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APPLICAI:TION FOR CONSTRUCTI(:."r� ! ,Ri"��iU �� °" <br /> �, � ,,, r,� TO BE COMPLETED IN INK—PLEASE PRINT I n l <br /> CI7'YOf- � � MA1' 14 1991 <br /> everett � HEATING SYSTEM: ❑GAS ❑ELECTRIC U <br /> BUILDING DEPARTMENT L - r <br /> 259-8810 Oldr. Pcrmit Counter <br /> DEMOLITION COMBINATION BUILDING X MECHANICAL PLUMBING SIGN <br /> O\YN[R I.IAIL�pOR[SS GiY ZIP PbDNE <br /> � � H City af Everett 3002 Wetmore, Everett, WA 98201 259-t;G10 <br /> � <br /> � TENRNT MAILA��RE55 C17V ZiP PMON[ <br /> ,o' p Fire Station Nwnber 4, 5920 Glenwood, Everett, WA 98203 'Ly0-9234 <br /> �RCIIRECTORDES�GN[P MAi�pD�BE55 CIiY ZIP PHON[ <br /> � � x Mithun Parcners 414 Olive Way Ste. 500, Seattle, WA 98101 623-3344 <br /> y ~ G[NfRALLONiPFCi0i1 M/+iLADDNESi GIiV 21P PMONE UCENSE/ <br /> a � o Lumpkin, Inc. IG27 Eastlake Ave. E., Seattle, WA 98102 329-I129 22301LUMPK1292BL <br /> ro y H L�{_C!�ANIC�LCONiRPG10R MAItADORESS CITY ZiP PHON[ UCENSE� <br /> � � � Gmeraid Aire, Inc. 239 S.W. 41st St., Bldg. l I, Renton, WA 98055 251-6676 EMGRAAl155CA <br /> PLU610iNGCONiRALTOR M4ILAODRE55 CIiY 2iP PHONE UGENSE� <br /> O M <br /> A (1 O <br /> ~ � � GLRSSOfWORK <br /> L) • <br /> e y � X NEW �. -. ADDITION � ' ALTERATION I '�. REPAIR '. � DEMOUTION WOODSTOVE/FRPL INSERT � BUILDING RELOCATION <br /> � CONTACi PERSON ANO PMONE NO. <br /> {] y M CONiRACTVR�C1iOF\VORK �V7 795.0� Doug {-lappe ZrJ�-C1C77G <br /> RO N OESCPIBEWOFiR4NO50UAREFOOiAGEMVOWED <br /> � ro r Installation of HVAC system _ <br /> y� � anoaoseouseoFem�owc I HEREBV CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br /> H � y �ire St8C10❑ APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGRL�LSCNPIiONOFPflOPERTVISHONNBEIOWORATTACHFOURLJPIES� PROVISIONSOFLAWgANDORDINANCESGOVERNING?HISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot o�ocK oF NOT. THE GRANTING OF A PERMI? DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS QF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> 2ERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT/C�W 1827 RCW AND 296200 WAC. <br /> SIGNAI�REOf ONT CTOHORAUTNORI OAGENT /OATE; S-I3-9I <br /> L <br /> X �, G�:-.i <br /> aaaecraoonEss 022819 - @me�ald Aire. Inc. <br /> rJ92� Ci�BI1W00(�� CVCfC'(�� WA 98203 FPPIiCANTSCItYDOSL4E55LICEN5EN0.AND0U5iNESSNAME <br /> /�� ' PLUMBING <br /> MECHANICAL <br /> I ��' NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) a 0.C—AiHNOLG UNITS—H.P. _ <br /> 1 BATHTUB FORCED NR SYSTEMS—B.T.U. M E.A. <br /> �� LAVATOR�'fNASH BASIN) 2 UNIT HEATERS—B.T.U. M <br /> !r� SHOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP I VENTILATION FAN ; _ <br /> DISH WASHER RANGE HOOD <br /> '�� LAUNDRV TRAY WATER HEATER <br /> I �I � _ CLOTHES WASHER _ WOOD STOVE <br /> URINAL METAL PIREPL,CE 8 CHIMNEV <br /> DflINKING FOUNTAIN i FIREPLACE INSERT <br /> s � FLOOR ORAIN HEAT PUMP � <br /> i ��, � BACKFLOW PREVENTEflS GAS PIPING ; <br /> � ROOF DRAINS—RAINLEADERS � E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> i <br /> �� ' <br /> i ' <br /> SL1B TOTAL $ SUB TOTAL 3 <br /> �I+= PERMIT 5 PERMIT S <br /> TOTALFEE $ TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FlIONTSEt�ACK REARSETpACN SIDES[IDALH PL�NCMEGNNUMDEF c FEE R[LGIPiNO. <br /> J <br /> USE20NE LOTAREA VACANTSITE FEES VALUATION FEE <br /> �UILDING <br /> i�PEOftONiS.ALIOWABIE 1vPE0iCON5I.ALiOAI occur�x[r Naaowiuintuxrts <br /> cnour pLUM01NG <br /> SIZEOPOLOG NOAF5TORIES BASEMENT M1�ECHANICAL <br /> �� <br /> OCCUPANGVLOAD FIflESPqNKLEPSREO'0 NEIGIQLiMI1FT10N ADDITIONALPLANCHECK i <br /> i <br /> OTHER ' <br /> ❑EASON FOR SPpINNlENS -T <br /> STATE BUILDING SUFCHARGE i <br /> R1IANEOY PI�NS�PFROVE00Y CITYOFEVERETT Pl10LICWORKS � <br /> LOCpL SALES <br /> -�� � TAX COUE IS 3105 TOTAL � � � <br />