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�E��,.e� t"�NSTRUCTION - Q <br /> CITY OF r'��'> i `` <br /> everett p��MiT PERMITNQ:_ � �`�o�! <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAD�RESS CITY ZIP PMONE <br /> � Eagle Homes 13822 59th Ave. S.E. Everett 98208 SS� 337-0693 <br /> AqLHITECTOROE5IGNER MqILADDflE55 CITY ZIP PHONE <br /> GENERAL CONTP4CTOR MAII ADDRE55 pITY ZIP PHONE LICENSE r <br /> Owner <br /> MECHA(JICALCONTf1AGTOR MAILAD�PE55 CITY ZIP PHONE {.ICENSEv <br /> PLUMOINGCONTRACTOR IdAIIADDFESS CITY ZIP PHONE LIGENSE+ <br /> CLFSiOFWORN <br /> Cy;l NEW ❑ ADGiTION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIGN ❑ BUILDING RELOCATION <br /> V�.LUFTION OF WORK <br /> $ <br /> DESCRIBE WORK - <br /> Install gas furnace <br /> HEATSOURCE <br /> ❑ ELECTRiCITY ❑ GAS ❑ WOODSTOVE O OTHER <br /> PFOPOSED USE OF OUILDI�G <br /> Sinale family ki(�i�'� res4dence I HEREBY CERTIFY THAT I HAVE READ AND E{AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGNl�CSCPIPT10NOFPRJPERiY�SNOWEESLOWORATTACNlOURCOPIE51 CORRECT. ALL PROVISIJNS OF LAWS AND ORDINANCES <br /> i.or_o�ocK _oF GOVERNING THIS Tl'PE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLAI'E OR CANCEL TfiE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JO�AODRE55 SiGNATUREOF ONTijA TORAII ORIZEDAGENT.OROWNER DATE <br /> 12007 14th Dr. S.E. X �� �,�„� z� ��/_ �� <br /> PLUMBING MECHANICAL <br /> _NO. TYPE O'FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> _ WATER CLOSET�TOILET� A/C—NHN�LG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> _ LAVATORY(WASH DASIN) BOILERS—BSL./H.P. <br /> SHOWER GAS fIRED AG UNITS--B.TL. <br /> HITCHEN SINK 8 DISP. FORCEU AIF SVSTEMS—BS.U. M EA. <br /> DISHWASHEfl V'ALLHEATERS—B.T.U. M <br /> LAUNDRY TRAV 1 UMT HEATERS—BS.0 M 9 OO <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> UFIIIAL CLOTHES DRVERS <br /> DRINI:ING FOUNTAIN VENTILATION FAN <br /> FLOOF DRAIN RANGE HOOD <br /> BACKFL7W PREVENTERS WATER HEATER � <br /> ROGF DRAINS—RnINLEADERS WOOD STOVE <br /> SINK�SER\'ICE—BAR,ETC.) META�FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br />� SUB TOTAL 5 SU9 TOTAL 9 OO <br /> PEflMIT f PERMIT 15 OO <br /> 5 <br /> TOTAL FEE S TOTAL FEE 5 Z4 OO I <br /> FqONT SETBACN qE�a SEiBnCK soE SET�nCN PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTN+EA <br /> � VACANTSITE FEES VALUATION FEE <br /> ❑VES ❑NO <br /> TYPEOFWNST OCCU�ANCYGROUP NOOfOWELLINGUNrtS BUILDING S <br /> PLUMBING <br /> Si2EOFpLOG NOOPSTORiES RIA% OCC �OAO <br /> . i� i �� ����+ ... <br /> MECHANICAL � Z4 OO' <br /> INVESTIGATION FEE �iQ�C�.00a1�) <br /> FIRE SPFiNKLERS REOUIRED ❑VES ❑NO � <br /> STATE BUILDING SURCH�FGE CN�G( ''� .CO <br /> STATEENERGYSURCHARGE <br /> APP�iC4T104FCC PY PLqNSCHECKE�DY APPq fORISSUANCEOY <br /> DRIVEWAV PERMIT <br /> S.H. <br /> TOTAL Z4 OO <br /> PEFMIT VALIDATION <br /> WHEN PROPERLY VALIDATED�IN THIS SPACE)THIS IS VOUH PERMIT <br /> Q� <br /> � <br /> �..�� <br /> �` <br /> r� <br /> i .. �. .. . �. _ <br />