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u��,�� <br />GTY OF <br />everet�t <br />259-8745 <br />"` C�INSTRUCTION � �� <br />PERMIT <br />PERMIT NO. 2 O� 2 G <br />❑ DEMOLITION ❑ COMBINATIOF�f ❑ BUILDING C�7 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRESS LITY ZiP PIIOI" <br />Debra Ponds-Smith 718 34th St. �verett 252-3981 <br />AqCN1TECTORDESIGNER M/+ILA�ORESS GTY 21P PMONE <br />GENERAL <br />MAIL <br />CITY ZIP PHONE LICENSE+ <br />MECHANICNLCONTPACTOP MlILADOPESS CITY ZiP PMONE LICENSE� <br />Cozy fIeating 20221 67th Ave. NE Arlington 935-4054 COZYHD*137NC <br />VLUMBINGCONTRACTOR MAILAODRESS CITY ZIP PMONE LICENSE+ <br />CLNSS OF WORK <br />❑ NEW ❑ ADDITION �ALTERATION ❑ REPAIR ❑ DEMOLITION � BUILDING RELOCATION <br />V?LUATION OF WORN <br />$ <br />Install gas furnace and water heater. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Single family residence <br />L �ESCRIPTION OF PflOPERTY �SMOW DELOW i <br />ior __ oiocK _ <br />JOB A�ORESS <br />718 ?4th St. <br />PLUMBING <br />j�' NO. TYPE OP FI%TURE OR <br />�' �� WATER CLOSET (TOII.ET) <br />�j'� gqTHTUB <br />t��: LAVATORV�WASH BASIN) <br />Q <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY7RAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />flOOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />TYPEOFCONST. <br />N0 <br />ACC �Y <br />S.H. <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />COPIE51 <br />S <br />S <br />S <br />FEE <br />VACFNT SITE <br />❑YE$ ❑NO <br />NO Of OWELLINGt1NIT5 <br />MA%.00C LOAD <br />APPH FOR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIOIJ 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 OF A <br />PERMIT DOFS NOT PRESUPAE TO GIVE AUTHOR�TY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCEOFCONSTRUCTION. <br />SIGNlQURE OF CONTRACTOR. AUT}JORIZED AGENt, OR OWNER DATF. <br />MECHANICAL <br />N�— <br />A/C — A'HNDLG UNITS — HP. <br />REFRIGERATION UNITS — HP. EA. <br />DOILER° — B.T.U.M.P. <br />GAS FIRED AL. UNITS — B.T.U. <br />FORCEO AIR SYSTEMS — B.T.U. M <br />WALLHEATERS--BT.U. M <br />UNITHEATERS-6.T.U. M <br />EVAPOFATIVE COOLERS <br />CLOTNESOHVEflS <br />VENTILATION FAN <br />RA�GEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSF.RT <br />HEATPUMP <br />GAS PIPING �� <br />E%HAUSTFAN _ <br />FEE <br />PLAN CHECK NU1dBER F@E� �C E9EIPT NO. <br />�asz� 45 .00 <br />EC , <br />FEES ATION FEE <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec.304�e) <br />STAfE BUILDING SURCHARGE <br />STATEENERGYSURCHAqGE <br />�RIVEWAY PERMIT <br />TOTAL 30 0 <br />PERMIT VALIDATION <br />WHEN PFOPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PENMIT <br />N <br />N <br />ll? <br />O <br />N <br />;_ .',i'. , FCP <br />