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;-.PPLICATION f0�. �,�,�„ <br /> '"'`"'°'"° CONSTRUCTION 0 <br /> un os <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259�BBi0 TO BE COMPLETED iN INK - PLEASE PRINT <br /> G OEMOLITION O COMBINATION kl BUILD�NG ❑ MECHANICAL � PLUMBING ❑ SIGN <br /> NNtA � M�Il41DAE55 GiV Z�� PNONC <br /> I�nih £ ICare�� �ef�rs�a2 �o�f- l�n�P.l��� Q8�1 20�-z5z--qoeg <br /> .nc��r�c*oAoiscaen M•�i•ooarss cm zm oHorv� <br /> �1me aS ctl,��Je� - <br /> GlMER�t�ON1FIC�OA MAIL�AOAISS C�N ZI� 01�OHC I�CE ISE• <br /> bIR. BUILfl fUi.CP,i.ams Corw�. &9z9 4th PQ. S.L-. Evehett 98208 743-1925 MRB(lIwC142JJ <br /> MCCN�4�C�1 CONiR�Cfpq M��L��DACSS Lltt SIP FHONE LICCIISE• <br /> PWMpiNs[ONtN�G�O� Mu1.���AC55 OfY ZiP PHONE LK[b5[• <br /> Ace Se�ven £ Dnu,iw CCea�unq 16907-20.th (d. , L«muvood 98037 _ 143-9559 KURFMG231LT <br /> n.ss or won. <br /> ❑ NEW Q AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOl1TION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> Nl WTION O�WCAK�COST O�MAiCNULS�LUS V flOAI <br /> $19, 156.00 <br /> DFSCA�BF w'OAK <br /> Ez.tend exi.bfii.ng din�nq ahea and ad�t � ba,tivcoom <br /> usc or euao�wc i HEFEBV CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP� <br /> Sun rtoo6 - '� ba.tluoom PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> im.iocsc:n�ononorvnr.ncarv�snowr+ee�owon.n�c�vouAtoo,csi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> OOO-D-OO LL'Q�.011 PNtIi D-CV. Y OFWORKWILLBECOMPLETEDWITHWHETNERSPECIFIEDMERE- <br /> io�39 e�oc�_or INORNOT.7HEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOMS OF <br /> ANYOTHER STATEOR L'JCAL LAW FEGULATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUC7i��N. . <br /> SiGN�T FE Of GONTP�CTOR OA�UTHOR12E0�GENT GeIE <br /> Xly.r�i'.Q�s(�� ,�,�w.�„� I�-/9'-�� <br /> ppOJECi�D�AESS ACPi.ILANTS Cltv BUSmE55 UCE NSE NO <br /> �oa wa�v�,e n�e r�ehe�t fUa. 9&201 <br /> �LUMSING MECMANICAL <br /> Wp, TYPE OF flIRURE OII ITEM FEE NO. T'PE OF EOUIPMENT �E <br /> � WIITER CLOSET�TOILET� A/C—�/MNDLG UNITS—M P <br /> BATMNB REFRIGERAiIDN UNITS—H P.EA. <br /> � UVATOPY�W�SM B�SIN� � BOILERS—BS.0/N P. <br /> SHOwEA GAS FIRED A.C.UNITS—O.T.U. <br /> KITCMEN SINR 6 DISV. FORCED AIR SYSTEMS—BS.U. M EA. <br /> D�SHW�SHEN WALLHEATERS-8T.11. M <br /> UUNDRY TR�Y UNIT MEATEPS—B.T.LL M <br /> CLOTMES W�SHEA EV�POAATIVECOOLEHS <br /> URIN�L CLOTHESDRYERS <br /> OPINKING FOUNTAIN VENTILATION FAN <br /> FLOON�NAIN NANGE HO00 <br /> BACKFLOW 7FEVENTERS WATER NEATER _ <br /> ROOF DR��NS—NA�NLEAOEPS WOOD STOVE <br /> SINN�SERVICE—BAF.EiC 1 MEfAL FIREPUCE 8 CHIMNEY <br /> fIREPLACEINSERT <br /> I HEAT PUMP <br /> _� GAS PIPING <br /> .J � <br /> I F%MAUSTF�N ,_ <br /> 5UlTOTAL f SUlTOTAI � <br /> PEpMIT f PENMIT <br /> T0T111 FEE S � TOT�L FEE L <br /> vt.pn CNECK NUAIOER FEE C) PECEIP7 NO <br /> �AONLSE*� / AE�RSEtBAC/ SiD�TB/�N � /� ��� I � 5 ' ' /J J� I <br /> � � .""(�S./�S� � <br /> 1 <br /> us[z� �cr�a[� vac.nrsrtE FEES VAWATION FEE <br /> � ' ❑rEs �+o S l <br /> BUILC�Nii <br /> TYPEO�CONSi OCCUP�NCYGFOUP NOOfDWFLLINGUN115 <br /> ,�� , 3 � PLUMBING <br /> � <br /> 54E O�eLDG HO OF 90A�E5 M�x OCC Lo�o MECHANICAL <br /> .�,2 / � � <br /> OTMER <br /> FIRE SPRiNNLERS REOUIRED ❑�ES 9�N0 STATE BUILDiNG SURCHARGE � <br /> STATEENER(iYSUPCHARGE <br /> a�r�i�rch0'i�C.^, 9. >L<NSCHEc�EDer aooq fGni55u�NLE9r pUBLICWORNS y� <br /> � TOTAL / ` <br /> G�c>"� <br /> ��J �L,� � , <br /> PROPEFN OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br /> PROPERTV LINE LOCATIONS ANO FELATED EASEMENTS. <br />