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APPLICATIO. � FOR CONSTRUCT►.IN PERMIT evere1t <br /> ��E ro��� TO BE COMPIETED IN INK—PLEASE PRINT � <br /> pTV OF <br /> �� � everett HEATING SYSTEM: ❑GAS �ELECTRIC ❑ � <br /> BUILDING DEPARTMENT <br /> y 259-8810 <br /> ;y y w ❑ DEMOLITION iJ COMBINATION KX: BUILDING ❑MECHANICAL !_ PLUMBING Li�SIGN <br /> r� OWNER M11�00HE5S GITY SIP PIIONE <br /> ��� The 8oeina Comoanv P 0 Box 3707,�LS�H24 Seaiilr qat�a ��n� aa� na�i <br /> � TEN�NT M��L�DDAE55 Ci�V 21a PHONE <br /> ��� Owner <br /> ♦RCHREGTORpE510NER MMLADDAE55 LiiY EiP P�ON! <br /> �� CDA, 4230 - 198th St. , SW, Lynnwood, 98036 272-2300 <br /> O � GEHERALCONTR�C1pR MAL�DONE55 GIiV S�P P�E I�CEHSE• <br /> f� <br /> O�fNM <br /> r� z MELHANiCµLp1LRAC10R M�R/�D�RE55 CITY ZiF P�E LIGEHSE <br /> 1^� N <br /> �Y (� <br /> ��.y AUM8INOGONTR�GTOR M�IL�DDRESS CITY ZiP PMONE IK.ENSE� <br /> H <br /> H cuss a wonK <br /> g y H J(X' NEW I.� ADDITION :] 4LTERATION ..l REPAIR - �� DFMOLITION �.�.�. WOODSTOVE/FRPL INSERT � BUILDINCa RELOCATION <br /> �rJ V! _ CONI,ICT PERSON�ND PMONE NO <br /> a� CONTP�CTPNiCEOFWOBMEOJF� ESL � 'pao Leonard Astemborski 266-3563 <br /> DESCRiEE WONN�NO SOUAPE FOOT�6E INVOIVED '• <br /> � y MovE rePrrr.E'2 s`py '�,S 4' % ? -- — <br /> PROPOSEDUSEOFBUM1DMl6 I HEREBV CERTIFV THAT I HAVE REAO AND E%AMINED THIS <br /> Test Equipment for Aircraft engine work APPLICATIONANDKNOWTHESAMETO�ETRUEANDCOHRF.CT.ALL <br /> lEO�I OESGRiPT10NOFP110VERTYI5NOW11 BEIOW OR�tT�CNFJURCOPiEB� PROVISIONS OF LAWS AND ORDINANCES GOVERNINO 7HIS TVPF OF <br /> WORK WILL BE COMPIEiED WITH WHETHER SPECIFIED HEREIN 7R <br /> �or e�ax o� ___ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVe <br /> AUTHORIT� TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGUUTINQ CONSTRU(:TION OR THE <br /> PERFORMANCE Of CONSTRUCTION THAT I AM AUTHpRIZED BV THE <br /> OWNER OF THIS PFOPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW iB.27 RCW AND 29620G WAC. <br /> SIONRUAEO�Cd1IN�CiOROR�UTNORIZEp�OENT D�TE <br /> X� ���i��� . �Z/��U <br /> VRqIECTMORE55 ur v .-...,.•� <br /> 3003 W. Casino Rd. , Everett �PR��HTSC�TVBUS�NESSLICENSENUMlOBUSINESSN�ME <br /> ' ' PLUMOIN6 MECMANICAL <br /> ` ' NO. TVPE OF FIXTURE OH REM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CIOSET(TOILET) A�C—NHNDLG UNITS—H.P. <br /> '�' BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> '_f _ SHOWER CLOTIIESDRVERS <br /> NITCHEN SINH 8 DISP VENTILATION FAN <br /> ��1 DI�HWASHER RANGE HOOD <br /> LAUNDRVTRRV WATER HEATER <br /> ' f GLOTMFS WASHEH WOOD STOVE <br /> � METAL FIHEPLACE 6 CHIMNEV <br /> UFINAL <br /> � DRINNING FOUNTAIN FIREPLACE INSERT <br /> '�� FLOOR DAAIN HEAT PUMP — <br /> � BACKFLOW PREVENTERS _ GAS PIPING _ <br /> ROOF DRAINS—RAINLEAOEFS EY,HAUST FAN <br /> '_1 SINK(SEFVICE—BAR,ETC.) <br /> ' <br /> '�' SUBTOTAL S SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> FOR OFFICE USE ONLY: `�/ :� G � 7,-� <br /> fRONTSEiB�CN RE�R6ETBALK SiDESETB�LY. PI�NCNE N�M9ER FEE �__ AECEiFTNO <br /> � _ _ <br /> usc2or�E �ot�aee V�C�NTSRE EES VALURTION PEE <br /> BUILUING � j � �Cd <br /> �vVEOiCONfSAIIOW�EIE iYPEOiCOH5i�C1U4 MCuwwCv M�pCw1u��WW�rf - <br /> awr PLI➢/rlNi. <br /> 5�2EOFBlDO NOOfSTORiES B�SEMEHt �E����NIC�L ' <br /> 1_ <br /> OCCUP�HGYl0�0 �IRES�qNNLEPSREOD NEIGhTUMiGt10N A�7ITIONALPUNCHECN <br /> 1 <br /> OTNEH <br /> RE�SON fOR SPRINNLFRS -- -� <br /> STFTE BUILDING SUFCHARGE c � S ti , <br /> MIANEBY Pl�NSAPPROVEOBY CITYOFEVERETT Pl1BLICWORN$ I <br /> LDCAL SALES <br /> TAX COOE IS 3105 *oT�� ?,� ; 5� <br />