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IM ErerprMn `��► P P L I C A T I C; iJ F O��1 <br />�everett CONPF�R�.�'J��TTION <br />evereH <br />� <br />TO BE COMPI.<TED IN BLACK INK— FLEASE PRINT <br />BUILDING DEPT. <br />259•8745 ❑ COMBINATIO�: ❑ BUILDING ❑ MECNANlCAL ❑ PLUMUING ❑ SIGN <br />OWNER M�ILADDPE;d Cltt ZIP PHON6 <br />Steven 6ufE 2814 Lar�in Drive Lberett 982U3 353-3833 <br />nncwreeronocswr+ea iee�i.aooa[ss cm zia r��oe+e <br />GENCRALC0111RACfOR M�IL/•OpRE55 GILY ZIP PNO��E LICEN9E� <br />Gverett [31drs. Inc. 5606 Lbergreen [day Everett 98203 353-7161 LU-LR-L6-*3-11L3 <br />MEGueNIUICONIR>CIOfl MAiLACOf1E55 Gllv ZiP ���ON[ LiCENSE• <br />CWMOIIiGCOHIPAGiOR MAIL�OOBE55 LIiY ZIP PIIONE IICENS[� <br />CU55 OF WORH <br />❑ NEW XK7 A:1DI710N IJ ALTERATION ❑ FEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING F[IOCATION <br />VALUAuO�I Of WO��.IGO51 OF MRiE01AL^a P! US 1R00R� <br />8,542.50 _ <br />o�scniae woaK <br />'LO x 7_2 bedroom addition <br />use ov smiou+c <br />r <br />I HEREBY CERTIFY TNAT I HAVE HE..^ ��ND EXAMW C-D THIS AP• <br />PLICATION AND KNObVTHE SAME TO BE TRUE i�ir'DCfiRRFCL ALL <br />:OPIES� PP,OVISIONSOFLAWSANDORDINANCESGOVERNW3THISTyop <br />� OFWORKWILLBECOMPLF_'ED�VITHWHETHERSPECIFIEGHERE <br />IN OR NOT. THE GRANTING OF A PERMIT DO£S NOT PRESUME TO <br />GIVE AUTH091iY TO VIOLHTE OH CANCGL THE PROVISIONS OF <br />ANY O?HEP, STATE OR LOCAL LAW REGULATING CON5IRUCTION <br />—�- � OR THE PERFORMANCE OF CONSTFUCTION. <br />SIGNA:UflEOFCONTMCY[�iORAUT110(�IZEOAGENT D4iL <br />i'ROJECi�00RE55 <br />2814 L,arlin Drive Everett, Idashington <br />TYPE OF <br />WHTEH CLOSET (TOILETj <br />BATHTUB <br />LFVATORV�WASH BASIN <br />SHOWER <br />KITCHiN SIN'r( 8 DISP. <br />OISHN'ASHER <br />LAUNUfiY TRAY <br />CIOTHES WASHER <br />WATERHEATER <br />fRONI SE1oeCN <br />2 or-• <br />USE ZO ,[ <br />� <br />m�i nr��ivr�.i <br />3�- �I <br />X , � / <br />� 'z i <br />PP4CRI TS � OUS�GE55 LiG[ .SE NO. <br />IECHANICAL <br />NO. TYPE OF EOUIPME� <br />AIR COND. UNIIS—H.P. EA. <br />REfRIGERATICN UNITS—H.P. EA. <br />�DILERS—H.P. EA. <br />GAS FIRED AC. UNITS—TONNAGE <br />Fl1RCFn dIR SYRTFMS—F T ll. M <br />AIfl HANDLING UNIT— <br />THIS PORTIOiV TO BE COMF'LETED BY BUILGING DEPT. PE�iSONNEL <br />APf'LILAI ION �CL. OY <br />��� `� ' <br />ncrurnur.r nunu�• <br />� -3 <br />No. OI 51oNEs <br />�� <br />VACRNT o iP <br />pVES DH0" <br />NO OI I�wl I i <br />ISSUANLE �Y <br />G -G <br />ICNECKN�IM ?R <br />� �W���� <br />FEES <br />evi�oir+a <br />PLUMBIN.G <br />MEGNnNICnL <br />UTHEP <br />PENALTY <br />TOTAL <br />''fr PLAN LIIECN FEE p <br />rEe �D t�3 nccEiPrr�o. 7 ! �OV�/' <br />Q _. <br />VRlU4TI0N FEE <br />�gs4z.sa ��- --- <br />� � <br />3 v� <br />�S SZ� <br />