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,�,E,��,� NPPLICATION FOK � ���,�„ <br /> °�ry°° CONSTRUCTION 0 <br /> everett PE RM IT <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDIIVG DEPT. <br /> 259•8745 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ON YER MqL ADURE55 CITY ZIP 1`IlOul <br /> Boyden Realty, Inc. 1429 Broadway Everett 98201 252-1166 <br /> ♦RCHiiECiORpFSiGN[R MAIL�DORE55 �iry t�p p���p�� <br /> Carv Parkinson 527 Aledical .Dental 131dg. Everett 98201 252-2153 <br /> GENFRq LONiR�CiOF M��L AOORESS CItY 21P PI�OrvL IICCNtiE• <br /> J 6 D Builders 1429 Broadway Everett 98201 252-1166 2:3-OL <br /> MECH�NIC�ICONTPAGiOq MAIL�DORE55 QiY 2iF PuOu[ liG[NSC• <br /> .innuizz3Jo <br /> PIUMBINGCOMTH�CTOH M�ILIDONE55 Cltt 21P Pr10Nl IIf.EH51.� <br /> flillside Plumbing 13412 - 60th Dr. S.E. Everett 99201 337-2294 <br /> CLASS OF WORN <br /> 0 NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEFT ❑ BUILDING RELOCATION <br /> V�l UAiION Oi WOPN ICOSi 0�MAIERIAlS PLII�UBON� <br /> __�@g—' �/� 000 � <br /> ocscnmewonK <br /> New Single Family Residence - Plan A <br /> us[orounowc <br /> SFR I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED iHIS AP• <br /> PLICATION AND KNOW THE SAME TO LiE TRUE ANDCORRECT.ALL <br /> llG�lDlSf.qiP�iQNOFPBOPERTY1511OWN0ELOWOR�RaL11FO11qLOP1[51 pROVI510NSOFLAWSANDORDINANCESGOVEflNINGTHISTYPF <br /> ior 53eioc�ov Sunridge Div. II OFWOFiKWILLBECOMPLETEDWITIiWI�lETI1ERSPECIFIEDHERE- <br /> IN OR NOT.THE GRANTING OF A PEFMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL TfiE PFiOVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW R[GULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUC�ION. <br /> SIGNRTUREOFCONiRFCTORORFUIII RIlLUy111HI DAIE <br /> c <br /> X �«/� %����� r/rs/�1 <br /> PPOIECt��DRE55 �PPIIC N SCIIYOUSMCSSIIC[NSFNO <br /> 9411 - lst Drive S.E. , Everet[ <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FI%TURE FEE NO. 7VPE OF EOUIPMENT _ FEE <br /> _ �� WATERCLOSET�TOILLp DO AIRCONO. UNITS-I/.P.EA. <br /> � BATHTUB h p�_ qEFRIGEFAiION UNITS=HP_EA _ _ <br /> '� L�VATORYIWASMBASINI Q� BOILERS-N.P EA. __ <br /> � SNOWER �� GAS FIRED AG UNITS-TONNAGE EA <br /> 1 NITCMEN SINK d�ISP. � FORCED AIR SYSTEMS_e T.11. M[a_ _ _ <br /> OISNWASIIEf• Q� WALL ilEniERS_-Oil'_ M __"' _ __'— '-.._ <br /> L�UNDRYTRAY UNITHEATEi;S-�T.LL M <br /> CLOTMESWPiMER 0 EVAPORA7IVECOOL[RS <br /> WATERHEATER 1 CLOi11E5DRYERS_ <br /> � . _ _�� _ _'-_--;/' _S�_. <br /> 7 <br /> URINAL VENTILATION FAN _� O U <br /> ORINKING FOUNTAIN RANGE ki00D � S O <br /> FIOOR DflAIN AIR HANOLING UNIT- C F M <br /> VACl1U410REAKEHS STOVE <br /> ROOF ORAINS-RAINLEAOEF3 METAL FIREPLACE 8 CIIIhINEY _� .>O <br /> SINK�SERVICE_BAR.ETC� � WOOOSTOVE/FIREPLACEINSERT_ __ __ _, <br /> SUBTOTAL JO SOBTOTAL S C/`.^� S� <br /> PEflM1T 3 PEpMIT f <br /> __ _ TOTAL FEE 3 O O O TOTAL FEE__ ._S �.; _ f��. <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> INONISl111.1CN REARS[IO�CK SID[SEIU�GH PIANCII[CNNOMOEfI 1'iP4L11LCMHl <br /> - ���n -- �s/�y;�s� �y� . ,.��,�,-,�,�� <br /> � <br /> USE ZONE LOl nR[� ��1L.t.' -_ -""... ".__ <br /> �J VAC�Ni51TE FEES VnLWTION F�E <br /> ,C _� �5 �H� ------ --� ---- - - <br /> fVPfO�CONSf OCCIIPRILVGOOI�P NOAFDWEIIINGUNrtS <br /> �',�I 7 / __ —_ <br /> ,Y � UUILDING 4 � y�J s(� <br /> SI2[Of lil�G HO Of Si0RIE5 M�X.00C O�0 ---- - � - <br /> /[��Z / � PLUMUING L�O JU <br /> MEGM�NICAL ---- /'7 __ <br /> FIRE SPRINKLERS REOUIRED ❑YES NO -- '- <br /> - f G_ <br /> OiHER <br /> PENALTY <br /> APFI.IGi�ON ACC OY PUNSCHECNEO BY �PPR fONISSUANGf BY --- - -- <br /> � / / ror�� ,�( � OU <br /> � ij Vf� <-� ----- -- �- --- <br /> v <br />