINKLERS REOl9RE0 ❑YES ❑NO I <br /> STATE BUILDING SURCHARGE � <br /> STATEENERGYSURCHARGE <br /> APP4CATION ACC.BY PlANS CHECKE�DY /PPR.FOR ISSUANCE OY <br /> DRIVEWAY PERMIT <br /> TOTAL 24 00 <br /> S.H. <br /> PEHMIT VALIDATION , <br /> WHEN PflOPERLV VALIDATEO(IN THIS SPACE)THIS IS VOUR PERMIT i <br /> i..r� <br /> c� <br /> � <br /> � <br /> N <br /> — Ai�or,Ess ru_E <br />