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APPLICATf� FOR CONSTRUCT�N PERMIT everett <br /> ����� TO BE COMPLETED IN INK—PIEASE PRINT � <br /> cm a <br /> eve rett HEATING SYSTEM: O GAS �ELECTRIC q <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION XX BUILDIN(3 ❑MECHANICAL ❑PLUMBING ' ❑'SIGN <br /> pyyNpP M111LI10DRE55 CITY ZIP PIqNE <br /> The Boeinq_('omoanv. P 0 Box 3707,, MS nH-9a caatttn,_aRt�a_7�n7 � 3a9_Og71 <br /> �Nµ{ MAILAUDHESS CIiY ZIP PIqNE <br /> Owner <br /> •qLNITECTORDEB�bNER MAILMORE69 CITY 21P �VNONE <br />' CDA, 4230 - 198th St , SW, Lvnnwood, 98036 272-2300 <br /> Y�� OENERALCONTN�LTOII WL�DDPE55 CITY ZIP P110NE LICENSE� <br /> MECNM/IC�LCONTMCTOR M�ILII0DRE65 CITY 21P PNd1E LICENSl� <br />� PLUMBINOCONTR�GTOR M�RMOHE55 CITY ZIP PIIONE I�CEN5E1 <br />, ClABBO(VNRK <br /> JQ(I NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION l� WOODSTOVEIFRPL INSERT G BUILDIN6 RELOCATION <br /> LL CtNlTACT PERSON�ND PIKKJE N0. <br /> iY <br /> w,,.n�crPpceo�wo�En r Est / 30o Leonard Astemborski 26f-3563 <br /> pE$LRIpE Yqpl(/J!D BOW RE FOOT�OE INVOLVED <br />� ,�«a�Ec- Crew shelters 3�D4, �45=20�' _ <br /> rnovoseouseaFeuwMa I HEHEBY CERTIFY THAT I HAVE FIEAD AND E%AMINED THIS <br />�� TESt E ui ment for Ai rcraft en i ne work APPIICATION AND KNOW THE SAME'f�}9E TRUE AND CORRECL ALL <br />�� PROVISIONS OF UWS AND ORDINANC_S 60VERNIN4 THIS TYPE OF <br />�� LEMLDEBCRIPTIONOFPROPENTY15110WNBELOWORATT�LHFOURLOPIE81 <br /> WORK WILL BE COMPLF.TED WITH WHETHER SPECIFIED HEREIN OP <br />�� �or e�ocK or _ NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />�` AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> f,,. OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> I OWNER OF THIS PROPERTY TO PERFORM THE WORM. FOR WHICH <br />�i APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> 6qNANXE OF CONTMCTOR OR�Uf110NIZED MENT D�TE <br /> II ^ <br /> P1IQIECTADURE89 � �`� ' �'�/!/� � /�/,�u <br /> 3003 W. Casino Rd. , Everett APRIGVlT6CITVBUSINE6SLICENSEND.IHDBUS1kES4NMIE <br /> y1AMelpp MECHANICAL <br /> N0. TYPE OF FlXTURE OR ITEM FEE N0. riPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A1�AhINDL6 UNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M i <br /> SHOWER � CLOTHESDRVERS � ' <br /> KITCHEN SINK 8 DISP ; VENTIUITION FAN � <br /> OISHWASHER � RANGE HOOD � <br /> LAUNDRVTRAV ; WATER HEATER ; <br /> CLOTHES WASHER � WOOD STOVE i <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV ' <br /> DRINKINO FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN HE4T PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPINO ' <br /> ROOF DRAINS—RAINLEADERS � E7CHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ; � <br /> � � <br /> � � <br /> � <br /> � � <br /> T <br /> i � <br /> SUB TOTAL S ' � SUB TOTAL S ' <br /> PEHMIT S � PEFMIT S � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: ,' •-4 t�,�:�-✓ d G 3G <br /> FRONT 6ETBACK AEAR SETB�CI( SIDE 6ETB�CK � PU!I:Y.i-:N NUMBER FEE RECEIPT NO. <br /> � <br /> USE20NE LOT�RE� v�cu�tsrte ES � VALUATION PEE <br /> � <br /> BUILDINO %3 3a6 S? '' <br /> TYPF01LOMi5�LLOWIALE IYPFOiCONSIAL7UAL oftwxc� wooiwrtuixG✓atf — i <br /> �"Oi� � PLUMBINO i <br /> SRE OF B100. NO.OF 6TOR�ES BASlMENt MECMANICAL ' <br /> i <br /> _ � <br /> OGLUPANCV LO�D FIRE 6PRNNlERS REOD HEIONT LIMIT�iqN ADUITIONAL PUN CHECK i <br /> —, i <br /> OTHER � <br /> RE�SOM iOR SPRMNlER9 T— <br /> STATE BUILDMG SURCHRRGE y i�D <br /> i <br /> � IN7�REBY %ANS�PPROVEDBY CITYOFEVERE77 PUBLICWORNS � <br /> LOCALSALES <br /> � TAI(COOE IS 3105 ror�� �S-� ��� <br /> � <br />