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,ME„ro� -- APPLICATION Ft�R . . . ���,�„ <br /> ��^� CONSTRUCTION n <br /> everett PE RM IT �J <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 ❑ COMBINATIOId � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> UWNER MAILADDRE55 CITV ZIP PMONE <br /> Hoyden P.ealcy, Lnc. 1429 Hroadway Everett, 98201 252-1166 <br /> •RGNu.'CiORDE51pNC11 MAIL�OOP[55 CIIY ZIP P�ION[ <br /> Cary Parkinson 527 Med. Dent. 61dg. Everett 98201 252-2153 <br /> GENCNAICONIPeG10R IUIL�O�PE55 Clrv IIP PIIONE IICENSE• <br /> J 6 ll 6uilders 1429 IIroadway Everett 98201 252-1166 223-01** <br /> MECH�NIG�LGONiReGIOH ���L�DOPE55 CIiY ZiP PHONE UCENSE• <br /> **JDSUI223J0 <br /> �1UM01NOCONIR�GIOR MAIL�OOBESS LIiY )IP PIIONE LICENSI� <br /> Hillside Plwubing 13412 - 60th Drive S.E. Everett 98201 337-2294 <br /> CL�SS Of WORK <br /> � NEW ❑ NDDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDIN6 RELOCATION <br /> VQ WTION OI WORN�COSf Of Mn�LPULS PLUS LABORI <br /> 41,000 <br /> OESCHIBE WOpK <br /> Single Family Residence - • / , . �% <br /> use or euaoiHo <br /> SFR I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATIONAND KNOW THE SAME TO BE TRUEAND CORRECT.ALL <br /> lE6ALDE5GRIPl10NOfPNOPENIVI5110WN0[1OW011�T1�CHfOORGOPIE51 PROVISIONSOFLAWSANDORD�NANCESGOVERNINGTHISTVPE <br /> 36 Sunridge Div. 2 OFWORKWILLBECOMPLETE�WITHWHETHERSPECIFIEDHEHE• <br /> �oi__e�ocK—ar IN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE Ofi CANCEL TNE PROVISIONS OF' <br /> ANVOTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUC?ION. <br /> SIGNATUREOFCONTRACIOROPAU7NORIZED�GGNI U4IE /\ �� <br /> X � <' . � <br /> i - � ' - � _ �. ;�<-•• 1` <br /> PROJECI�pORE55 �PPLIC�NiS QTY BVSINESS LICENSE NO <br /> 9322 - lst Drive S.ti. <br /> PLUMBINO MECHIINICAL <br /> NO. TYPE OF FIl(TUNE FEE NO. TYPE OF EOUIPMENT __ FEE _ <br /> - - W�IENCLOSEIIIUItI_11 '�QQ, AIRCONU.UNIIS-IIItEA. _ _ <br /> / BATHiUB d flEFRIGEHAT10N UNITS-M.P.EA. <br /> ' LAVATORY�WASH BASM� U BOILERS-M.P.EA. <br /> � SMOWEfi GAS FIRED AC.UNITS-TONNAGE EA <br /> / KITCNEN SINK 8 DISP. FORCED AIR SYSTEMS-B.T.U. M EA. <br /> DISNWASHEP WALLHEATEPS-B.T.U. M <br /> LAUNDHYTRAY UNITMEATERS-B.T.U. M <br /> CLOTHES WASNER U EVAPORATIVECOOLERS <br /> WA1ER NEAIER O CLOTHESDRYERS __ S� <br /> URINAL VENTILATION FAN U <br /> OFINKIN�FOUN�AIN _ _� RANGE HOOD _ _ 'V SU <br /> FLOOR DRAIN AIR HAYDLING UNIT- C.F.M. <br /> VACUUM BREANEfiS STOVf: <br /> flOOF ORAINS-RAINLEAOERS METAL FIREPLACE li C111MNEV <br /> SINKISERVICE-BAR,E7C.) _ � �VOODSTOVE/FIREPLACE INSERi �1�U <br /> SUB TOTAL C��a SUB TOTAL f �.� 1� <br /> PEHMIT S PERMIT S <br /> TOTALFEE S O O TOTALFEE f _ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �AONfSEiBACN �F��SG1114CK SIOESEIORCN VLRNCNECKNUMOER {'LeNCNECKfE[ <br /> P�1� l) n /I� /� f rce • neccirrr�o <br /> USE lONE LOI�nU ��//��O� �f'�! <br /> � V�C�NiS�iE FEES WLWTION FEE __ <br /> / O�� ,�iES tlN0 <br /> fYPEOfCON5/. OCCUI'ANCVCpOUI' NOAFpWELLINOUN115 <br /> \r� '� �� � I Oa <br /> OUILUINO S � � �� j U <br /> SIZC Of BL00 NO OG S10f11E5 MAX.00G L0�0 <br /> K3- ir'.-S'L 5•r ` � PLUMBINO � 0 OU <br /> N1 '= • '4 r.l: <br /> MF.CHANIC4L �2 O <br /> FIRE SPRINKLERS REOUIH[D ❑ YLS tl�NO <br /> O111EP <br /> PENALTY <br /> �VPLIC��IONACC 9Y 1'IeN^vGtllLeEOBY �PPq.FORI55UANGEBY <br /> TOTAL a � OU <br /> I-}-til/�1 <br />