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I�� FqrprNn <br />cm os <br />everett <br />BUILOING DEPARTMENT <br />259•8810 <br />' �PPLICATION FC : <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION f9 BUILDING ❑ MECHANICAL ❑ PLUMBIN(i ❑ SIGN <br />pWbtR M�IL�DORE95 CIfY ZIP PIIONC <br />ANGNRA DEVELOPMENT 12406 Mukilteo�SPDWY l.vnnwood 98037 353-3158 <br />�PGHItECIORUESiONER M�ILADOHESS CITY ZiV PHONE <br />SPECTRUM DRAFTING F�+ii Foster ci^ gh R� Snnhnmich 9A290 E34-2697 <br />OkNEN�IGONIF�CIOF MAIL�DOPESY Ci1Y 21V Y�ONE UCEIISE <br />LANGARA PROPERTIES CORP 12406 Mukilteo Sodwv Lynnwood 98037 353-3158 LANGRPC1551 <br />MtGM�NiC�tGONtP�CTOq MMt�DORE99 CIfY ZiP PIIONE LiCENSEr A <br />SIYMlINOLONIFACIOR MML�ODRES! CITY IiV PUONE UCf1i5E • <br />CL�SlOi WONR ' <br />� NEW ❑.�DDITION ❑ ALTERATION ❑ FEPAIq ❑ DEMULITION ❑ WOODSTOVE/FRPI..INSERT ❑ BUILDIN6 REIOCATION <br />v�W�LON Oi l4UNNIL09t 0� MAIERi�lS PWS LABORI � <br />� �J — <br />OfSC0.0E WOHM <br />_P.E.S3.f2E, <br />u.c.:/Of/SCPJ• . <br />in�i�. e�. <br />3z d� - .5� tti <br />PIUMBIN6 <br />NO. TYV! OF FI%TUNE <br />'3 WII7ERCLOSETITOILET� <br />� BATMTUB <br />U�ATORY �WASN BASIN� <br />/ SNOwER <br />/ KITCHEN SINN t DISP <br />/ OISMWASHER <br />�J' UUNDRY TRI1V <br />CLOTHES WAS/:ER <br />UHINAL <br />ORINNING FOUNTAIN <br />I FLOORDNAIN <br />SINK <br />� IIUN � tiE I O�f.k <br />__. <br />�� <br />C1 <br />— qnINLEA0EH5 <br />— BAP. ETCJ <br />SUlTOTAI S <br />PEPMII 3 <br />TOTALFEE f ��y <br />NE�uSEIB�Cn SIOESEIB�GN � <br />ZS' 7 i <br />LOI�IIG �V�.rC,�MSIIE <br />!% SOP p�ES ONO <br />-3 <br />� <br />M�%.OGC L <br />N <br />BY PUNSL'l1ECME00Y �PPRFON�SSU�NGI <br />� � <br />� � �� L � G . <br />I HFREBV CERTIFV THAT 1 HAVE READ AND EXAMINED TIi1S AP� <br />PLICAT!ON AND KNOW THE SAME TO BE TRUE AND CORRECT. A L L <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNING Th11S TVPE <br />OF WURK WILI BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITV TO VIOLA'F OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATIN6CONSTFUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SION�TUPE OF CONTR�CTpR OR �UTNOR12ED �GENT O�TE <br />CIIY BUSINE SS UCEN9E <br />MECHANICAL <br />TYPE OF Ef <br />MC — IVMNOLQ UNIi3 — <br />PEFRIGENATION UNITS — <br />BOILERS — B.T.U.MP. <br />QAS FIPEO A.C. UNITS — F <br />FORCED AIH SYSTEMS — I <br />M/ALL NEATEHS — B.i.U. <br />UNIT HEATERS — B.T.U. <br />EVAPCRATIVE COOLERS <br />CLOTHESORYERS <br />VENTIUTION FAN <br />NANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPUCE 6 <br />FIREPUCE INSERT <br />MEATPUMP <br />OAS PIPINQ <br />L�71NAUST FAN <br />M EA. <br />M <br />M <br />SUlTOTAL <br />P[HWT � <br />TOTALFEE � I <br />VLAN I:HECK NUMBEH FEE `� NECE�PT NO. <br />�7 /8�' �/�s c <br />FEES VALUATION FEE <br />BUILDING S <br />PLUMBING ' <br />MECHANICAL <br />07HER <br />STATE BUILDING SURCMARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PHOPERN OWNERS ARE RESPONSIBLE FOR DETERMININO AlL <br />PROPEHTY LINE LOCATIONS AND RELA'iED EASFMENTS. <br />