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��.Ewro�.� i.PPLICATION FOk-' � ���,�„ <br /> ��TM�f CONSTRUCTION <br /> everett PERMIT � � <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT ( <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEf1 MAILADDRE93 CItV ZIP PMON[ <br /> ,D.a v R�.a No ✓o�C 0 Eu����E w,J. ;35�5-• G'o o/ <br /> •RCIIIIEGTOROES�GNEN MAILRO�RE59 CIIY IIP PIONE <br /> .��n pFcsS � 0..7 DcS� s �J .,zaa 9 '�d�Kso-J �uc/-cL`C 3ss- 3a�� <br /> OENFR�LCONfRACTOB M ADONESS I CITY ZIP PIIDNC LGENSC <br /> '��+�,es e��, n c�.�r� ao�_ �s�y N.�. ,a,.c,�Sr.J �s.�-a.�� �H�,ES��:�v�,+ <br /> M[CN�NIGLGONTRI1CTOq MML�ODIIESS I Cltt 21 PIIONE I�GINS(• <br /> PIUMBINGCONiB�C10F MAIL�ODRE99 CItV [IP PMONE L�CENSC• I <br /> C1�55 ORK <br /> N�W ❑ ADUITION ❑ AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSiOVE/FRPL.INSERT ❑ BU�LDING RELOCATION <br /> veluenoNo�wonrcico���nui�Ustne ,�Q' �yye�� `� _ <br /> Gt:il./ I <br /> Commencing at the intersection of the East and West center line of <br /> . Section 5 , Township 28 North, Range 5 East, W.M. , and the �9esterly <br /> ' right of way line of State Road No 1 , Pacific Highway (Broadway �AMINEDTtiISAP- <br /> . Cutoff) ; thence Northerly along said Westerly right of way line of the NDCORRECT.ALL <br /> � said State Road No. 1 L-or 425 feet to the true point of beginningi °SPl'CFIEDHERE• <br /> � thence continue Northerly along said Westerly right of way line of �e VOTPHESUMETO, <br /> said State Road for 75.47 feet; thence South 86°22 ' West for 91.18 feet : NRovisioNsoF <br /> . to an intecsection with the Easterly' right of way line of the Pacific iCONSTRUCTION <br /> Northwest Traction Co. ; thence Southerly along the said Pacific ^ E �. � _ ��� <br /> . Northwest Traction Cumpany � s right of way line for 75.97 feet; thence <br /> North 86°22' East for 49.48 feet to the true point of beginning. <br /> vere �� '✓'^' t• <br /> PPOJCCI�OORES$a� �PPULA C17Y BUSINE55 LIGE SE N0. <br /> �Q� 1 <br /> PLUMBINO MECHANICAL _—_ <br /> NO. TYPE OF FI%TUHE FEE NO. TYPE OF EOUIPMENT. FEE <br /> WATERCLOSEi1701LET1 A�RCOND. UNITS-II.P.En. _ <br /> / BATHTUB � REFRIGERATION UNITS-H.P.EA. __ <br /> LAVATORY(WASN BASIN) _ BOIlERS-H.P.EA. __ <br /> SFIOWER GAS FIRED AC.UNITS-TONNAGE EA <br /> � KITCHEN SINK 6 OISP. FORCE�AIR SVSTEA�S-D.T.U. M EA. _�Q <br /> OISMWASHER � W�IL HEATERS-9.T.11 M _— <br /> L�UNORV TRRV UNIT HEATERS-B.1 U._ M __ <br /> I GLOIHES WASNER EVAPORATIVECOOLERS _ _ <br /> WATEH HEATER CIOTHES DRYERS �__ �_S�- <br /> URINRL o2 VENTILATION FAN A� tld- <br /> �RINKIN6 FOUNTAIN RANGE HOOD `i'�a <br /> FLOOR ORAIN � AIR HANDLING UNI7- QF.M ___ <br /> VACUUM BREAHERS STOVE <br /> ROOF ORAINS-f7A1NLEADERS METAL FIREPLACE 8 CNIMNEV �S� <br /> S�NK SEPVICE-BAR,ETC. WOO�STOVE/FIREPLACE INSERT __ <br /> �/� _' _'__"'_.- _' <br /> --"- ----�'"�-'� SU�TOTAI 'IA+ � _ SUBTOTAL S �� � <br /> PERMIT t PERMIT S <br /> TOTAL FEE f B Z� TOTAL FEE S � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fRONiS[IpAGR f1EAR5EipAGK SIDESETORGK PLpNGHECNNUMB�h � PL4NGHECKfE[ <br /> [ol� CoPZ leRT D �` ree 7� neenriNozd.S <br /> �S /JY - � -- <br /> USE20NE LOlAf1E� y��9yT51TE FEE6 V1LU�TION fCE <br /> �I e9E9 ONO <br /> TYPEOfCON,S1L OGLU�Pj4NC2YGIIO/U�/P� NO.OFOWELLINOUNIi$ ___ I <br /> V"N J\ J/ r" ' ' OUILDING � s�p���� ��3 _ I <br /> �i�O���9,� Srr NO.OFSIOPIES MAXOCC.IORU ' , I <br /> 7 / 2 � PLUMBIND Z� �d I <br /> r,,� � S.r- --- <br /> � � MECHANICAL �8 S� <br /> FIIiE SPRINKLERS HEOUIRE� ❑YES �'NO <br /> I OTHER '___ <br /> PENALTV <br /> �PPUC4110N�CC.�Y AUNS CMECKEO BY APVfl.FO�I55WNCE 0Y �� �'l <br /> TOTAL � <br /> ��� �-�GYJ�1 L rC (�awa.,•-r� -- <br />