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, <br /> . �-. , <br /> � �- COP"�TRUCTION <br /> ' � PERMIT APPLICATION ' <br /> COMBINATION • 6UILDING • MECHANICAL • PLUMBING <br /> � VWNEH MAILADOHESS ZIP VHUNE . <br /> David A. Brandvold P.O. Box 3066, Everett, WA 98203 355-1135 <br /> . AIICNITkGi ON OE51(iNER AIL ADDRESS N NE UCENSE NU. � <br /> ���. 6ENERALCONTRI�CTOR MAILADORESS �HONE LICENSENO. I <br /> BR AN DD A2990K I <br /> Same as Owner � ' <br /> � MECNANICIILCONTRACTOP MAILADDRESS � �MONE L�CENSENO. <br /> i <br /> Ever reen State Sheetmetal <br /> � fLUMBING CONTNACTOR . M1111 ADDRESS �NONE � UCENSE N0. � <br /> Ray's Plwnbing . -- ' <br /> �FPMIT CLASSOF WORK � <br /> �COMBINATION <br /> �BUIIOING �PLUMBIN6 g]MtGHANICAL aNEW ❑qDO1T10N ❑ALTEf1AfItIN ❑H��'���� . � <br /> VALUATI9 NOFWORK <br /> /��j ❑OEMOLISH ❑FENCE ❑SIGN ❑::���MM1N(i PaOI <br /> =./T �00 � <br /> DESCHIOE WORK , � ' ' <br /> Conatruct sin le famil residence i <br /> rnwoseo usE OTHER PERMITS OR APPROVAlS ; <br /> Single Pamily residence � RE ZONE $( SPECIAL USE � <br /> `l6AL UkSCRIPT10NOf PROPERTr ISNOW BE�OW OR ATTACH �yARIANCE � SNORLINE I <br /> � � FOYRCOPIE51 Attached o ,g' -F <br /> �or�.�L s�xKB.3oc� 5 E PA CHECK UST RE�UIRED I <br /> `' ; - sOt�Jisios�✓ •,—•• � NO � <br /> ', . � ' <br /> .r. i�: :i . - �, <br /> ,-. <br /> �os woonEss <br /> Pine Street at lOth / o o q �f j,t/E ST� MECHANICAL <br /> '��' •� ' rLUMBINQ - TYPE Of ENENOY �/:A� "__ �ELEC. <br /> . .. ..:�,'`p.-. � N0. TYPEOFEOUIPMENT._._,_ "_ _..� FEE <br /> '. �': : ' - S 1 <br /> � , -- AIPCONO.UN�TS-H.P. EA. �,_t_ _,--,t,—� <br /> � NO. TVPEOFFIXTUREORITEM FEE � RtfRl(iERATIqNUNIfS H.v_En. ___�___,_y <br /> NA1Hil1BS S _ OOILERS N.P. EA. _ __T_ <br /> CLOTHES WASHEH � FORCED AIR SYSTEMS- OJ•U. MEA. _ L <br /> UISH WASHERS — —"---� ---.... -.—" � <br /> ORINKING FOUNTA�N5 I�ACE 5 WALL HEA7ER5 �- 8.T•U. —� � <br /> F1.00H DNA�NS � � <br /> KITCHEN SINK5!�OIS . UNI7 NEnTERS A.T.U. _ ..�r� <br /> IIAH SINKS � EVAFOIIATIVECOOLEAS _^___�_ __._ <br /> NOOF DAA�NS RA�N IEADERS L CLOTNES DRVEPS �_ <br /> $/�nWERBATHS VENTILATIONFAN � I <br /> SERVICE SINKS 1 RANGE HOOD � . <br /> �.:�� SUMPS - 5EWAGE PUMP AIR NANDLING VNIT_'" . _... 0.f_M_..^ _...�_ ' . <br /> '_. ' .... . .. - 1 <br /> ' URINALS � � � <br /> :.� ..._.. . .-_ ' ' _."'_' '_ "'.�� <br /> WATEN ClnS[TS � � WATER _HEATER - _..4._.�� <br /> � WATER HEATEfIS - ELECTRI �� FAC. BUILT FIREPLACE A CNIMNEv C I <br /> .. WASH BASINS f.AS S�STEM: NO O►OU71F.15�,�,rt _ _ T , <br /> LAUNORV TAA �- '-' -- �-� ��,Up TUfnL 5 � <br /> i '—'..__. - .- -_-_' , <br /> � ►ERMIT S �� <br /> 1 -'--�--�---- -_—TOT/1L FEE S `_�RY`�' <br /> SUB TOTAL 7��j�PF.f�M1T OFCOMdS NUI l. nND VOiU 1� Wb��K (�H CONS�RUC <br /> VERMIT S �ION AVIHORIZED S NO7 COMMlNCCO W�T���N 1?0 Ua�S, ON IF <br /> q-- Cf7N5TPUCTION Of1 WOhK 1::SU:��`I"NDED n�� n0/�NDONEO FOF A <br /> � ATEN SERVICE SIZE BLDG.SUPPLV SI2E PE�tOo OF 17O OnvS nT ntiv nme nr rcnwonK �s CON�AF.NCEU. <br /> I I NEqhOr CEnTIFv fNAT I II/�Vt RE/�b AND EXAMINlD TI115 AF . <br /> i RhAR YAHDSliBACKi p���A7�ON AND KNOW THE SAME TO IIE THVE ANU CONHlCL ALL <br /> � /�� /JO� ►qOVI510NS OF IAWS ANO OROW/�NCES GUVEiiNWG T1115 TVPE <br /> j � ��.(� -�i ��� OF WOHK WILL BE COMPLIEO W�iN WHETHEH SPECIFIEO MEREIN <br /> ; �U8[Z(/Nt Wl ANLA V/1CANf SI'k OR NOT, THE 6RANSING OF A PERMIT DOES NOT /RESUME TO <br /> �' ^ � 61VE AUTIIORITY TO VIOLA(E OH CANCEL TI/E PRUV�SIONS OF <br /> �G �5 ❑NO , ANV OTNER STATE OR LOCAI LAW ��EGULATIN(i CONti7f1UCT10N <br /> � OR THE►ERfORMANCE Of CONSiHUCT10N� <br /> TYrE CDN5T. OCCU�ANCY GHOU► NO.OF D�ELLING <br /> ��A� �- 3 uNirs <br /> . � � ' �-f <br /> S12E OF BLDG. NO.O STOPIES MA%.OCG LOAD � ,i , �, �� ld 1, 1� fJ <br /> v <br /> ,� SIGN/1TUNEOFCONTRA TO OPAUT/1.AGENT DATE � <br /> IN�N� IIA:'F ��kM1� i1Rk5PNINKlC1/S LA 11 CKNUMBEfI PIANCIIlCKFEt � <br /> RCOUINEI) <br /> %�� ❑YES �0 /� f kC f1ECE1PT Nt�. <br /> S�kC1AL CONOITIONS: ` �� '�G� . _. .. <br /> 7Y� / - <br /> y�FEE4 VALUATION __FF.E � <br /> `T <br /> - � <br /> ------•-- � eui�oiNa s4�._, _ /"l1i O O <br /> � •wMmNa <br /> SEPA REVIEW COMPLETE � ❑YES ❑ N� -��- �•--••- , ��p� <br /> COI1�OC� PIOOOIOQ dlP�. MECIIANICAI . , �.�.., <br /> � <br /> O�MCR � <br />