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enea,as.�n <br />an oF <br />everett <br />259-8745 <br />C'�1NSTRUCTION - � <br />PERMIT <br />PERMIT NQ: . � J `� J � <br />❑ DEIWv:ITION ❑ COMBINATION ❑ BUILDING C� MECHANICAL '❑ PLUMBING ❑ SIGN <br />OVMER MAILPODHE55 CITY ZIP PHONE <br />[fiion Distributing 9826 7th Ave. SE Everett, WA 353-9701 <br />ARCHITELTO.IDESIGNEN MRILADDfiESS CITY ZIP pHONE <br />GENEHr1LCONTPACTOR MAILADDNESS CITY ZIP pHONE LICENSE• <br />MECHANICALCONTRACfOR MAILA�DRE55 CIiY ZIP PHONE IICENSE• <br />S�ith A/C 14522 NE 190th Woodinville, WA 98072 485-7563 SMITHAC158PH <br />PLUMBINGCONTpACTOq MAILADGRE55 CITY ZIP pHONE LICENSE• <br />❑ NEW ❑ ADDITION C�ALTENATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WOPK <br />S <br />Replace oil furnace with gas furnace. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Oommercial offices, distribution <br />LOT _ BLOCN _ <br />PLUMBING <br />TYPE OF FIXTUHE OR ITEM <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWEfl <br />KITCHEN SINK 8 OISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTE <br />ROOF DRAINS — RAINI <br />SINK �SERVICE — BhR, <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />TYPE OF CONST <br />SIZE OF BLOG. � NO. OF STOPIES <br />APPLICATION ACC. BY <br />S.H. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APP!.ICATION 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 DOES NOT PRESUME 70 GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CON5TRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRFCTOR. AUTHO IZk AGENT OR OWNER DRTE <br />�-1��2 _ �1,�/ee <br />MECHANICAL <br />FEE NO. TYPE OFEQUIPMENT <br />A/C — A/HNOLG UNITS — H.P. <br />REFflIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /N.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />1 FOHCED AIfl SYSTEMS — B.T.U. M <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEti00O <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />y GAS PiPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECK NUMBER FEG <br />Nr sire � FEES ' <br />s ❑'�i <br />IFOWELLINGUNITS BUILDING S <br />PIUMBING <br />OCG LOAU <br />MECHANICAL <br />INVESTIGATION FEE <br />PUNS GHECNEO BV � APPR. FON ISSUANCE BY <br />Sec. 304je) . I . . <br />STATE BUILDING SURCHARGE � . . � <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PEHMIT VAIID�TION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />nocaEss ri�� <br />�' <br />�i <br />�.c� <br />rn <br />� <br />