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N►PPLICATIO�N FOk- <br /> p`�"`"" CONSTRUCTION ��� <br /> everett PERMIT <br /> TO BL COMPLETED IN BLACK INK— Pl rABE PRINT <br /> BUILDIN6 DEPT. <br /> 259•8745 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMB�NG ❑ SIGN <br /> pWNER M�ILRDOBESS CITY ZIP VNONE <br /> Boyden Realty, lnc. 1429 Broadway Everett 98201 252-1166 <br /> •11CIIIIfGTON0E510NER M�Il�00f1[SS cirv zm v��one <br /> Gary F'arkinson 527 Medical llental ➢ldg. Everett 98201 252-2153 <br /> aENJ�6c D�Bufilders M� 14295Broadway Lverett 98201 v�252-1166 223E OL <br /> MELN�NICIILCONin�C10N MML�OORE54 Cltt Zlv VNONE LICENSE• <br /> JllBUI223.I0 <br /> VIUMqINOCONiP�f.�OR MML�DOOESS LIIY 21P G110NF LICEN9E• <br /> Wl�lte Coast Plumbing 119 Avenue A Snohomieh 98290 568-6155 <br /> r,i�ss or vronK <br /> E� NEN� ❑ ADDITION ❑ ALiERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEHT ❑ BUILDINO RELOCRTION <br /> W1LU�IION OF WONN(CO51 OF M�iERUl9 PLOS L�B�M <br /> OESCNpEWORR <br /> New Sin�le Family Residence - Plan � <br /> usc or nwion+a <br /> SFR I HEREBY CERTIFY TI1AT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT.ALL <br /> IEO�L0E5CNIPIIONOFPNOPERtY�SNOWNPEIOWOR�tt�G11fOUNCOP�ES) PROVISIONSOFLAWSAND�RDINANCESGOVERNINOTHISTYPE <br /> 76 Sunridge Div. III OFWORKWILLBECOMPLETEDWITHWHETFiEqSPECIFIEDNERE• <br /> ioi_eioc�—ov IN OR NOT.THE GiiANTING OF A PERMITDOES NOT PRESUME TO <br /> GIVE AUiHORITY TO VIOLATE OR CANCEL iHE PROVISIONS O� <br /> ANY OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCiION <br /> OR THE PERFORMANCE OF CONSTHUCTION. r <br /> SI�N�TURE Oi CONi iOR OR HORI D AOENT ORE '/Af// � <br /> � //_ <br /> 9232 - ls[ Dr. , S.L. , Gverett X �',(� 1 �O <br /> VROJEGIAOUIIESS �P�UC NTSCIIYBOSiNE594CEN5EN0. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%iUNE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn A�i7 COND.UNIiS—H.P.EA � <br /> OATHIUB REFRIOERAiION UNIiS—H.P.EA. <br /> LAVAIORY�WRSN BASIW BOILERS—H,p,EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAOE EA <br /> NIiCNEN SINN 8 DIiP. FOHCEO AIR SYSTEMS—B.T.U. M EA. <br /> UISHWASHER WALLHEATENS—B.T.U. M <br /> LAUN�RYTRAY UNITHEAiEPS—B.T.U. M <br /> ClO7HES WASIIEI� EVAPOHATIVE COOLERS <br /> WAfERHEATER CLOINESDRYERS <br /> URINAL VENiILAiION FAN <br /> DRINKING FOUNTAIN RANGE k100D <br /> FLOOR Df1AIN AIR HANOLM�UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—RAINLEAOERS METAL FIREPLACE 8 CIIIMNEV <br /> SINK SERVICE—BAR,EIC.) _ __ N�OOOSTOVE/FIPEPL�CE INSERi <br /> SUOTOT�L SUBiOTAL 3 <br /> PERMIT y --— PERMIT ! <br /> TOTALFEE S TOTALFEE t <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fOONI5EIB�CK �E��S[lO�CN SIOESEIO�CK PL�NGIIEGNNUMBEII PL�HC��ECNiEE <br /> g4/IGISS �Arn' fEE �"� �EGEIAlNO <br /> USE20NE tOtnpL� y�C<NtSitE VALU�TION FFE <br /> FEES <br /> ❑YCF pN0 —� <br /> �VPEOlLONST. O�CUPANGYGIIOUP NOAFUWELLINOUNII9 <br /> OUILOINO s <br /> SRE Of OL00 ��G Of 510111ES M�%OGG LO�O — <br /> PLUMOIN6 <br /> MECIIANICAL <br /> FIRE SPRINKLEiiS fiEOUIRED ❑YES ❑NO <br /> 011lEfi <br /> P[N4LTY <br /> •PPLiC�LON�CC.BY FL�NSCI�[CflED BY �PPR.fOf11S5U11NLE BY �� <br /> 70TAL <br />