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`�� '�' C'°�NSTRUCTION �� '`` <br />everett PERMIT PERMITNO. � 889� <br />259-8745 <br />'7 DEMOLITION ❑ COMBINATION ❑ BUILDING �[J MECHANIG'AL ❑ PLUMBING ❑ SIGN <br />OWNEP BOg nar ��ARADOPE55 GTY ZiP PMONE <br />��gxxY, Marlene 5314 - 33rd Ave W. Everett, WA 348-5310 <br />ARCHITECTORDESIfiNER MAILAD�RESS CITV ZIP PHONE <br />GENERALCONTPAG'OR MTILAODAE55 CItY 21P FNONE LICENSE• <br />Natural Gas Equipment 1625 E Marine View Dr. Everett, WA 259-2441 NATURGE321K4 <br />MELNPNICALCONTRAGTOF MAILADORE55 CITY 21P PHONE LICENSE• <br />PL11M01NG CONTRACTOR MAIL AD�RESS CITY 21P PHONE LICENSE � <br />CLA55 OF WORN <br />❑ NEW U ADDITION � ALTERATION ❑ REPAIR ❑ OEMOLITION <br />VA�UATION OF WORN <br />$ <br />OESCRIBE WOPK <br />Install gas furnace (change out) & 50 gal water heater <br />MEATSOUflCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />���.���� ���..� o ��.., <br />single family residence <br />LOT _ BLOCN <br />i0� POUHt55 <br />5314 - 33rd Av�. W <br />PLUMBING <br />NO. <br />WATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN', <br />SHOWEii <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAI;NDRY TRAY <br />CLOTHES WASHE19 <br />UIiINAL <br />�RINKING FOUNi.41N <br />FLOOR DRAIN <br />ROOF DR41NS — BA W LEA�E <br />SINK �cERVICE — [3AR, ETQ) <br />TYPE OF CLN9-. <br />SIZE <br />M.M. <br />nuc�irs.ui <br />ITEM <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />R.11 <br />NO OF STOqIES <br />BY I PLAN5CNECNED <br />❑ BUILDING RELOCATION <br />I HEREBY CERTiFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNpW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF IAWS ANU OP.DINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E 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 PROV�SIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR6°� S1NTF3ACT0R �UTHOR2ED AGEf:T.OR OWNER �FTE <br />X l�9! i� i�' 9-30-87 <br />FEE NC. TVPE OF EOUIPMENT <br />A/C — AMNDLG UNITS — H.P. <br />REFRIGERATIONUNITS—H.P EA. <br />E3011.ER5 — B.T.U./H.P. <br />GAS PIRED A.C. UNITS — B.T.U. <br />1 FORCED AIR SVSTEMS — B T.U. M EA. <br />WALLHEATERS—BT.U. M <br />UNIT HEATERS — O.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATER HEATER <br />wOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT P:1MP <br />GAS PIPING <br />EXHAUSTFAN <br />VACFNT $ITE <br />❑Y[5 ❑NO <br />NO OF DWELLING <br />LOAD <br />APPR FOR ISSUANCE �V <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />ree <br />FEES I VALUATION� FEE <br />BUILDING S <br />PLUMBING . _ � � - - - � � � <br />MECHANICAL <br />INVESTIGATION FEE Sec. 304�e) .. : <br />STATfE BUILDING SURCHARGE � � � <br />STATEENERGYSURCHARGE ..._ . <br />DRIVEWAYPERMI� . <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDAIED �1N THIS SPACE) THIS IS YOUR PERMIT <br />i. . � . . _ i :' <br />30 <br />30 <br />� <br />• <br />