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W <br />tC <br />ANrt��d! <br />O�O <br />x� Vi H <br />Crl ZE <br />HC <br />Nag <br />Qu O <br />ZH <br />t' y <br />H 1-3 <br />�coo <br />t•] C❑C❑tl �n <br />y En <br />H3 U Cn <br />C-�? <br />'111110 "m <br />Aj <br />rA� <br />jaj <br />1'► <br />Crawk <br />*PLICATION FOIE evem <br />CRT EwrpRlln CONSTRUCTIONclrr of <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL XXPLUMBING ❑ SIGN <br />MAIL ADc 4n,^__V <br />OWNER DRESS �I A �. J07 /hS Or/• 11Y �Afly <br />fPHON <br />nonAl <br />B.E. & C. Engineers P.O. Box 3707 M/R 9A1-78 S a tle WA 9R124 657-7182 <br />GENERAL CONTRACTOR IAALL ADDRESS CITY LIP PHONE LICENSE. <br />91-8877 <br />Gall Landau Y CITY 98008 TIP HO LICENSE. <br />MECHANICALCONTRAOT" MAIL ADDRESS N%76-6200 <br />Nardone Mechanical Contractors Inc. 21431 72nd Ave. West LP Edmonds,P WA 7988026 1764M0�8497 <br />ENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />Nardone Mechanical. Contractors Inc. 21431 72nd Ave. W. Edmonds, WA 98026 NARDCMC15282 <br />CLASS OF WORK <br />[ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL.INSERT Cl BUILDING RELOCATION <br />VALUATION OF WORK (COST OF MATERIALS PLUS LABOR) <br />S575,000.00 <br />DESCRIBE WORK <br />Lockpr Room <br />USE OF BUILDING <br />a�;T,m <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A.P- <br />PLICATION AND KNOWTHE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE - <br />IN OR 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 LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />_' <br />LEGALSDESCRIPTION OF PROPERTYISHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT —BLOCK -.--OF <br />PROJECT ADDRESS <br />#40-201 3003 W. Casino <br />APPLICANT CRY BUSINESS LICENSE O <br />S1 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FACTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />JIG <br />WATER CLOSET ITOILETI <br />BATHTUB <br />ABC — AIHNOLG UNITS — HP. <br />REFRIGERATION UNITS — H P. EA, <br />52 <br />57 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />BOILEfls —B.T UJH P. <br />GAS FIRED A.C. UNITS —BT.U. <br />FORCED AIR SYSTEMS — B.T.U. M :A. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — SIT U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />14 <br />8 <br />27 <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />In <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC) <br />in <br />METAL FIREPLACE 6 CHIMNEY <br />In <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL <br />PERMIT S <br />PERMIT <br />TOTAL FEE S <br />TOTALFEE <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />INUNT SE iDACn, <br />REAR SETBACK <br />FIDE SETBACK <br />Use LONE <br />LOT AREA <br />VACANT SITE <br />DYES ONOS <br />FEES=WORKS <br />VALUATION <br />FEE <br />TYPE OF CCNST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />LJ <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />AL <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />LDING SURCHARGE <br />RGY SURCHARGE <br />APPLICATION ACC BY <br />PLANSCHECKED BY <br />APPR FOR IBBUPNCE BY <br />PUBLIC RKS/ <br />/ 7 a <br />o0 <br />------------ ..--- A.,F FnR nFTFRMINING ALL <br />