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APPLICATI�I FOR CONSTRUCT�.�N PERMIT evereit <br /> � �E��� 70 BE COMPLETED IN INK—PLEASE PRINT � <br /> cirr oF r <br /> � evere�t HEATING SYSTEM: ❑GAS �ELECTRIC q '�' <br /> BUILDING DEPARTMENT — � �i <br /> F 259•8810 c:ii <br /> {i ❑ DEMOUl10N ❑ COMBINATION KX] BUILDING G MECHANICAL ❑ PLUMBING ❑ 'SIGM ' `.''�� <br /> t OMMER ,.uILMDNE68 CIT' iIP P110NE - y, <br /> ` The Boeina Lomoany. P 0 eox 3707, Ms nH-�a, SPe�YY�P� aa��a_��m aa�_ng71 '� <br /> ' TENANf AU4�MIRESS CITV 21P PIIONE . <br /> � Owner ,�''� <br /> , <br /> � �RCIIITECtOR0E8qNER /MILAODRE88 CITY ZIP PMONE � �.j`� <br /> � <br /> CDA, 4230 - 198th St. , SW, Lynnwood, 98036 272-2300 ' <br /> OENFMLCONiMCTdI MIULADONE53 CITY ZIP PNONE LILENSEI � ° .. <br /> . p T <br /> MECNANICALCONiMCTOR M�IL MORE68 CITY ZIP P110NE LICEhSE I , ?',:''z <br /> PLIMlMOCONiR�GTON M�RADORE69 CT' SIP PIIONE LICENSE• <br /> •i� <br /> IXA980F YIJ11K r� <br /> # <br /> J(JQ NEW ❑ ADDITION ❑ ALTERATION Ll REPAIR ❑ DEMOUTION � WOODSTOVFJFRPL INSERT O BUILOINO RELOCATION * ; <br /> CONT�Ci PER90N AND P110NE HO .:;f,,y� <br /> ca,r,Uc,rn,c�o�wo�Engr Est '� �3 0o Leonard Astemborski 2 6-3 63 ;::t` <br /> oeecn�vronc uro sa:�ne root�oe nrvaveo ',,� <br /> wusytioYwotc Crew shelters �c,p�. s»23 _ .;a <br /> rnovol�ouseoFeutio�+o I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> Test E U� ment for Alrcraft en ine work APPLICATIONANDKNOWTHESAMEfOBETRUEANDCORRECT.ALL s <br /> LEfiALpE$CRIPTqNOFPPOPERTY�5NOW11BELOWORATUGHFp1RGOPIE9) PROVISIONSOFLAWSANDORDINAMCESOOVERNINOTHI5TVPEOF y� <br /> WORK WILL BE COMPLETED WITH\JHETHER SPECIFIED HEREIN OR ;r.f� <br /> �m °LOG" °F NOT. THE GRANTINO OF A PERMIT OOES NOT PRESUME TO dIVE � <br /> AUTHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW HEOULATINQ CONSTHUCTION OR THE <br />' � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE �. �,..�� <br />��I OWNER OF THIS PROPERTV TO PERFORM THE WORK FOH WHICH � <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE -,t,y.? <br /> ICONTRACTORS LAW 1827 RCW ANO 296.".00 WAC. „ <br /> I BNNUNREOFCONiRACTOROq�UTNOR12ED110ENT UATE <br /> I � <br /> PHO.IECTAOORE89 � ���'� ������ ������ <br /> iI �PP�ICANTg CI f��BU51NE99 LICENSE NO.M!D BUSINEBS NM1E :�`! <br /> 3003 W. Casino Rd. , Everett <: <br /> PLUMlINfi MECHANICAL �.�� <br /> N0, TYPE OF FlIfTUAE OR ITEM FEE N0. TYPE OF F.OUIPMENT FEE <br /> WATER CLOSET(TOILET) � AIC�AlHNDLQ UNITS—H.P. r � � <br />. B ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' - S'�� <br /> BATHTU <br />� LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � � � ��4k <br /> SHOWER � � CLOTHES DRYERS � <br />���� KITCHEN SINK 6 DISP ; VENTIIATION FAN ; <br /> DISHWASHER RANGEHOOD � �� <br /> LAUNDRY TRAV WATER HEATER �, <br />' CLOTHES WASMER � WOODSTOVE � j <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV � �'�.. <br /> ORINKINO FOUNTAIN � FIREPLACE INSERT ; j <br /> FLOOR DRAIN � HEAT PUMP � I <br /> BACKFLOW PREVENTERS ; 6AS PIPINO ' I <br /> ROOF DRAINS—RAINLEADERS �— EXHAUST FAN �- I <br />�� SINK(&ERVICE—BAR,ETC.) ; ' , <br /> � <br /> � � <br /> L �-- <br /> � � <br />� — <br />� � i <br /> � _ � <br /> � <br /> SUB TOTAL S ; � SUB TOTAL S ' <br /> PERMIT S PERMIT S � <br /> TOTAL FEE S ' TOTAL FEE S � <br /> FOR OFFICE USE ONLY: •��,r <br /> FRONT6ETB�CK REIIR6ETBACN S�DE6ETB�CR PUNGN NNUMBER FEE �_ REGEIPTNO. <br /> iiseiorie �O7AREA V�C�NTSITE ES VALUATION FEE <br />� � BUILOINO ' � — <br /> _;oo <br /> TYPFOICONTSAIIOWMIF rn[atoxstAtrua oau..xc. wnanumcwn ,. <br /> 4°0� � PLUMBINQ � <br /> BIZEOFBLDO. NO.OF6TORIES BASEMENT MECHANICAL � <br /> i <br /> OGCUPMICYIWD FIRESPRNRLERSREO'D NEqMTL1AlIiAT10N ADDITION�LPLANCHECK i <br /> i' � <br /> OTHER ' <br /> RE�SONFOR6PRINRLEN3 � <br /> � STAiE BUILDINQ SUHCHARGE i � <br /> INTAItEBV PIANS�PPROVEDBY CITYOFEVERE�T PUBIICWORNS � <br /> LOCAL SALES � <br /> TAX CODE IS 3105 rora /S7 ; S� <br />