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� <br /> �`'APPLI�CATION Fi.iR � � e���e„ <br /> I/rs Eve�preon C O N S T R U C T I O N � <br /> GITY OF <br /> everett PERMIT <br /> TO BE COMPLL -D IN BIACK INK- PLEASE PRINI' <br /> I9UILDING DEPT. <br /> 259•8745 ❑ COMBINATInN � BUILDING ❑ MECHAN�CAL ❑ PLUMBING ❑ SIGN <br /> OWIlEl1 <br /> � rnnanooncss cnv zir PIIOIlE <br /> Booker Reolty 1321 S.E. �verett t•fall '�lny, Sui.te I Everett, WA 98204 348-3 35 <br /> AfiClutECT OO OE910N[P <br /> MnILRDORF93 CITV Z�P PNONE <br /> OENEML CONiRRC10R <br /> IA4IL�ODRESS GIIY ZIP PNONE LIGENSE• <br /> �m�� ('one+ruction � Lnke Stevene Rd Everett eW'1 9�12�5 �r ���j'������ONE�h�nC*?�2OS'CEN9E <br /> MECIIANIC�LCJNIMGIOA rnni�noon[ss <br /> PLUM6INOCONiR�GtOR MAI�R�ORE55 GILY ZIP PIIONE LICENSE• <br /> GL�SS OF WORN <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FFiPL.11JSERT OUIL�ING RELOCATION <br /> VALUAIION OF WO�K�C09i OF IAAI[OIRL9 P W B LAOORI .tri/ <br /> .i��. 116 I� G��l.��� . LlV <br /> OESCRIBE WOBN y <br /> P7eu construction <br /> useor ouaou�a I HEREBY CERTIFY TFIAT 1 HAVE READ AND E;(AMINED THIS AF- <br /> SinQle f'omi1V residence PLICATIONANDKNOWTHESAMFTOBETRUEANDCGRRECT,ALL <br /> IEa�LDESCRIPTIO110FPROPERiY�911C�WNBELOWONRTIACNLOUlICOPiE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> PLBt Of FST EvCT �FWORKWILLBEC:OMPLETEDWITHWHETHEFiSPECIFIEOHERE- <br /> �or.�.-oioc�—oF_ IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTIIORITY TO VIOLATE OR I:AtJCEI TI1E PROVISICINS OF <br /> 01. 1 aQe Records of 8nohomish ANYOTHERSTATEOFLOCALLAWREGULA7INGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> CORR�lY� F�A / SIGNAT��OFCONTRACTORORAUTNORIZEDAGENT DATE <br /> ! -'I �f-'L L�i '-ti <br /> � �� � , ii � <br /> 10509 - 10 Dr. S.E., Everett, WA 5b204 X �?r�`�� �'�" '_ ✓ _�-+-_� �`y''— <br /> RPPLICM�TS CI1 V pU5ME5S UGENSE NO. <br /> PlIOJEGT AOOfiE55 n <br /> �7���V <br /> PLUMBING _ MECHANICAL <br /> TYPE OF FI%TUFlE FEE NO. TYPE OF EOUIPMENT FEE <br /> NO. — <br /> '2 WATERCLOSET�TOILFn �- CKJ AIRCOND. UNI7S—H.P.EA <br /> 'Z BATHTUB � C'k7 _ I7EFRIGERATION UNITS—H.P.EA __ <br /> LAVATOflY(H'PSH BASIN) � UU BOILF.RS—H.R EA. <br /> SIiOWER (JO GhS FIREO AC.UNITS—TONNAGE EA _ <br /> KITCHEN SINK A DISP. L'XJ FO!iCED AIR SVSiEh1S—B.T.U. M EA. <br /> 1_ OISHWASHER UO WALL HEATEaS—B.T.U. M 3(0 "`.�O T <br /> LAUNORYTRAV UNITHEATERS—B.i.U. M <br /> CLOTHES WASHEH R.T � � _ EVAPORATIVE COOLERS <br /> QU CLOTHES D9VER5 S.b <br /> WATER HEATEF VENiILA710N FAN C70 <br /> URINAL —— Sa <br /> �RINKING FOUtJTAIPI _ flANGE 1{00� <br /> FLOOR ORAIN _ AIR HANOLING UNIT— C.F.M11. <br /> VACUUM BREAKERS <br /> S1'OVE Z y� <br /> ROOF ORAINS—RAWLEADERS METAL FlR[FLACEB CIIIMNEV � <br /> SINK SERVICE—B�R.E1C. WOODSiOVE/FIREPLACEINSERT _ <br /> — ' bC+ SUB TOTAL 3 S �� <br /> Sl1B TOTAL <br /> PFflMIT 5 PF.IiM1T _ 5 <br /> TOTALFEE s <br /> pJ TOTAL FEE 5 2� `� � <br /> THIS PORTION TO BE COMPLETED BY BUILDIfJG DEPT. PERSONNEL <br /> iRON15[IDACK 11[ARS[I84CN SIOESEIUAGK PIANCMECNNUMOEfi <br /> PLAN CHEGK FEE <br /> � � r ^� � � FEE ' Q� OG �EGEIPiNO. ClS�/ b <br /> � �� V /� O <br /> USEZOi�E �Q%/A/�� �� ��NISiIE FEES ���UATION FEE __ <br /> .�f_ YES C1N0 <br /> �� <br /> Typ@pfCUN51. OCCt1P/�NCYGf100�j� / NOAFDW�I�INGUtlItS <br /> "17--/C( �� � � a���o��, =`;i 6�'- `9�' 34-�vo <br /> S�ZE o�/p n�nc q� ��o oF s,o��Es M�% o�� �o�0 22 v <br /> IS�V�IZ'3���V�'� l �• PLUMOWC -- <br /> MECHAHICAL LS SU <br /> FIRE SPRINKLERS REOUIRE� ❑YES NO ! OiHER <br /> PENALTY <br /> APPLICAl10N ACC.BY PLRNS CM`_SKED BY PPPR.fOR ISSUANCE 01' ��3 � <br /> TOTAL <br /> M,�; �J�� L .�, <br />