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AF'PLICATION FOr� <br /> '°'E""°""° CONSTRUCTlO �J `�`�`�"' <br /> CI1Y OF <br /> everett PERMIT <br /> TO QE COMPLETE�IN BLACK INK- PI.EASE PRINT <br /> BUILDING DEPT. ,_./ <br /> 259•6745 �] COMBINATION L't� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNCH MAILADORE59 cm zir p110N1 <br /> 6oyden Realty , Inc. 1.429 Broadwnv rverect 9R201 95p-� 7f,6 <br /> nr�ewreerono•smHen mai��ooness em nr viwim <br /> Gary I'arkinson 527 �fedical Dental llldg. �verett 98201 252-2153 <br /> GENEH�ICONIRI]iOR MAIL�pDRESS GIIY ZIP PIION[ LICCNS[� <br /> J 6 D Duilders 1429 Droad�aay F.verett 98201 252-1166 223-01 <br /> MECI4NICeL CONIOFCTOq MAIL 4ppqE55 Gltt ZIP p110N[ L6CH5[♦ <br /> �nnuizz3Jo <br /> PlUM91NGCONiR4CTOP �UIIADDFE55 CIIY 21P PIIONC IICC��Sf• <br /> Hilleide P1umUing ]3412-60Ch Dr. , S.E. F.verett 98201 337-229G <br /> � cussovwonn <br /> � NCW ❑ ADOITION ❑ ALTERA710N ❑ FEPAIR ❑ OEMOLITION ❑ WOODSTOVE/PRPL.INSERT ❑ BUILUING RELOCATION <br /> �V�lU�iION OF WOPN�LOSi OF I.IAIEPIFlS PLUS lApOli) <br /> �'l�U�� C <br /> .OESCRiBE NORR ' <br /> Single Famil.v Residence - New - Plan A � <br /> m <br /> USE OF ItWLDiNG •• <br /> SFR I HEREBY CERTIFY THAT I HAVE READ AND E%AMIIJED THIS AP� <br /> PLICATION AND KNOW THE SAIdE TO BE TFUE AND CORRECT.ALL <br /> L[O�lDESCPIPiIONOFVROPERiY�5110W�.B[l�1YOR�TTACHf01111COPIE51 pROVISIONSOFLAWSANDORDINANCESGOVERNING7HISTYPE '{ '� <br /> 47 �unrid e 1)iv. II OFWORKWILLBECOMPLETEDWIThWHETIIERSPECIFIEC 1EfiE• .. -{ <br /> ,lGI�BIOC�OF INORNOT.ThIEGRANTINGOFAPERMITDOESNOTPRESUMETO '�'m <br /> � � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS QK v <br /> _ ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCiION m o <br /> � OR THE PERFORMANCE OF CONSTRUCTION. c; <br /> 4 $IGhATUFE OF CONTRnCiOR OR TIIORI.!D GENf DAi[,S//� �C <br /> _ � � O 3 <br /> �u0t . �� J m <br /> X , � � <br /> _ _� <br /> � m <br /> PP�JCCT�O�RFSS APPLI ViSLiiY0u5iNE55liCEN C ,p � <br /> ')409 - 2nd Dr. , S.k:. , tiverett a -+ <br /> r = <br /> ALUMBI:IG MECHANICAL � `+ <br /> —{N <br /> NO. TYPE OF FI%TURE FEE NO TYPE OF EOUIPMENI' F°E K <br /> _ -n <br /> WATEPCLOSET�TOLLEi) .J AIRCOND. IINITS-HP.EA TD <br /> DATHTU� _ D REFFIGERATION UNITS-M.P.E0. _ � m <br /> / LAVATORY�WASH BPSIN� O BOILERS-M P.EA. _ <br /> - -- — m�. <br /> SHOWER GAS FlRED A.C. UNITS-TONNAGE EA t/� <br /> _�__ KRCM[NSINKBDISP. _ � 0 'J FORCEDAIRSYSTEMS-6.T.U. MEA _ Or <br /> 015/11YASMLfi WALL HEATERS-�T.U. M n m <br /> "_"..—. . C l/i <br /> IAUNDRYTRAY UNI7HEATERS-B7A. M _ m N <br /> � LLOTHES\YASHER LO EVAPORATIVE COOLEPS � �r <br /> WATERNEATER '�OD CLOTHESDPVERS _ _.�_ D • D <br /> � UPINAL _'� VENTILATIONFAN _QO_ .'9 <br /> _ ORINKING FOUNTAIN RANGE NOOD _� ��D � <br /> F1.00R ORAIN AIR HANDLING UNIT- C.F.M. _ <br /> D <br /> VACUUId OREAHEHS STOVE , <br /> ROOP DHAINS-flAINLERDERS METAL FIREPLACE d CHIMNEY '"� <br /> __ _ <br /> SINK(SERVICE-BAR.ETC. _ _ �':OODSTOVE/FIREPLACE INSERT ` S�_ <br /> __ � <br /> G <br /> — y <br /> —_-- __ � <br /> - m <br /> SOB TOTAL O OJ SUB OTAL S __�L .ia <br /> PEflM1T S PENMIT S <br /> _ TOTAL FEE S 0 0 TOTAL FEE S � �_ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fp011f5Ei9ACK REARSEiB4CH SIpESCiBACR PIANCMCCMNIIMBER PIANCnEf,NfEE <br /> P n �/ /��6� F[E L� . Ric[iriNn <br /> USE ZOHE LOT�PEA � /���G� -- <br /> _ � VnC�NT511E FEES —� V�LII�iION fEE _ <br /> p[yE5 L'NO <br /> IYPEOFCOt�Si OCCUPaNCYGR011P NOOF(1WELLiNGl1NIi5 <br /> V- N R,3 I e,,,�o,N� : �} o <br /> s¢coro�oc uoovsto�aes Mex.oce.iono c`-�- -� - <br /> loy� �� � I PLUMBING � JO <br /> MECHANICRI .� Z y(� <br /> FIHE SPFINHLERS REOUIREO ❑VES O <br /> -- OTIIER <br /> PENNLTY <br /> MPLIGAiIONACCtlT Pl<NSCMELNE�DY 4PPPFOBISSU�NCEOV -- --- <br /> TOTAL �s OO <br /> �. �3 I h�,y�� . � c - -- <br />