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, .. ,.. ,.. _ <br /> �PPLICATION FO�� � <br /> «�"'"' CONSTRUCTION e <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINO DEPT. � <br /> 259�8745 ❑ COMBINATION ❑ BUILDINd ❑ MECHANICAL � PLUMBINO ❑ SION <br /> ��N M�IL�DDRE59 CIIY 21P PMONE <br /> TIMSERLINE 1231 S. Director St. , Seattle, WA 98106 _ <br /> IIRGNIIECTOPDEBIONER M�ILAOURE48 GIT' 21P PHONE <br /> OEMEMIGONTR�CT011 M��LADDRE98 CITY 21P PMONE LICENlF• <br /> MECN�NK'ALCANTMCTn9 M�IL�DDRE88 CITY 21P PMONE LN:ENlE• <br /> ►LUMBINOCONTRIICTOR M�IUDDNE88 Cltt 21P PHONE LIGEN6E� <br /> United lumbin Sld , 328 Paine Field Everett 98204 745�8315 UNITEP148RF <br /> pLAt!Oi WORK <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIq ❑ DEMOLITION ❑ WOODSTOYE/FRPLINSERT ❑ BUILDINO RELOC�TION <br /> V�W�TiOM OF WOIIK ICOBT OF M�TERI�L9 PLl�B U180R� <br /> DEBCPilE WOPK <br /> �lu�«� <br /> u�cor�uuoua I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AR <br /> PLICATION AND KNO W TH E SA�A E TO BE TRUE AND CORRECT.ALl <br /> �Eo�� eAc� �prypFPqOFEPTYI8NOWNBELOWORATT�GNFOURCOVIE81 pROVIStONSOFLAW3ANDORDINANCE3�OVERNINaTH18TYPE <br /> OF WORK NILL BE COMPIETED WITH WHETHER3PECIFIEO MERE- <br /> �or_e�oc�—oF IN OR NOT.THE GRANTING OF A PERM IT DOES NOT PREBUME TO <br /> 61VE AUTHORITY TO VIOLATE OR CANCEL THE PROVI810N3 OF� <br /> ANYOTHER STATEOR LOCAL LAW RE6ULATINQCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. ^'/�/W <br /> SIONATURE OF LONTR�CTOR OP AUTHORIZED AOENT D�TE y oa <br /> X <br /> 2511 Me�lvin Avenue, EVer�tt, WA <br /> ���T�p�BB �PPLIC�NTSCITY BOSINE68 UCENBE NO. <br /> f <br /> Fl.YMNMO ' MECMANICl1l ; <br /> Mp, T'M[OF FIXTUIIE IEE NO. n'K Of EOUIMAEMT �� i <br /> WATERCLOSETTOIIE b FO AIRCOND.UNITB-N.P.EA <br /> MTHNk� .2 0 0 REFRIOEPATION UNITB-H.P.EA i <br /> LAVATOA'� N�AlM l�EI �a C 0 SOILEAB-H.P.E�� <br /> �IIOWER O119 FIRED AG.UN:TS-TONN�OE EA <br /> KITCHEN S�NK�DIBP. O-0 FORCED�IR SVSTEMS-B.T.U. M E�. <br /> D18HWA6M@R .2 _ WALLHE�TERB—B.T.U. M � <br /> UUNDRVTR'�V OOO UNITHEATER9—B.T.U. M _ � <br /> CLOTNEB WII4HER �O EWPORATIVE COOLERS ! <br /> —� CLOTMEe DRVERS <br /> URIN�L VENTILATION f�N <br /> DRINKINO FOUIITAIN RANOE HOO� <br /> FLOOR DNAIN AIR HANDLING UNIT— C.P.M. <br /> V�CUUM BREAKER9 SiOVE <br /> ROOF OMINB—RAINLEADERS METAL FIREPLACE 6 CHIMNE'/ <br /> BINK SERVICE—B�R ETC. WOODSTOVE/F EPL�C iNSEFT <br /> 6U!TOT11L BUB TOTAL • <br /> PERMIT • PEIIMIT � <br /> TOTAL FEE • TOT11L FEE � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FRONT 8ETl�CN RE�R BETB�CK BIOE SETB�CN <br /> P�I1N CHECN NUMBER M�N CNECK FEE <br /> FEE RECEIPTNO. <br /> U8E 20NE �DT�pE� V11C�NT 61TE FEEt VALUATION fEE <br /> pYES ONO <br /> TYPEOFCONSt. OCCUP�NCYGROUP NO.OFOWEL4NOUNITS ' <br /> I <br /> OUILDINO f <br /> BIZEOFBLOO NO.OFSTORIE9 M�%OCC.tO�� <br /> PLUMBINO <br /> MECH�NIC�L � <br /> � <br /> FIRE SPRINKLERS REOUIRED O VES ❑ NO OTHER <br /> PENhLTV � <br /> �PPLIGIITION�CC.BY PLANS CMELKE�9Y �PPR.FOR 159WNCE BY � <br /> TOT�L �I <br /> { <br /> � <br /> � <br />