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' �. <br /> • - � APPLI�N.�ION FOR CONSTRI.CTION <br /> . PERMIT <br /> Ilra EveryrNn rvrirtl <br /> CIPI OF � <br /> �everett <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> pWNER WIl��E39 GIIY IIP AIONE <br /> Richnrd Johnson 9502 19th Avenue Southeast �verett 98i;08 337-4830 <br /> TEN�Nf LWL�ODHESS GfY Zli' P110NE <br /> Not avaiinble <br /> ARCIII�ECTOROES�ONER 1MIL�OOAE89 GIr 211' RNNlE <br /> Botesch, Nush d� Ilall Architects, P S 4206 Iloyt Aver�ue Everett 98e03 259-08G8 <br />� �ENEMICOMI1UCtOP MNI�ODRE9S GiY 2tl' A�OME IK.FHS[i <br /> Cntfney Construction 171' 1001h Place Southeast Gvecett 982�08 3�3p�z114 CAFFNC�104K3 <br /> rnccw�n�c��cohiw�croa �+u��oon¢ss <br /> �vergreen Stete Sheet Metal 3411 itayes Street L'verett 982Q1 252-3114 EVERGS5121K7 <br /> rwMawawr+rwcron r.u�i�wo^Ess SUitC 224 G�r zm f'NONE ��ccNSE.- <br /> Centerpoint Plumbing 1321Southeest Everett Mall Way Everett 98208 347-8776 <br /> CL119S OF NOIIN <br /> � NEW ❑ �DDIiION ❑ AlTEM1�ON ❑ REPAIR ❑ DEMOLIiION ❑ Ni00DSI0YE/FRPLINSERT ❑ BUILOINGRELOCATION <br /> IENN�i IM7NOVEMENI Oil MITFAIOR IEMOOEL OM�Y CO�����p���P�wNE NO <br /> �pNiMCT1`NiCEOfwa¢40/s[ �2G2 920 00 _ AndrCw M. Hell <br /> �t�f�"'q��o��F�,�»�.�o — <br /> Iildg. 2 2'640 Total 6,573 Z59=0868 --�------- <br /> pqOQ�7Epu�orauKpNo --' , � IIIEREBYCERtIFYT1IATIHAVEREADANDEKAMINEDT111SAPPLICAiIONAND <br /> medicnlclinic S/�/tZG O ,dL�/ . KNOWiHESAMETOBEiRUEANDCORRECT.IILLPROVISIONSOfLAWSAND <br /> ORDINANCES 60VERNING TIIIS TYPE OF WORK WILL BE COMF�IETED WIiH <br /> lEML0E5GR�PIqNOfi(IOPER7Y1 �����TT�N���E� WHETHERSFECIFIFOHEREINORNOi.THEORAN7INQOFAPERMIT00ESN0T <br /> ��— PRESUME TO GIVE AU7MORI7V iOV10UTE OR CANCEL iHE PROVISIONS OF <br /> __ g�� ' pp ANYOiHERBTATEORLOCilLIAWRE�ULATINOCON5IRUCTIONOf1i1�EPER� <br /> FORMANCE OF CANSI RUCi ION.iHAT 1 AM AUTf10RIZED BV i11E OWNER OF <br /> $CCtI � 1f119PROPERTYTOPERFORMTHEWORKFOf1W111CHAPPUCAilONISMADE <br /> C AND 1 COMPLY Wll4i THE STATE CONTRACiOR3 LMN 1827 N(�'W AND <br /> .�J. zee.�oo w.4C. y 3/9 2 <br /> , � A /O .y _ 9� 9qN�Nf1EO�COM�RACfO�npAU��l2EDPOENT DME � <br /> /f <br /> �� � � <br /> y�p,��}/�ODRE89 � . R IG�NI G7YflV51N PS ICEN9 N011NON151NESAN�ME <br /> �� _ 9 f�, _ ,� � �I3 , Ne dc Ilell Architects, P3 1G762 <br /> PLUMBINU MECHANIC�L <br /> NO. TYPE OF FUITUNE OR ITEM FEE NO. 1YVE OF EOUIVMENT ,FEE <br /> Z WATERCIOSET(idLEi► �� �dg• N —NHNDLOUNIiB—HP. �1(.'P__g. C CCf ' { <br /> --— �B 1 FQ ED AIR SYSIEMS=B.T.U. M EAQCI' b dg. &9S1 __, . <br /> �rl_ L A V(WASHBA91 _ _ UNIi EATER3-6T.U. M = . <br /> 5HOWE —� CLO7H DRYERS __ __ — <br /> KITCHEN KiDISP• _ Z VENiILAi NFAN r bldg._ __ _ __ <br /> DISNWASHE _ RANOE H_`_ _, __' __ -- -- <br /> LAUNDRV TRl1 � _ �_ WAtER HEI1iE er bldg. ___ ,____ _ <br /> CLOTHES WASHE _ WOUD STOVE _ _..__ — <br /> UFINAL MEi11L FIREPLACE_ HIM_Y _ <br /> ' DRINKINOfOUNTAIN __ _ fIREPLACEINSERT ____ ___ ._ <br /> F100R ORAIN HEAT PUMP __ -- <br /> BACKFLOW PREV ERS _ X _OAS PIPINO'-- --' — <br /> HOOF DMINS RIUNLEADERS E%HAUST FAN _ _ __— — <br /> SINK�SE E-911RETG) - - — — - <br /> SUBtOTAL S SUBTOtAL __ _ <br /> PERMIT S PERMIT _ f _ <br /> T0TI1L FEE t 707AL FEE S <br /> RM91Ia£iB�CM �RlF11111CR a��SF�a�'� RIINCNECRNUWEII f[! y���7 �[CEI►fNO. <br /> l0� ft/none req'd. 35 ft. 5 ft. 3S�`� G�"�� <br /> usezoMe wr�a� ��N�sOE FEEb W1lU11T10N FEE ___ <br /> o r[a QlNO <br /> B2p 43,290 sf BUILDINO �v3�e0 _ ��Q � /i y3 00 <br /> lypEpfCON9f. OCCUMNCYONOUP NOa�MEIUNOU�Mi9 -� <br /> �� [}2 NIA PLUMBINO __ __ <br /> ��� �+o.aerow[a esnrt. occ�ao MECHANICAL _ <br /> ,�� 1 °,r, 66 tOtel <br /> NEIOMILIMIt111qN OTHER _ <br /> f111E5M11NKlER4NEW111ED OYES f]{�70 Si11TEBUILDINI;SURCHM6E � <br /> STAtE ENER6Y SURCNARGE <br /> IiF'f'UG1iON�CQBY vuHa/�aev pUBll!tWORKS <br /> y � ,oT�� G y <br /> — �� <br />