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APPLI��ATION FOR CONSTRUC7�"�N PERMIT everett <br /> �E��� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> everett HEATING SYSTEM: ❑GAS �ELECTRIC q u�I <br /> BUILDING DEPARTMENT <br /> 259•BB10 t� <br /> ❑ DEMOLITION ❑ COMBINATION XXI BUILDING ❑MECHANICAL O PLUMBING ' ❑'SION <br /> qypER yAILAppqE58 CITV 21P PIIONE p.� <br /> The Boeina Comoanv P o Box 37m MS OH 74 cPatriP gg�q1207 �a�-na» � <br /> 7ENIINT IMLADDRESS CITY IIP VIIONE . ... 'j, <br /> Owner '"� <br /> MCMITECTp1DE810NER WIADDNE65 CITY ZIP PNONE � ..��: <br /> CDA, 4230 - 198th St , SW, Lvnnwood, 98036 272-2300 - ;, ', �"V <br /> OENEMLCONTRIILTON M�0.11UDAE68 CT' 21P PIqNE LICENSE• + . <br /> . ; :�} <br /> IAECWWICKCON7NICTOR /M�L�IDDRESS GITV ZIP PIqNE IICENSE� .. . �.+d' <br /> ; �.. <br /> RUMINO CONTRACTdi M��l�DONESS CITY 2iP P110NE LICENSE� � <br /> J,'', <br /> '�i <br /> CU�99 OF WOPK �!� <br /> JQ(I NEW ❑ ADDITION O ALTERATION ❑ FEPAIR ❑ DEMOLITION O WOODSTOVEIFRPL INSERT G BUILD�NO RELOCATION ;;_� <br /> �1ACT PERSON ANU PNONE IM. _...''` <br /> co�,rw�crrn�o�wow�En r Est � 6� roo Leanard Astemb�rski 266-3563 s <br /> pEgCRlE YqRK IWD BOU�RE FOOT�OE MVOlVEO ' � <br /> NEc✓ Crew shelters 3W • '�S— ��3 <br /> pnovoseouseaeuwona I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Test Equipment for Ai rcraft en i ne work APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEfW OEBLi11PTqN OF PROPERTY�BNOWH BFIOW OA QT�CN FWN GOPIES� PROVISIONS OF LAWS AND OROINANCES 60V[RNINO THIS TVPE OF - <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> �oT e�ocK aF NOT. THE ORANTIN6 OF A PERMIT OOES NOT PFESUME TO QIVE �. <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONB OF ANY <br /> 1 OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED 8V TME <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOflK FOR WHICH <br /> I APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298200 WAC. <br /> BqNATUREOFCONTR�CTOROR�UfNqIRE01�0ENT O�TE <br /> PIq1ECT MDIIEBS <br /> � A� ✓ '�^'M ��/�"� . �L//�(! �i, <br /> 3003 W. Casino Rd. � Everett APPIICANTSGITYBVS�NE88LICENSENO.IWDBUBME69NMlE I <br /> PLUMlINO � MECHANICAL <br /> NO, TYPE OF FlKTURE OR ITEM FEE NO. TYPE OF EOUIPMENT fEE T <br /> WATER CLOSET(TOILEn � /V�A/HNDLO UNITS-H.P. r <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. ' <br /> LAVATOHV(WASH BASIN�� � UNIT HEATERS-B.T.U. M � <br /> � SHOWEfi ' CIOTHES DRYEFS � <br /> KITCHEN SINK 6 DISP _ � VENTIUTION FAN T_ <br /> DISHWASHER RANGE HOOD � <br /> � LAUNDRYTRAV ; WATER HEATER ' <br /> � CLOTHES WASHEP � WOOD STOVE � <br /> � URINAL ' METAL FIREPLACE 8 CHIMNEY ; <br /> � ORINKINO FOUNTAIN � FIREPLACE INSERT i <br /> FLOOR ORAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PtPINQ ' <br /> AOOF ORAINS-RAINLEADE-RS EXHAUST FAN _ � <br /> SINK(SERVICE-BAH,ETC.) ; � <br /> - � <br /> �— <br /> - � � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL S ' <br /> PERMIT S PERMIT S __� <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFflCE USE ONLY: �, �L 3 S� <br /> FIIONT 6F.TBACK AEAR 6ETBACN SIDE SETB�GK PIAN GMECN NUMBER FEE AECE�Pi NO. <br /> usezor+e IOTARE� V�CANT6ITE EES VALUATION FEE <br /> BUILDINO �a7 ;n D <br /> TYPEdLONTS./�ILOWMIF 7YPFOfLOMSi/iCiUAI ���� �a������� � <br /> �"� � PLUMBINO i <br /> --� <br /> SRE Oi BLD6. NO.OF STORIES B�SEMENT MECHANICAL ' <br /> OCCUP�NCY LO�O FIRE 6PRNN�ERS RE40 MEIONT IIMiT/�.TqN ADDITION�L PLAN CHECK i <br /> � <br /> OTHER ' <br /> REASdI�OX 6VRINKLERS <br /> STATE BUILOINO SUMCHARGE y �S[i <br /> i <br /> INT�MEBY PIANS�PPROVEDBY CITYOFEVERETT PUBIICWURKS i <br /> LOCAL SALES � <br /> � TAX CODE IS 3105 TOT�L S-3/ ; So <br />