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- A"QLICATION FOR�-� � <br /> '°.E"`°'"°� l.0 N ST R U CT 1 O N `�°"" <br /> cm oc <br /> everett PE RM 1� <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 � COMBINATION ❑ BUILDING ❑ MECHANICAI. ❑ PLUMBING ❑ SIGN <br /> OWNER M�ILA�OPE55 CITY 26 PHONE <br /> 'IOMI7AY COIfS'atUCTI01f 437• - 104 Place S.E. Everett 98208 347-0736 <br /> �RCMITECTORDESIGNER MAILRpORE55 CIiY 21P PMONE <br /> GENERAICONTRAGTOR MAILn00RE55 Cltt IIP PIIONE 4CENSE• <br /> 1'0!lJAY CO1fSTRUCTI01f 431 - 104 Plece s.E. Everett 98208 347-0736 'lUMTAC*13208 <br /> MEG4�NIG�L CONTR�CTOfl � ��A�L ADORE55 GIP" ZiP PMONE UCENSE� <br /> :'LLNBf �CONTP�CTOR �uILaDDREiS Qtt .IP PNONE IICENSE• <br /> CUSS OF WOFY, <br /> EI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT l7 BUILDING RELOCATION <br /> V�IUATION OF WORK�COSTOF M�TERIRLS PLUS LApORI <br /> 4a..eo6 s7,444 <br /> DESCRI WORK <br /> ltex Construction <br /> USE OF BUIlOiNG <br /> Residential � HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AR <br /> PLICATION AND KNOW THE SAMETO BETRUEANDCORRECT.ALL <br /> LEGAL�ESCRIPTIONOFPqOPERttISHOWNBELOWOPATT�CHFOURGOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> �oT 1 e�ocK—or S. 60� 01 LOt 2 Fi2'6t Additl0 OFWORKWILLBECOMPLETEDWITFlWHETHERSPECIFIEDHERE- <br /> IN OA NOT.7HE GRANTING OFA PERMITDOES NOTPRESUME TO <br /> GIVE AUTHJRITY TO VIO�ATE Oa CANCEL THE PROVISIONS O� <br /> VC7 Park ae Q! let 1'!C. VOL. OP leL ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> � SIGNATURE F CONTPACTOR OR AUTHORIZED qGENT DATE <br /> e e 1�, recorde of Sno. Co. FA ezcept N. 5 ��Q , !L/ �„�Y / -` 1-30 9 <br /> X !/�C`-,,�d� '-n.c <br /> thereof. Thomee w. Booker <br /> PROJECT�UDRE55 �PPLICANTS CITY pU5iNE55l�CENSE NC <br /> 7521 Rsinier Drivr, Everett, WA 007048 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUflE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AIR COND.UNITS-H,P.EA. <br /> 1 BATMTUB d REFRIGERATION UNITS-H.P.EA. <br /> LAVATORYIWwSH BASIN� BOILERS-H.P.E0. <br /> SHOWER GAS FIRED AC.UNITS-TONNAGE EA <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS-B.T.U. M EA. <br /> DISHWASHER WALL HEATERS-B.T.U. M <br /> LAUNDRVTRAY UNITHEATERS-BT.U. M <br /> CLOTHES WASHER �/ EVAPORATIVE COOLERS <br /> E CLOTHES DRYERS I <br /> URINAL VENTILATION FAN I <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR 11ANDLING UNIT-� C F.M17 ___ � <br /> VACUUM BPEAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINKISERVICE-BAR.ETC.1 Y�OODSiOVE�FIR PLACEINSERT I <br /> � <br /> � <br /> SUB TOTAL SUB TOTAL S I ZQ'�SG <br /> PERMIT 5 PERMIT S I � <br /> TOTAL FEE 3 C(/ TOTAL FEE S I O <br /> THIS PORTION TU BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> JNTS^ETBRC�K PERR SET�ACN SIDE 5[iBACK PLVlCH/ECN NU1.1Bcp /� vLaH�HEGKFEE I ' <br /> .. r-/ A'1 � /�' C�] I�ly/_� F�E a� FECEIPiNO �(yI-/`�O <br /> lTC.% �e �—� VCSJ /C�C.../ <br /> USE20NE lOTP9E%. <br /> VACRNTSRE FEE° VALUPTION I FEE <br /> —I �O ES�O S�/�CvlWl 3 � <br /> TYPEOFCONST. - / OCCUMNf.VGf1pOP NOOFpWfLLINGUNIT4 <br /> � ,~ �� 3 BIIILDING ��, 5 S7 S/ � CJO <br /> 512E OF BLGG. NO OF STORIES MAA OCC.LOAO <br /> �70s I PLL'MBING I I y5l � <br /> A7ECMANIC:d I I <br /> FIRE SPRINKLEFS REOUIRED ❑ YES 'wA0 ^' � <br /> OHtER r <br /> nrrucnnurvncc o�� m.arisa¢c��n�v arrn ronissunN,;em� ����---- � <br /> � TOTAL . --- � / Q �G <br /> �-, --k C...J I <br />