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e�� <br />CITV OF <br />everett <br />259-8745 <br />� <br />CP'1VSTRUCTION <br />PERMIT <br />PERMIT NO. 2 � U 9 4 <br />❑ DEMOLITION ' � COMBINATION ❑ BUILDING � MECHANICAL Gt}CPLUMBING ❑ SIGN <br />pWNER MAILADDRE55 CITV 21P PMONE <br />Valley Natural Gas 11323 Hwy 99 Everett, StiA 98204 355-7730 <br />RRCMITECT ON DESIGNER MAIL ADDPESS CITY ZIP PHONE <br />GENER�LCONTRRCTOF AIAILADDRE55 CITY Z�F FHONE IICENSE� <br />MECHANICRL CONTRRCIOR MRIL ADDRE55 LITY ZiP PHONE LICENSE � <br />Valley Natural Gas VALLENG153LT <br />PIUMBING CONiRRGTOR MRIL ADORE55 CrtY ZIP PIIONE LILE'+SE � <br />CUSS OF WORK <br />fC] NEW ❑ ADDITION <br />VRWNTION OF WORN <br />����� <br />� ALTEPATION ❑ REPAIR <br />Install furnace/waterheater/lav/water closet <br />IERTSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />commercial <br />LOT _ BIOCK _ <br />2605 McDougal <br />PLUMBING <br />NO. TYPE OF FIXTURE OH ITEM <br />WPTER CLOSET (TOILET) <br />BATMTUB <br />` LAVATOqY�WASHBASIN) <br />SHOWER <br />NITCNEN SINN 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASIIER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOP DRAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAP. ETC � <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />ub9q <br />VACr1NT SITE <br />❑VES ❑NO <br />TYFEOFCON4. IOCCUPANLY,ROUP �NOOFDWELU <br />OCC LOnD <br />naan voa issunr�ce or <br />M.M. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFV 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 />GOVERNING THIS TYPE 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 />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />5icunTUR60F f.ONTRACTON.AUTMORIZEDAGENT.OP OWNER ORTE <br />X �t� _ <br />MECHANICAL <br />TVPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — � T.0 /H P. <br />G�S FlFED A C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—�S.U. M <br />UNITHLATERS—OSL. M <br />EVAPORATIVECOOLERS <br />CLO?MESDRVERS <br />VENT'LATION FAN <br />RANGEl100D <br />WATER HEATER <br />wOOOSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMV <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTIIL <br />PENMIT <br />TOTALFEE <br />PLANCHECKNUMBER FEE <br />FEES VALU <br />�111LDING S <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE DUILDING SURCHARG <br />STAT[ENERGVSURCHARGE <br />ORIVEWAV PFRMIT <br />CHECk S4k.50 <br />T <br />32 <br />TOTAL I I 42 <br />PERMIT VALIDRTIUN <br />WHEN PROPERLY VAUDATED �IN THIS SPACE) T1�11S IS YOUFl PERMIT <br />�� <br />Q7 <br />in <br />0 <br />N <br />