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IM Ewrprwn <br />CIN OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />'�PPLICATION FQ �� <br />��� CONSTRUCTION <br />PERMIT <br />TO 8E COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITIOSV ❑ COMBINATION QABUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OY::�ER M111�00RE9! CIIY ZIP pNpNE <br />ANGARA D�VELOPMENT 12406 Mukilteo�SPDWY Lynnwood 98037 353- 158 <br />•ACNrtlC1OH0l9iONEF � MMI�DONE49 Cliv piP PHONF <br />SPECTRUM D�RFTING v�i�� G��tor clm�yh Rri Snnhnmieh 9A 90 334-2697 <br />OkNER�LCOhIR�CtOR MqI�DORE97 CItY IIP PUONE I�CENS!• � <br />LANGARA PROPERTIES CORP 12406 Mukilteo Sndwy�,y,ynnwood 9803� 353-3158 LANGAPC1551 <br />MiG11�N�f.�tCOMNACfDfl M�ILADURESS Clrv I�o PIIONE c¢lN51'. —A <br />iLUMlINOGOry�p�C10R MAIL�ODNESS CIIY 21P PIIONE UCCIISE• <br />CL�94Oi WONM � � <br />� NEW ❑ ADUITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIOy ❑ WOODSTOVE/FPPL.INSEHT ❑ BUILDING RE�OCnTiON <br />or <br />ROlEC1�DDRES3 <br />3� z4-s�'".S!- : <br />PLUMBING <br />NO. TYP! OF FIXTURE OR ITEM <br />3 WATEPCLOSETITOiLET1 <br />B�TMTUB <br />UVATORY �WASN BASIN� <br />� $HOWER <br />/ IfITCMEN $INK 6 �ISP <br />/ DISHWASHER <br />A' Ul1NDRY TRAY <br />FLOON URAIN <br />BACNFLOW PRE�ENTERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK (SERVICE — BRR. ETC.� <br />SEtB�f.n <br />SUSTOTAL <br />OERMIT <br />10TALfEE <br />11 <br />�C —.i % .9xi <br />�'< <�Ilq��� � oCCui•�r�tr Gr <br />i ��� <br />A4VI�CR1 <br />NO Uf SfOPIES <br />� <br />f <br />f <br />SIDE SEIBI�CN <br />� s' <br />V�C�NTSRE <br />NES ONO <br />NO. Of OWEltINO UN119 <br />� <br />M�%.p�G LOA^� <br />��`T <br />�PPN. fOP ISSWHCE BY <br />G r � � <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THr SAME TOBE TRUE ANDCORRECT. ALL <br />PROVI310NSOF LqWSANp ORDINANCESGOVERNINGTNIS TYPE <br />OF WOF1K WILI. BE COMPIETED WITH WNETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMITDOES NOT PRESUME?O <br />GIVE AUTHORI7Y TO VIOLA7E OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGUTATIN6 CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SION�7�OFCONfR�CTOROR UTHOR12EOAGENi D�7E <br />xp/ L���i Z �� <br />PPLIGANT9 GT� BUSINESS 4CEN9E NO <br />�/ 9s2 �4 <br />MECHANICAL <br />NO. TYPE OF E�UIPME <br />A/C — AiHN�LO UNITS — N.P. <br />REFRI�ERATION UNITS — H.G. EA. <br />6011EX5 — d.T.U.IH P. <br />OAS FIRED A.C. UNITS — B.T.U. <br />FOACED AIR SYSTEMS —B.T.U. <br />WALL NEAiERS — B.T.U. <br />UNIT MEAiERS — B.T.U. <br />EVAPORATIVE COOLEflS <br />CLOTNESDRVERS <br />VENiILAiION FAN <br />RANGEHO00 <br />WIITER HEATER <br />wOODSTOVE <br />METAL fIREPUC[ 8 CHIMNEY <br />FIREPUCE INSERi <br />HEATPUMP <br />FAN <br />SUlTOTAL <br />� TOTALI <br />L'LAN CHECK NUMBER I FEE <br />87/r,5��lq , <br />BUILDING <br />PLUMBING <br />MECHANiCAL <br />OTHER <br />STATE BUILDING Sli7CHARG <br />STATEENERGVSUHCHARGE <br />PUBLIC WORKS <br />TOTAL <br />M EA. <br />M <br />M <br />� <br />RECEIPT NO. <br />PROPER7V OWNERS ARE RESPONSIBLE FOR OEIERMIPIING ALL <br />VROPERTY LINE LOCATIONS AND RELA"i ED EASEMENiS. <br />