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,� <br /> "�EDe�'��F t" �NSTRUCTION . �'�� <br /> everett PERM�T PERM�T No:_ 1894� ', <br /> 259 - 8745 '� <br /> ❑ DEMOL.lTION ❑ COMBINATION ❑ BUILDING �{MECHANICAL ❑ PLUMBING ❑ SIGN I <br /> OWNEit ' A1AllnUDliESS CITY ZIP PHONE I <br /> Jeff Edwards ��414 '_Oth Dr. SF. Everett 98203 397-7237 <br /> 4RCHITECTOR�ESIGNER MAILADORE55 CITY ZIP PHONE I'i <br /> GLNERALCONTq�CTOR MNIADDFE55 CITY ZIF PNONE �ICENSEx <br /> MECMANiCALCONTRFCTOP h1AiLADC^' 9 QTY 21P PMONE I.iCFusFe <br /> Valley Natural Gas 11323 Hwy .9 Everett 98204 355-7730 VALLENG153LI <br /> PIUMBING CONTRACTOF MAIL 400PE55 CITV ZIP PHONE LIC[N.5[� <br /> CLA55 OF tYORK <br /> ❑ NEW ❑ AUDITION �ALTEFiATION ❑ REPAIR ❑ DEMOLITION ❑ BUILOING RELOCRTION <br /> VAWAT�ON OF lYORK <br /> b <br /> OESCRIDE WOI1K <br /> Gas RS Piping. (30' ) <br /> ��car sounce <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSE�USE OP�111L01NG <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND cXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE �\ND <br /> �ecn�oescnivTionoraaoPearris�+owoe�owonnrrneHro�.incoaies CORRECT. ALL PROVISIONS OF LAWS AND OFiDIN4NCES <br /> LOT_�LOCN _ OF GOVERNIVG THIS TYPE OF WORK WILL BE COMPLIF.D WITH <br /> WNETHER SPECIFIED HEREIN OR NOT. THE GRANTI VG OF A <br /> PERMIT DOES NOT PRESUME TO GIVF AUTH0�31TY TO <br /> VIOLATE OR CANCEL THE PROVISION� OF AN'/ OTHER <br /> STATE OR LOCAL LAW REGULATIIJG CONSTr7UCTIOIJ OR <br /> THEPERFORMANCE OFCONSTRUCTION. <br /> JOB n0�PE55 SiGNnTUR[OF CONTFnCT�1�, AUTHp��Z[D AGENT.O�i OY1N[R prlTE <br /> io4i4 ioth �r. sE � -Lt Lc . (_��, C.C�(' IG' %a S — <br /> PLUMBING ME �ANICAL <br /> N0. TYPE OF FIXTURE Ofi ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> VJSTER CLOSET(TOILET) A,iC—A/HNDLG UNITS—�H P. <br /> B�THTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORY(WASH�ASIN) BOILERS—�.7.U.iHP. <br /> SHOWER GAS FIRED AC.UNITS—B.T.U. <br /> i:ITCHEN SINK 8 DISP. FORCED AIH SYSTEMS—8.T U. M EA. � <br /> DISHWASHER Wq�L HEATEFS—B.T.LL M11 ' <br /> LAUN�RY TRAV UNIT HEATERS—B7.U. M ' <br /> CLOTNES WASHER EVAPORATIVE COOLERS �, <br /> URINAL CLOTMES�RYERS I <br /> DRINKING FOUNTAIN VENTILATION FAN �� <br /> FLOOR DRAIN RANGE HOOD '� <br /> BACKFLOW PqEVENTERS IVATER HEATER � I' <br /> ROOF DRAINS—fiAINLEADERS VlOOD STOVE <br /> SINK(SERVICE—BAN,ETC.) METAI FIREPLACE 8 CHIAINEY <br /> PIREPLACE INSERT � <br /> HEF T PUMP � <br /> j GAS PIPING I <br /> E%MAUSTFAN <br /> I <br /> SUB TOTAL 5 SUB TOTAL 3 OO <br /> PERMIT $ PEHMIT S � <br /> TOTALFEE 5 TOTALFEE S <br /> �naNT SEienr,rc aEnn SETf�nCK siDe sEiuncrc P�AN CHECK NUMBER FEE RECEIPT NO. ' <br /> � <br /> USEZONE LOTAfiEA i <br /> vacnNr::rte FEES VAWATION FEE <br /> C]YES ❑NO <br /> TYPEOFCONST. OCCUPANCYGqOUP NOOFDWELLINGUNITS OUILDING S �'�� <br /> PLUM�WG I <br /> SiZE OF�LDG NO OF StORIES IdA% OCC lOnO <br /> MECHANICAL 18 00 I <br /> INVESTIGATION FEE Sec.304(e) - <br /> FIRE SPRINY.LERS REOUIRED ❑YES ❑NO - <br /> STA7E BUILDING SUACHARG@ � <br /> STATI LNERGYSURCHARGE <br /> APPLICATION4CC �Y PLANSCHECKEDOY APPRIORI$$U4NL[43Y <br /> DRIVEI �Y PERMIT . <br /> S.H. TOTAL <br /> 18 00 <br /> PENMIT VALIUATION <br />� WHEN PROPERLV VALIDATED(IN THIS SPACE�THIS IS YOUR PERMIT <br />, �.' <br /> �� <br /> �1 <br /> � <br /> r� <br />