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APPLICATIC�� FOR CONSTRUCT"�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PIEASE PRINT <br /> HEATING SYSTEM: J GAS J ELECTRIC J <br /> BUILpING DEPARTMENT <br /> [53-8810 <br /> DEMOUTION � COMBINATION X BUILDING MECHANICAL PLUMBING ' SIGN <br /> OWNEP 1AAILhDDRESS CITY ZIP PHONE <br /> Deno, Millikan. Dale & Decker PS,2930 Wetmore Ave Suite 600. Everett 98201 259_2222 <br /> TENFNi MqILA0DNE55 CITV ZIP PMONE <br /> �,�Al✓11Q/ Same <br /> ARCHITEC7 ON DESIGNER MRII RD�FC55 CITV ZIP PNONE <br /> Gary Parkinson. Architects 2812 Colby Ave Everett 98201 252-2153 <br /> GENERAI CONTRACTOH MAIL AODRE55 CITV :JP PHONE SiATE UCENSE� <br /> T..ts—v�vrT C1�j�e/�/ <br /> MECMANI(,ALGONTRAGiOF MAILAODRESS CITV ZIP PHONE STATEUCENSEt <br /> N�A ABING CONTRqC�OR M�IL AODNESS pTV ZIP PNONE STAtC LICENSE t <br /> N/A <br /> f,ONiR�CT PRIGE OF WONK <br /> 65 000 <br /> DESCRI�F WONN AND SOUAPE fOpTPGE INVOLVED CONTAGT PERSON AND PHONC NO <br /> Relocatin existin interior walls new P 'nsor�252-2153 <br /> windows & skylights & new light fixtures. <br /> 4320 SG. FC. i HEREBY CERIIFY THAt I HAVE HEAD AND EXAMINED THIS <br /> �aoroseo use or suanir+c APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> A t torney' s OE E 1Ce PROVISIONS OF LAWS AND OROINAP!CES GOVERNING THIS TVFE OF <br /> i.e�ni.oescaivnorvorrnoPearvisNownee�owoanrucHrwocoaie.>� WOAK WILL BE COMPLETED WITH WHE7HER SPEqFlED HEREIN OR <br /> ��4�S &E7 B��K 8 Z 2 aF P 18 C O E Evere t t, NOT. THE GRANTING OF A PERMIT DOES NOT PtiESUME TO GIVE <br /> �� — AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> �ivis.lon A OTHER STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br /> PERFORMANCE OF CONSTRUCTION.THAT i AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEFTV PERFORM THE WORK FOR WHICH <br /> APPLICATI IS MAJ I COMPIY WITH THE STATE <br /> rnacei inz�o NurneEa CT S L 18. D 296.20�WAC. <br /> 4369-822-0003-0001 ���fff <br /> CON5TRUGTION LOAN IEN�Efl.ADDRESS.TELEPHON[NUMBEN �� �2 <br /> J <br /> PRO.ECT ADDRESS s'6N"""" ���� <br /> 3 GRY NJS�4{551�CI Nti(NO <br /> PIUMBING MECHANICAL <br /> NO. TYPE Of FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) A'�A�HNDLG UNITS—H.P. <br /> BATHTUB i FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M __� <br /> SHOWER CLOTHESDRYERS : <br /> KITCHEN S�NK A DISP VENTILATION FAN � <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAY ' WATER HEATER i_ <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE(WOOD BUHNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT __� <br /> FLOOR DRAIN � HEAT PUMP '_ <br /> GAS PIPING � <br /> B4CKFLOW PREVENTERS _�_ ----- <br /> ROOF DRAINS—RAINLEADERS �XHAUST FAN <br /> SINK�SERVIGE—BAR,ETC.) —— <br /> ; � <br /> ' — ' <br /> 1 <br /> SUB TOTAL $ SUB TOTAL 5 _ <br /> PERMIT $ PERMIT 5 <br /> TOTAL FEE $ TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBRCN FEARSEiBACR SiDESEiBnGN Plai1GHEGMNI'�d9[R FEE <br /> RECEIPTNO <br /> 22�� 30 .� <br /> US[ZONE LOTAREA VAGANTSITE fEES VALU�TION FEE <br /> '�7 VES �� NO BUIL,71N6 (�'✓l� ___��]�'�OO <br /> iMCO'LON57 NOAf-STURIES a:cUvexcr eOmWIF_Vu6uNa5 — <br /> � �°�Z ✓ PLUMl11NG <br /> -ny � �v __ — — <br /> ..Y•IV <br /> SiIEO�BLOG FIRESPRMHLERSREO'0 BASEMENi MF.GF)ANICAL __. <br /> 4�lha hF. T.�. No k ves n No — <br /> ItCCUPRNCV IOAD FlRE ALARN REOD H[IGMT LIMIT�TION �DDI710NAL P�.AN CHECK <br /> Yj�j N� OTH[R <br /> n[nse^i � <br /> S7ATE BUILDING SURCNAFGE <br /> �NTr,nc ev r�aNs naraoveo nv ��n pF EVERETT aueue woRKs ''"" <br /> � LOCAL SALES ���� <br /> oare /0 93 TAX CODE IS 3105 rora� ,> �1 <br />