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�;PPLICATION FO.�� ��� <br /> «`�"� CONSTRUCTION <br /> everett PERMIT e <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITIQN ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑81ON <br /> �HEq MMl�D09ESS L11Y 21P PNONE <br /> Robert Redline 221 Skvline Drive Everett 98201 252-2281 <br /> �qCNIfEGI OR OESIONER M�IL�DORCSS C t IIP PIIONE <br /> OENER�LGONiRLC10R 1AML�UONESS C�iV 2iP PNONE Uf,ENSE� <br /> EVerett Bldrs. Inc. 5606 EWer reen Wa EWerett 98203 353-7161 EVfREB*301PEi <br /> MELM�NIULCONIR�CTOq MML�DOAE55 CIfY ZIP PNONE UCENSE� <br /> KUMlINOCONIRALIO� M�IL�DDRESS G1Y 21P PIIONE UCENSE• <br /> i <br /> Q11S!Of WOBN <br /> ❑ NEW ❑ ADDITION � Al1ERAilON ❑ REPAIR ❑ DEMOLITION ❑ WODOSTOVE/FRPL.INSERi BUILDING RELOCATION <br /> VKU�TIOH O�WOAN�COSI O�M�IEA��lS�LUS L�AOPI i <br /> 2267.00 <br /> o¢ecn�se woa• i <br /> Tear off and rerooE existing residnece (19 sq. to�.:h down) � <br /> ueeoremioi�c (— • �n- � I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP• <br /> SV�C. t-t,,�'1��� v�{ PUCATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL ' <br /> IEO�LDESCMiPll�NO��A ATY�SNOWNBELOWO� T����fOURCOPIE51 <br /> PROVISIONSOFIAWSANDORDINANCE300VERNIN�THISTYPE ' <br /> OF WORK WILL BE COMPLETED WITH NMETHER SPECIFIED MERE• <br /> �or_a�oc�—or IN OR NOT.THE 6RANTINO OF A PE RMIT OOES NOT PREBUME TO <br /> GIVE AUTHOHITY TO VIOLATE OR CANCEL TNE PROVISION$OK <br /> ANY OTHER STATE OR LOCAI LAW RECiULATINO CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SION�iURE OP CONiR�CTOR OR AUTMORIZED AOENT OATE <br /> X ��, l�C' lo - (S-�� <br /> PROJECT�ODNE9! �PPUCANiS CIIY 9USINE SS LICENSE NO <br /> 221 Skyline Drive EWerett, Wa <br /> M.yM�INO MECMANICAL <br /> NO. <br /> TY�[Of FI%TVIIE FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TER CLOSET(TOIlEi1 AIR COND. UNITS—N.P.EA. <br /> BATHTUB REFRIGER�TION UNITS—H.P.EA. <br /> L�WTORY WA9M BA31 BOILERS—M,P.EA. <br /> SHOWER O�S F1RED AC.UNIT9—TONNAOE EA _ <br /> KITCHEN SINK�DISP. FONCED AIR SVSTEMS—B.T.U. M EA. <br /> DISNWASHER W�LI HEAiERS—B.T.U. M <br /> UUNORY TR�V UNIT HE�iERS—B.T.U. M <br /> � EVAPOR�TIVE COOLERS <br /> CLOTHES WASMER CLOTMES DRYERS <br /> WATER MEATER <br /> UN�NAL VENTILATION FAN <br /> DRINKINO FOUNTAIN RANOE HOOD <br /> FLOOR DRAIN AIR HANDLIN6 UNIT— QF.M. <br /> �i VACUUM BPEAKEFS STOVE <br /> ROOF DMIN9—R�INLE�DERS METAL FlREPLACE 8 CHIMNEV <br /> SINK SERVICE—BAR ETC. WOODSTOVE/FIREPLALE INSEFT <br /> i — <br /> ' <br /> I <br /> I — <br /> ! <br /> SUBTOTAL � — <br /> BU!TOTIIL <br /> PERMIT { PERMIT � <br /> T0Tl1l FEE t TOTAL FEE � -- <br /> � THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> � <br /> I PL�N CMECN NUMBER PI�N GMEGN FEE <br /> � iRONBETBAGN REARSEIBACR SIDESEiB�CK pECEiPTNO. <br /> IEE <br /> I -- <br /> USEIONE LOtARE� y�C�NTS�IE FEEB V�LU�TIOM FE! <br /> pYES ONO <br /> TYVEOFCONST. OGCbP�NGYGnOUP NO.O�OWElLINOUNlf9 <br /> BUI�OIN�' f <br /> 8�2E OF B10� NO Of S10RIE9 M�X OCC 10�0 <br /> PLUMBINO <br /> MEGIIANILRL <br /> FIRE SPRINKLERS REOUIRED ❑ VES O NO QT��ER <br /> PENRLTY <br /> i <br /> •PPUC�tION�CC.BY PL�NSLNELNEOBV �Fi'NfORISSUANCEBY <br /> TOT11L <br /> i <br />