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�PLICATION FOI� ���rc„ i <br /> «�«"� CONSTRUCTION e . ; <br /> everett PERMIT ' <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> pWNER M111L�ODRE55 GITY ZiP PMONE <br /> Wes Mount 2108 Grand Ave. Everett 98201 252-1942 <br /> �RCMITECTONDE91pNEN M�IL��URE53 Cltt ZiP PNONE <br /> OEHEMLGONTRAGTOR MAIL�ODRE55 Cltt ZIP FMONE 4CENSE• <br /> Eberett Bldrs Inc 5606 EberALeen Way Eberett 98203 353-7161 EVIItEB+�3 11L3 <br /> MECM�NIC�ILONTR�CTOq M�IL�DORE53 Cliv ZIP PNONE UCENSE• <br /> PLIlM81N0 GONTR�GTOR MI11L�DDRESS Cltt ZIP PIIONE I�CENSE• <br /> CLA55 OF WONN <br /> ❑ NEVy ❑ ADDITION I� ALTERATION ❑ PEPAIR ❑ �EMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> WlWT10NOfWORNIC09TOFM�tERULSPW 1A80R1 <br /> 2 122 00 v/�� <br /> OEBCRIBE WON1t � <br /> ' x 12'6" second stor deck <br /> useorsuaou�o I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BETRUEANDCORRECT.ALl <br /> �ea�� E9GN�i7�ONOFPROPERiY1SNOWNBELOWOR�TT�CNFOURCOPIE91 pROVISIONSOFLAWSANDORDINANCESGOVERNINOTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> �or_e�oc�—or � IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> Ptn deeded Cit of E.Yerett Vol 260/65 & less GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> Y ANY OTHER STATE OR LOCAL LAW REGULATINd CONSTRUCTION <br /> OR THE PERFORMAN F CONSTRUCTION. <br /> 2/3 of basgnent which 1S an apt SIONATU OFCONTRA p R UTNORIZEDACENT DATE <br /> 4374-431-028-0005 X c � � <br /> PPOJECTADDRE89 11PFLICA iSC� �BUSIN SSIi N . <br /> 2108 Grand Ave. EWerett, Wa. 98201 <br /> PLUM�INO MECMANICAL <br /> NO. TYVE Of fIRiURE FEE NO. NPE OF EOUIPMENT FEE <br /> WAiER CLOSET TOILE AIR COND.UNItS—M.P.EA. <br /> B�TMTUB REFRIOERATION UNITS—M.P.EA. <br /> LAVATORV WASM BA91N BOILERS—H.P.EA. <br /> SMOWER OA3 FIRED AC.UNITS—iONNAOE EA <br /> KITCMEN SINKB DISv, FORCED AIR 9V9TEM5—B.T.U. M EA. <br /> OISHWASHER WALL HEATERS—B.T.U. M � <br /> UIUNDRVTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WASMER EVAPORATIVECOOLENS <br /> WATER HEATEF CLOTMES ORYERS <br /> UA�NAL VENtILATION FAN <br /> DRINKINO FOUNTAIN RANOE HOOD <br /> FLOOR DRAIN MIR MANOLIN�UNIT-- C.F.M. _ <br /> VACUUM BFEAKERS STOVE <br /> NOOF DMINS—R�INLEADERS MET�L FIFEPLACE 8 CHIMNEV <br /> SINK SERVICE—BAR ETC. WOODSTOVE/FIREPLACE INSER7 <br /> SUB TOTAL SUB TOTAL t _ <br /> PERMIT t PEHMIT • � <br /> _ TOTALFEE { TOTALFEE t I <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL I <br /> 'FRONTSETB�CK RE�RSETB�CK 910ESETB�CI( PL�NCN KNUMBER FEE �L^NREGEPTNO I <br /> 7.0 � Zo ' S� � ' l�g�/ ��S o�`��� <br /> U9E20NE LOTARE� II <br /> r"�_� � ��, VAG�NT S�IT,E FEE! VALU�TION FEE <br /> COYES �,r�. <br /> TYPEOFGONST. OCCUP�NCYGNOUjP NO.OFOWElUNOUNlT9 <br /> JG� � � �� J / BUILDINO f � , I <br /> HKE OF BLUO. NO.Oi STORIES MAz.OCC.LO�D ' <br /> ' Z` ( �� PLUMBING <br /> MECH�NICAL I <br /> FIRE SPRINKLERS REOUIRED ❑YES O I <br /> OTHER i <br /> PENALTV <br /> �PPIIC�TION ACC.BY PL�NS CHECkEU BY APPR,FOR ISSU�NCE BV - <br /> � TOTAL � <br /> c�C� <br /> ._ .�........._._,: .�....�....�..�..._, _ em..�r.w� .. <br /> _'.• ..n..... ��. M..r�.�r........ �, <br /> .....-.._. ...... ... <br />