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� <br />�� <br />c�n oF <br />everett <br />259-8745 <br />''` C�NSTRUCTION � '�`" . c <br />PERMIT PERMITNQ:: �� U�� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING (,X MECHANICAL ❑ PLUMBING O SIGN <br />OWNER Mf r1DDRESS CITY ZIP PMONE <br />Theresa Wilsen 1�10 35th St. £verett, WA 98203 259-0513 <br />AHCHITELTORDESIGNER MAILFDDRE55 CITY ZIP PHONE <br />GENEHAL CONTqACTON MAIL ADDRESS GITY ZIP PMONE LICENSE x <br />MECHANICAL GONTRACTOR MAIL RODRESS dTY ZIP PHONE LICLNSE M <br />Custom Gas Service 22329 57th Ave SE Hothell 98012 481-5515 CUSTOGS231P6 <br />PLUMBING CONTR�CTOR MAIL RODRE55 qTY ]�P PHONE LICENSE • <br />CLASS OF WORK <br />❑ NEW ❑ ADD�TION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING flELOCATION <br />5 <br />Install water heater <br />HEATSOUR�E <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILOING <br />LOT _ BLOCK _ <br />PLUMBING <br />NO. TVPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />�ISHWASHER <br />LAUNORVTRAV <br />CLOTHES WASHER <br />URIN�L <br />DRINKING FOUNTAIN <br />FLOCJR DRAIN <br />BACKFLOW PREVENTERS <br />FOOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />USEZONE <br />TYPE OF CONST <br />SIZE OF BLUG. <br />FIRE SPRINKLERS REO <br />APPLICnTION ACC. BY <br />Di.M. <br />SUBTOTAL <br />PEHMI7 <br />TOTALFEE <br />NO. OF STOHIES <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE THUE AND <br />CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br />GOVERNIN� THIS TYPE OF WORY, WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHQRITY TO <br />VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br />STAT�� R LOCAL LAW REGULATING CONSTRUCTION OR <br />TFJl�P6l4FORMANCE OF CONSTRUC7JDPY <br />OF <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEFS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCEDAIRSYSTEMS—B.T.U. MEA. <br />WALLHEATERS—BS.U. M <br />UNITHEA'ERS—B.T.U. M <br />EVAPORqTIVE CGOLERS <br />CLOTNESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />], WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />PIREPLACEINSERT <br />HEAT PUMP <br />}( GAS PIPING <br />EXHAUSTFAN <br />CANT SITE <br />Y[5 ❑ NO <br />MA%. OCC. LOnD <br />PLANS CMECNEO �Y I�PPR FOR'SSUANCE �Y <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />:NUMBEH FEE <br />02/14/89 8 <br />FEES 1fAI.NA�T1@M <br />BWLDING <br />PLUMBING <br />MECHANICAL � <br />INVESTIGATION FEE <br />STATE BUILDING <br />STATEENERGYSURCHARGE <br />URIVEVlAY PERMIT <br />OWNER OaTE <br />�� 2/14/89 <br />FEE <br />OOORN4414 k:t=K� <br />gHECH 4'0.50 <br />HOOOc16� <br />r <br />}F" � G.�O 21 5� <br />Sec.304(e) <br />TOTAL � I 21 � 50 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />�� <br />�V <br />�� <br />t� <br />N <br />ADD {FSS fILE <br />