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e�� <br />GTY OF <br />everett <br />259-8745 <br />� C�''NSTRUCTION <br />PERMIT <br />PERMIT NQ: � O � `� � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL '�] PLUMBING ❑ SIGN <br />OWNER MAitADDFE55 CITY 21P PNONE <br />Heather Hyde 2810 - 21st St Everett, WA 98201 252-4791 <br />♦HGNITECT OR DESIGNER MAIL AGDRE55 dTY ZIP PHONE <br />GENENRIGONTPRCTON MAILADDRE55 CITV ZIP iHONE �ILENSE� <br />MECHRNIGLCONTRNCTOF MaILADDPE55 CITY ZIP PHONE LICENSE� <br />Cozy Heating / Gas Div 20221 - 67th Ave NE Arlington, WA 435-9054 6�E:H <br />PLUMBINGCONTRACTOP MAILADORE55 CITY ZIP PM9NE LILENSE� <br />G)ZYHD137NC <br />CLASS OF WOF <br />❑ NEW � ADDITION � ALTERATION U REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S <br />DESCRIBE WORK <br />Replace gas wall furnace and install gas water heater <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GP.S ❑ WOODSTOVE ❑ OTHER <br />Single family residence <br />LOT _ BLOCK <br />2B1OV- Z1St St. <br />PLUMBING <br />WATEP!:LOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASNBASIN) <br />SHOWER <br />HI7CHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVF.NTERS <br />ROOF DRAINS — PAINLEADERS <br />SINK �SERVICE — BAR, ETC.1 <br />SUBTOTAI <br />PENMIT <br />TOTALFEE <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GCVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEA SPECIFIED HEFEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OF <br />THE PERFORMANCE OF CONSTRUCTION. <br />� <br />MECHANICAL <br />OR OWNER D�T (� <br />���%/ � � � [J <br />A/C — AMNDLG UNITS — HP. <br />fiEFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H P. <br />GAS PIRED A�G UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.LL M EA. <br />WALL HEATERS — 8 TL. ( rj M <br />UNIT HEATERS — BSL. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP �/ <br />GAS PIPING IIUIM:l7CY7 <br />E%HAUSTFAN H <br />SUB <br />PLAN <br />vncaNr srte FEES <br />❑YES ❑NO <br />TVPEOFCONST OCC�P/NCYGROUP NOOFOWEILING�NITS BUILDING <br />M.M. <br />PLUMPING <br />MECHANICAL <br />INVESTIGATION FEE <br />�� <br />F9 <br />Sec.30a(e) <br />FEE <br />STATE BUILDING SUFCHARGE <br />S7ATEENEFGVSUFCHARGE <br />DRNEWAV PEFlMIT <br />TOTAL <br />PEpMIT VALIDATION <br />WHEN PROPEALV VALIDATED (IN TMIS SPACE) THIS IS YOUR PERNtT <br />AD�iftEL'�S Fll E <br />30 <br />30 I50 <br />L� <br />�� <br />N <br />O <br />N <br />