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'"'PPLICATION FO� <br /> evercM <br /> ���" CONSTRUCTION <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 269•8745 <br /> 0 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAI ❑ PLUMBING ❑SIGN <br /> M�IL�DDRE99 Cltt 21P PNONE ` � <br /> OW1ER E�erett 98201 259-4638 ; <br /> He1p�1 $chultZ 1623 Me le c�n 21P PHONE • I <br /> MGMRiCTOMDElIONER MMLAODRESS <br /> I <br /> OENEMLGONTMCT�p MAIUDOPESS <br /> CITY 21P PHONE LIGENSE• � <br /> Everett 98203 353-7161 EVF�EB�3`Eg1L3 <br /> �Yerett Bldrs. Inc. 5606 E�er reen Wa �TM Z„ pryONE <br /> MECHANICALCONTRACTOfl MAILADORE89 <br /> M�IL�DDFESS <br /> Cltt 21P PNONE LICENSE� <br /> ►LUMlINOCONTMCTap <br /> CL/�BS OF WORK <br /> � NEyy �] ADDITION ❑ ALTERATI. ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT BUILDING RELOCATION <br /> VAL WTION OF WORN�COST OF M�TEN��LS PLUS L�BORI <br /> 4 511.00 <br /> DEOLRIBE WDAK <br /> 14' x 16'6" addition (roug� in only) <br /> veeoFew�oi 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �1G'� PLICATIONANDKNOWTHESAMETOBETRUEANOCORRECT.ALL <br /> LEGIILDEBCNiFT�ONOFPROPEHTY�BHOWNBELOWONATT�CMFOURCOMEW OFWORKWIL�LBE OMPLE EODWITHW ET EHSPECFIEDHTERE <br /> �or�—e�oc��oF IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> • GIVE AUT ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF� <br /> �0,�1-OOl—003-000� ANYOTH STATEORLOCALLAWREOULATINOCONSTRUCTION <br /> OR THE E FORMANCE OF CONSTRUCTION. <br /> SIONATU O CONTRACTOp OR AUTMORI2E0 AOENT D�TE <br /> X /� y/�88 <br /> APPLICANi3 CITY BUSINE55 IGENSE NO. <br /> PROJECT�DORE88 � <br /> 1623 Maple Et�erett, Wa. 98201 <br /> MECHANICAI <br /> M.UM�INO FEE NO. T'PE OF EOUIPMENT FEE <br /> NO. T'VE OF FI%TUPE <br /> AIR COND.UNITS-H.P.EA. <br /> W�TER CLOSET 701LE qEFRIDERATION UNITS-H.P.EA <br /> 9ATHTUB BOILER$-H.P.EA. <br /> . LIIVATORY WA9H BASIN UAS FIRED AC.UNITS-TONNA6E EA <br /> ' BHOWER FOFCEO 111R SVSTEMS-B.T.U. M EA. <br /> KITCMEN BINKB DISP. WALL HEATERS-B.T.U. M <br /> DIBMWASHER UNIT HEAiERS-B.T.U. M <br /> UUNQf Y TRAV EVAPOMTIVE COOLEF9 <br /> CLOTMEB W�SMER CLOTHES DFYERS <br /> WATEH HEATER VENTILATION FAN <br /> URIN�L qpNGE HOOD <br /> ' DRINKINQ FOUNTAIN AIR HANDLIN6 UNIt- C.F.M. <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPL�CE 8 CMIMNEY <br /> ROOF DM�NS-RAINLEADER9 WOODSTOVE/FIREPLACEINSERT <br /> 81NK BEFNICE-BAR ETC. <br /> � <br /> � — <br /> SUBTOTAL s <br /> BUSTOTAL pERMIT � <br /> PERMIT � TOTALFEE f <br /> TOTALfEE � <br /> � THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEI_ <br /> � =N CHECN FEE �� <br /> PL�NGME NNUMBER � qECEIPTNO <br /> i iPONT 9ETBACN / RE�P SETB�' 810E SETB�C% � I ^ ^� FEE <br /> � L�'v � O✓ <br /> � LOT�HEA VALU�T�ON FEE <br /> USE20NE V�C�NT9ITE FEE� <br /> ' `7 /O�� OYES ONO <br /> Ot. (> <br /> TYPEOFCON9T. OLCUPANCYGRO P NO.OFOWEllINOUNITS <br /> � BUILDINO f <br /> 812E OF BLO(1 NO.OF STOPIES MAK OCG.LOAD <br /> PLUMBIN6 <br /> MECH�NICAL <br /> FIRE PRINKLERS HEOUIRED ❑VES ❑ NO OTHER <br /> PEN�LTY <br /> APPIICAiION�CC.BY PLAN9GMECKEDBY �PPR.FOH�S9U�NCEBY TOT�L <br /> . � <br /> � � <br /> � ..."'_'"... . . ��...�: . ::�:�r'..�`•..,��'-L:�.., Ft •.�7i. <br /> .... '__ _.."�--•'...... �.... �...x-. ,_ .-,.T. �-�r-�. :t!'-�c'..�� ' ..t... . . . . . � <br />