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_ � .� <br /> APPLICATION fOR C4NSTRUCTiQ�I PERMIT � <br /> ' TO BE COMPLETL"•.D IN BLACK INK--PLEASE PRINT <br /> 3UILDING DEPARTMENT HEATINO 8Y67EM: O QAS G ELECTRIQ O <br /> 259•8810 <br /> D DEMOLITION O COMBINATION f� BUILDINQ bMECHANICAL QPLUMBINO ❑ SIGN <br /> �WNfF MAILAUDRF63 GTY ZIP VIIONk <br /> BO�ING fiMPLOYEE S CR. UNiON, PO BX 97050, SEATTLG, WA 98168 206-439-5816 <br /> IfNaHT 1u�L�oDflE88 07TV iW PHON! <br /> IIOEING EMPLOYEE'S CR. UNION, PO BX 97050, SEATTLE WA 98168 206-�'t9 SSih <br /> BRC��rt[C10ROG&KiNC11 1MKADDREBB W1V iu� PHONC <br /> THE CALLIS06 P`SHIP, 1420 Sth Ave., Ii2400, SEATTLii, WA 06- ' '�-'•fi4�+ <br /> CLNe1tALCONTMMCT011 MAILADOp�i9 CITY Z�P iHW!! 61A1kUCENBF� <br /> SDL CORPORATION, P.O. Box 1685, Bellevue. WA 98009 906 nL9 q0�)0 3D-LC-U-231-R-0 <br /> MlGHANICnLCON1NACTON MAIL�DDIIlbB OOY A7 MMONF �IAiFI�CCNSC� <br /> HOLADA'f-PAR65, INC. , P.O. BC;; 69208, SEATTLE WA 98168- 208 �nf � tt q�nn HO-LA-DP-I379N0 <br /> PWAtPWOCONTHACTOR M�u noon68S I�/ CRV 2:P pHOHF BTATFLICCNL'!t � <br /> �L� <br /> f.ONiXACT GRICC OF W�RN . �� <br /> $15Q;6U0.00 � �,J <br /> UCELFIO[WGRK aN0 SOUME FQOTAO[INVMYlD CQNTACI YEq9�N AHD I'NONE NO. <br /> II�STALIATION OF ROOF—TOP PACKAGED VAV SYS. <br /> WI�ILEP EXII. AND DIF'FUSERS AND GRD�S. � � HEREBY CERTIFY TFIAT I HAVE READ AND EXAMINED TH13 <br /> rnoNoseD�sc or eui�birro APPLICATION AND KNOW THE BAME TO BE TRUE AND CORRECT.ALL <br /> CREDIT UNION ppOVISI0N8 OF Ll�WS AND ORDINANCE9 OOVERNING tH13 TYPE OF <br /> �eoo,;pF6CniviioN9F PROVGRTY(6HOWNG[LOWORATTACl/TWOOOPIE6) WORK WILL B[ COMPLETED WITH WHETXER&PECIFIEp HEREIN OR <br /> :oi pIpCK oh NOL THE GRANTINp OF A pERMIT DOC6 NOT PRE$UME TO QIVE <br /> AUTHORITY TO VIO:ATE OR CANCEL THE PROVI610NS Of ANY <br /> pTHER BTATE OR LOCAL LAW REGUUTIN�CONBTRUCTION OR THE <br /> PERPORMANCE OF CONSTRUCTION,THAT I AM AUTHORIZED 6Y THE <br /> OWNER OF THI6 PROPERTY TO P�RFORM TIiE WORK FOR WHICH <br /> OAqCCLTA%I.D.NUMOCII APPLICATION 18 MADE AND I CCMPLY WITH THE BTATE <br /> CO"1TRACTOR9 lAW 18R7 RCW AND 286200 WAC. <br /> CdaSTFl1CT10N LO�N LCNUEP,AD70CS3.TFLCPNONE NUMOCR .. �� <br /> „ CG'��izr<� 91�,j�j� ����/� CJ'� <br /> PROJECT ADDRE68 nuNnwrr R��� � 4a� <br /> 11127 Evergreen 41ay S. , Everett ��rrNMuu��iKCNy�' <br /> PLUMBIM1p MECHANICAi. <br /> N0, TYP6 OF FIXTUR�OR ITEM FEE N0� TYPE OF H�UIPMENT �EE <br /> WATER CLOSE7 TOILET) � 1 AIG••NHNDLp UNIT6-H,P, i <br /> BATHTUB � FORCED AIR 6YBTF.MB-D.T,U. M E..A. � <br /> LAVATORY(WASH 6ASIN) � UNIT HEATFR9-A.T.U. M ; <br /> SHOWER � CLOTHE3 DRYERS � <br /> KITCHEN 61NK d DISP i VENTILA710N FAN � <br /> � DISHWASHER � R/WpE HOOD , <br /> LAUNDRYTflAY ' WATER HEATER r <br /> CLOTHES WASHER � WOOD 6TOV6 , <br /> URINAL � METAL FIREPLACE(WOpD BURNINO � <br /> DRINKIN�FOUNTAIN FIREPLACE IN3ERT � <br /> i <br /> FLOORDRAIN � NEATPUMP , <br /> BACKFLOW pAEVENTER3 � pA$pIPINO � <br /> R RAIN - E e�nhuo� rnir <br /> SINK(SERVICE-OAR,ETC.) � i <br /> i � <br /> � � <br /> � � <br /> i � <br /> SUB TOTAL S � 6UB TO AL S � <br /> PERMIT b i pERM1T'. S <br /> TOTALFEE S � TO7ALFEE S � <br /> FOR OFFICE USE ONLY: <br /> fa0Nf5[iBACK NEApiCTOACK tlIbEBFTNACK IRMICFIFCNNUMBkR FEE pCG[IPINCJ. <br /> ���7� <br /> usetowv LOTAOlA v��µiYeRe lCEB VALUATION FE8 <br /> ' f i Yc& L.I NO RUILOINO ' <br /> irptC�tONSL NO.O�Bi0RIE8 � ypoipwxurpyyp _ ,,_ � <br /> PLUMDINO � <br /> i <br /> 5¢t OF BLDO. hlkE 6PRINNICNg REO'D BABB11iM MECHANIOAL � i <br /> LJ YE8 O NU <br /> Or.[urANCVLOAD FlF[nUnNNEO'D npqHTIJh1RAiloN ADDIT�ONA4PLANCIIFOK ; <br /> R[ASUN Ol NCfI �� <br /> &TATE BUILDINO BURCHAROE � <br /> �M11xKFBY ��yyAD7R�VCDEY CITYOFEVERETT pUDIIC.WORKB � <br /> LOCAL SALE8 ' <br /> n,Tc TAX CODE IS 3706 TOTAL ; <br /> — � <br /> - K <br />