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„ PPLICATION Fa�. �� ���,�„ <br /> '".E",°'”" CONSTRUCTION e <br /> CITY OF <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK— P�EASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑X BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER M�IL�DDRE55 CIY ZIF �IION[ <br /> RICHARD WHALEN REALTY EXPRESS, 122 AVE. A, SIJOHOMISH WA, 98z90 56£3-8531 <br /> APLIIrtCCTOBDES�GNLR MAIL��DRE55 CITY 21P PIIONL <br /> l3[NJAh11N EDWARDS, ARCHITECT 3201 DROADWAY SUITE 'E' EVER[TT, WA. 98201 259—Si57 <br /> GCNER�I.CONTR�LION MMLADOPE55 CITY ZIP ?nONE LICCNSE <br /> RICHARD WHALEN c�o REALTY EXPRESS 122 AVE A SNOHOMISH WA. 98290 568-853� <br /> MEGH�NIL�LCONTR�GTOfl IA�IL��ONE59 Cltt EIP P110b[ IICLNSE• <br /> NOT {(NOWN <br /> PlUM01NGCONifl�CTOR MAILAO�RE59 GITY 21P PIION[ IICENSL• <br /> NOT KNOWN <br /> cuss or wonK <br /> ❑ NEW ❑ ADDiTION E� ALTERATION ❑ REPAIR ❑ DErv10LITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING REIOCATION <br /> VALUs110N OF WORN�COST OF M�T[RULS PWS I�BOR� <br /> $5,000 BUILDING fERM1T #14442 <br /> DESCRIBE wDON <br /> INSTALL PARTITIONS AND DOORS — FINISH CEILING. <br /> OSEOf 8111101N0 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PFIOTOGRAPY STUDIO PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> IEG�I�[SCRIPTI.INOFPROPERTY�SNOWNBELOWOR�ITACNFOUNCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WIIL BE COMPLETED WITIi WIIETHER SPECIFIED HERE• <br /> ior—eioc�—ov IN OR�OT.TNE GRANTING OFA PEFMIT DOES NOT PRESUME TO <br /> GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> LOTS 1 2� 3 & �kr E�OCK 62 ANYOTHERSTATEORLOCALLAWREGULATInGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTFUCTION. <br /> EVERETT CANO CO�dPANY 1ST AOD TO THE SIGNATUFEOFCONTRFCTOflORAl1TNORl2[DPGENT D�TE <br /> CITY OF EVERETT VOL. PG. 0 SNOHOMISH X • , •3���� �� <br /> PflOJECTADOflE55 COUNTY �PP����NTS IT BIl51N SSLICENSENO <br /> 3201 BROADWAY, SUITE G � I, <br /> PLUMBINO MECHANICAI <br /> ryp, TYPE OFFIXTURE FEE NO. TVPE OFEOUIPMENT FEE <br /> WATER CLOSET(TOiLE OR I G 1 NAL PERM I T CD AIR COND.UNITS-H.P.EA. _ <br /> � BAiHTUB FEFPIGERATION UNITS-H.P.ER. _ <br /> LAVATORY�WASHBASIN� ' BOILERS-H.P.EA _ <br /> SHOWER GAS FIRED AG UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCEO AIR SVSTEMS-B.T.U. 1d EA. _ <br /> DISNWASNER WA�L HEAlEiiS-B.T.U. M <br /> LAUNORVTRAV UNITHEAIERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVECUOLEflS _ <br /> WATF.R HEATER CLOTMES DRVERS '�� <br /> 11RINAL VENTILATION FAN _ <br /> ORINHING FOUNTAIN RANGE HOOD -- <br /> FLOOR ORAIN AIR HANDLING UNIT- QF.M. __ <br /> VACUUM BREANERS STOVE _— <br /> ROOF�RARlS-RAINLEADERS METAL FIREPLACE 8 CNIMNEY _ _ <br /> � SINNISERVICE-BAR,ETQ Cl� WOODSTOVE/FIREPLACE INSEfiT __ <br /> SUBTOTAL SUBTOTRL f y OD <br /> PEPMIT f PEflMIT s <br /> TOTALFEE t TOTRIFEE f �_ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fRON15ETB�LN PEARSETdACN SIDES[TORCN PLANGMECNNUMBER PL�NC�IECKfEE <br /> �\, ("� I /` ^(` FEE I��� RECEIPINO ��5� <br /> /V d�(/ i ivO(J l <br /> IlSE ZONE l01 ARE� yAC�NT SITE VAlU�T10N FEE <br /> C^ ���� OYES �NO FEES _ <br /> ttP[OPCONST. OCCOP�NCVGROUP NO.OfDWELLINUUNITS _ <br /> �'�� ��� O BUIL�ING =�,��.Q� _� <br /> Si2E O�Ol DG NOAF SiORiES MR%.OCL.LOAO <br /> Q^4 �T� I PLUMOING � UU <br /> � {"J 1 — <br /> MECHANICRL I Z �RJ <br /> FIRE SPRINKLERS REGUIfiED ❑YES R�•NO <br /> OTHER <br /> PENALTY <br /> APPlIL�110NRLC.OY PlAN5C11ECKE0BY �PPRFONISSURNCE9Y @ �+ <br /> TOTRL �tJ 7� <br /> y�1_rVl . � � • � , - <br /> t y.co3 z�u� m,�.i R.-�� C� <br /> �� <br />