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fM EvNpn�n <br />pf'I Of <br />everett <br />BUILDING DEPARTMENT <br />259-8910 <br />�►PPLICATION F <br />CaNSTRUCTIO� <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />eYlftll <br />e <br />O DEMOLITION II COMBINATION f6 BUILDING ❑ MECHANICAL 7 PLUMBING ❑ S�GN <br />owHcn MMl �DOHLSS citt zir nnon� —' <br />/�NGARA OEVELOPMENT 12406 Mukilteo SPDWY Lynnwood 98037 353-3�58 <br />�N6UIlClUNUltir4NfH MAIl�pD11155 [ItY i1V VNONL <br />_SPECTRUM DRAFTiNG Sett, ���tPr c���+9h Rri Snnhnmiah 9A 90 334-2697 <br />I�lNL1UlCONIB�WpR M�II�ODRC51 LIIV IIP VIIpNf LICFNtiF• <br />LANGARA PROPFRTIES CORP 12406 Mukilteo Sodwy�ynnwood 9Af137 353-3158 LANGAPCIS' <br />MI O��NiC4 CUMP�CiOq Me1L ��URC55 CIIY 21P PIIO��E UCCNS! • <br />CWMB�H.CONIR�LIOB M.1ILADDRE55 �IIY IIY PIIONC IiCENS!• <br />CUSSOf WDRr: <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />WIU�LpN Uf WOR� IGO51 O� M�ICHI�lS FL115 L�BOQi <br />$??'�QO �%��.'�i <br />oi scn�nt wuNn <br />pc <br />PLUMOING <br />N�3 w�ren c�osei <br />KITCMEN SINK 8 DISP. <br />DISNWASMEP <br />UVNDRY TRAY <br />CIOTNES WASHEN <br />URINAL <br />DRINI(IN6 FOUNTAIN <br />FLOOF DRAIN <br />BACIIFLOW PREVEN7ER5 <br />ROOF ORAINS — R�INIE/ <br />S�NI( ISERVtCE — B�R, El <br />J <br />� � Vt�Ni� <br />, j�6 rc D+ a�/u <br />�{ <br />sue ror�� <br />VERMI7 <br />TOTAI/EE <br />NE�H SEIBACR <br />25� <br />iorene� <br />/j, 73Z ` <br />OCCUP`A�NCYGROUP <br />l\ �� <br />no ov sronics <br />�cc m i vinris <br />��. <br />COPIlSI <br />S�l � Sou.t�,i �y,� <br />s <br />f <br />f <br />SiDE 9CTBeC1( <br />7.S � <br />V ANTSi7E <br />� YES OHO <br />NO OF OWELLING 11Nrt5 <br />� <br />rr,s ocC �WD <br />� N%T <br />%1e.. L -G . <br />I MEREBY CERTIFV THAT I HAVE READ AND EXAMINED TMIS AP• <br />PLICATIONAND KNOW THE SAME TOBE TRUEANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GQVERNINGTHISTVPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN Ofi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR IOCAL LAW REGULATINGCONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIGNATUREOFCONiP��TOfOR�UTHORI2ED�GENT MTE <br />UCEHSENO <br />MECMANICAL <br />NC — IVNNOLG UNITS — M.F <br />REFHIGEMTION UNITS — MJ <br />BOILERS — B.T.0 M P. <br />GAS FIRED ��C. UNITS — B T <br />FORCED AIR SYSTEMS — BS <br />WALL MEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />FIREPUCE INSERT <br />HEATPUMP <br />FAN <br />i�LAN CMECK NUMBER <br />�'�lI ���19 <br />M EA. <br />M <br />M <br />sua ronu <br />P[PWT <br />TOTALfEE <br />I F� .�- <br />//L <br />RECEIPT NO. <br />BUILUING S <br />PLUMBING � <br />MECMANICAL <br />OTHER <br />STATE BUILDING SURCNARGE <br />STATEENERGYSUFCHARGE <br />PUBL�C WORKS <br />TOTAL <br />PROPERNOWNERS ARE RESPONSIBLE FOR DE7EFMINING AI.L <br />PROPERiV LINE LOCATIONSAND RELA'iED EASEMENTS. <br />