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— , <br /> APPLICATIO : FOR COR�STRUCT``)N PERMI'� ���fe" ~� <br /> ��M o� TO BE COMPLETED IN INK—PLEASE PRINi � ,, <br /> I:ITY OF <br /> everett HEATING SYSTEM: ❑GAS �LECTRIC Q --� <br /> BUILDING DEPARTMENT <br /> 759-8810 <br /> �� -�i ;] DEMOLITION � i COMBINATION xX; BUILDING C'MECHANICAL I PLUMBING i ] 'SIGN ` <br /> ONHER M�2���RE55 GI1V 2�P P�NN�E <br /> The Boeina ComQ�nv P 0 Box 3707 MS OH 94 SPdYY�P�R��d-���y[.�4Z-OBZ� <br /> .Q � 1EN1NT CIiY ZIP PNONE <br /> MAR/�Ud�EiS <br /> � y y Owner <br /> M <br /> �NCNRECTOR�ESIONEN M�K�DORf55 ��TY =�P P�E <br /> � � CDA, 4230 - 198th St. , SW, Lynnw�od, 98036 272-2300 ---- <br /> GENEMICONTH�CtOR YAttNODRE55 GITY 2iP PIqNE LICCNS[/ <br /> � �� - <br /> Ij �� NECN�HiG�I Cp1iP�CTOR M�4�ODRE55 LITY ZIP PNONE IICENSE/ <br /> `[ �] <br /> i <br /> %UMBIH6CONiR�GTOR M�R�DUAE`5 CITY ZIP PIIONE IICEN / <br /> a �g . <br /> Q�n cussorwuAK � <br /> XX NEW '-; ADDITION '..l ALTERATION i I REPAIR LJ DEMOLITION '. 1 WOODSTOVFJFRPLINSERT :� BUILDINGRE�OCATION <br /> fO11TACt PEPSON ANO PMONE NO <br /> � Hy Op1Tp�CtVRILEOFWO�KEn r Est � �'� �oo Leonard Astemborski 266-3563 <br /> g � DESGRIBE WORR�MD SW��E FOOIAGE INVOLVED <br /> ���i, /vEw Crew shelters Q�04. �-IS-Z�r <br /> � � vaoroscouscoreunorta I HEREBY CERTIFV THAT I HAVE READ AND E%AMINFD TNIS <br /> Test E U{ ment for Aircraft en ine work AFPLICATIONANDKNOWTHESAMETOBETRUEANUCORRECT.ALL <br /> yfq P70VISIONS OF LAWS AN�ORDINANCES OOVERNING THIS TVPE OF <br /> O V1 LE6�LDESCHiFTbMOFPRO�ERTYISNOWNBELOWOR�TI�CHFp/RCOPiES) WORK WILL BE COMPLETEO WITH WHETHER SPEGFIED HEREIN OR <br /> ioi e�oca . o� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHOFITV TO VIULATE OR CANCEL THE PROVISIONS OF ANV ' <br /> OTHER STA7E OR LOCAL lAW REGUTATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM TME WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. � <br /> SiON�TU(1EO�C^YTR�CTOROH�UTNOR2EDA6ENT DI1TE � <br /> __ �T V I-^~i `<��i� ��/��U � i <br /> PRQIECTMORESS �pp���N15CITVBU5MES5lIGEN5EN0 ANpBlI5ME5511�ME I <br /> 3003 W. Casino Rd. , Everett i <br /> PLUMBINO MECHANICAL <br />� / � NO. TYPE OF FI%TURF Oil ITEM FEE N0. TYPE OF EOUIPMENT FEE i <br /> (I WATER CLOSET�TOILEII� NC—NHNDLG UNITS—H.P <br />� I ��� BATHTUB FORCEDAIFSYSTEMS-0?.U. M E.A. _ � I <br />� � � ' LAVATORY IWASH BA31fl� --- __ UNIT HEATERS—B.T.U. M ' <br /> r —. � <br /> SHOWER CLOTHES DRYERS <br /> ,_�' NITCHEM 3R1<8 DISP ___ VENTILATION FAN T_ <br /> i �� DISHWASH2R____ RANGEHOOD — <br /> LAUNDR'/1PAV WATEFiIIE�TER <br /> I CLOTHES WASHER WOOD STOVE ._�_ <br /> URINAL METAL FIREPLACE 8 CHIMNEV `_ <br /> I �� DRINKING FOUNTAIN FIREPLACE INSEFT <br /> FLOOR DRAiN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING .T_ <br /> ' ROOF OFiAINS—RAINLEAUERS EXHAUST FAN <br /> '�� SINK�SERVICE—BAR,ETC.) <br /> i �',�i - _-. <br /> � SUB TOTAL E _ S1�0 TOTAL S <br /> � — PEPMIT E _ PEFlMIT S <br /> I �1 ' TOTAL FEE S ' TOTAL FEE S <br /> ( "�T FOR OFFICE USE ONLY: _ . � ,..•f "� '' �� <br /> \ nECk�oi NO <br /> FRONiSETB�GN REARSEiB�CN SIpESE�B�CN 1•UHCIIECN1NUA�BER fEE <br /> `�V �[ ` l <br /> useza+e iorene� vec�Nrsrte FEES VALUATION FEE <br /> BUILOIN6 �__�`y S,7 ) ; _ <br /> fVPFOfCONLS�IIOW���E ivMOfCON51ALIWl na^"Mr MOaVMWwLU'.�S <br /> PLUM9Ma <br /> SRE 0�BlD6 NO OF STOPiES B�£EMENT MECN�NICAL <br /> AODITIONRL PLAN CNLCN <br /> OCWPANGYIOAp FlRESPRIIXlER5AE0� �EIGHiUMiT�O(W — - <br /> O7NEF <br /> _— --r-- <br /> qE�50NfOR SPNINNLEPS <br /> STRTE OUILOINCSURCNARGE U ! S�' <br /> mu�r er vi�r�snrrnov¢onr CITY OF kVERETT PUBIIC WOR1c5 <br /> LOCtiLSALES <br /> TAX CU�E IS 3105 TOtAL j ?; ; � �' <br />