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� -�",APF°�.ICA,TIQN FI,R <br /> everett <br /> fAe Evei9�een C U�y ST R U C T 1 O(d � <br /> CITY OF <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING 6EPT. <br /> 25y-8745 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLtIMBING ❑ SIGN <br /> OWNER MAILPOOf1E55 CIiY 21P PIIO!!E <br /> nncnrreervn�oc�aiewk nyi��eerW M�a,ri,,n�D EVg ew Dr. , Fverett 9II2G1 339-2500 <br /> c�rl LP oRONE <br /> Cornelis D Vanden Ende 5630 198th St S W Lvnnwood 9t3036 _ _ 775-7�3� C-445 <br /> GE11[f1RLf.ONIDACTOR MRILAODRESS CILY 2P PHONE UGEN3E• <br /> Norm Anderson, P.O. (3ox 6F3, Piarysville 98270 659-1131 ADER NR 341 6 U <br /> MECHANtL/�CONiMCLOA M�ILPOORE55 CIIY ZIP PIION[ LICENSE• <br /> �LUMpINOCONiRPCiOR M�II/DORE55 LILY 21P PHONE LICENSE• <br /> CUSS OP\'/ORK <br /> ❑ NEW � ADDIiIDN ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSiOVE/fRPL.INSERT ❑ BUILOING RELOC�TION <br /> wwnuon oF wonK�cosr or rnnicnin�s rws�neon� <br /> $75,000 <br /> oescnioe wonK <br /> Addition to existing building <br /> useoraoaoiNa I NEREBY CFFiTIFY TFIAT I hIAVE READ AND [XAMINED TH;S AF• <br /> Warehouse PLICATION AND KNOW THE SAME TO BETflU-AND CORRECT.ALL <br /> LEa�LOESClIIPLIONOiPlIOPE�tYI5110WN0ElOWOf1�TlACNFOURLOPIE51 pROVISIONSOFLAWShNDO(IDINANCESGOVERNINGTHISTYPF <br /> OF WORI(W�LL BECOMPLETED WITH WHETHER SPECIFIED HERE• <br /> �or—n�oc�--or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR Ct1NCEL THE PROVISIONS OF <br /> S2e attached ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNANFEOFCONiRACTORORAUTHOFI2EDACENT DAIE /(l�� LLG <br /> Johi� cha ��� <br /> X p A ent: <br /> PROJECiA00flE55 APP4CAN SCItY9U51NES5Li SENO. <br /> 1028 W. Marine Vieo-i Drive <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TYPt OF E�UIPMENT __ FEE_ <br /> WATER CLOSET�701LET1 AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. _ <br /> LAVATORY�WASH BASIW BOILERS—H.P.EA. <br /> SHOWER G�S fIRED AC.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK 8 DISP. FOFiCE�AIR SVSTEMS—B T.U. M EA. __ <br /> UISHWASHF.R WALL HEATEf75—B.T.U. M <br /> LAUNURYTRAV UNI1h1EATERS--B.T.U. M <br /> CLOTHES WASHER EVAPORAiIVECO0LER5 <br /> WATEF HEATER CLOTfiES DRVERS — <br /> URINAL _ VENTILATION FAN i <br /> DRINKING FOUNTAIN RANG[HpOD _— <br /> FLOOR ORAIN _ AIfl HAN�LING UNIT— GF.M. <br /> VACUUId9REAKERS STOVE _ <br /> HOOF DRAINS—RAINLEADERS METAL FIfl[PLACE 8 CHIAINEV <br /> SWK�SE(7VICE—[3AR,ETC. _ WOODSTOVE/FIREPLACEINSERi _ <br /> SUBTOTAL SUB TOTAL S _ _ <br /> PEAMiT 5 PERMIT s <br /> TOTALFEE 5 TOTALFEE 5 <br /> THIS PORTION TO BE COMPLETED BY BUILDiNG DEPT. PERSONNEL <br /> �qONT5E10ACN �[M15[19ACK SI�ESEip�CH PlANC11ECKHIJMLEp ��'�CHECKFEE <br /> �l� / �J' �� 1_399j� FEE/���� RECEIPTNO. �„�. <br /> L d� <br /> USEZOtnlFn LOLAflE4 y4CANT5rtE FEEy VAWFTION FEE <br /> /Y "� y�OOO�� OYES yyHO — <br /> TYPEOFGONSi. OCCUPANGYGf10UP NO.OFDW[LLINOUNITS <br /> ��h� �i- 2 V ouaoiNc s75�'L��c �� OC� <br /> 5�2E OF BIOG �IO OF 510f➢ES MAXACG L04� <br /> IG�J�3 �'//2 I � PLUIdBING <br /> MECH�NICAL <br /> FIRE SPRINKLERS REOUIRED YES ❑ NO oiHER <br /> PENFLTV <br /> APPLIC��IONACL.OY FL�IlSCI1ECNEOBY APPli.FOR�SYARNCEBY � � <br /> TOTAL <br /> �.,� J�� �� G� , , , � � <br /> %�� , . �: <br /> :;_- -�;� <br /> L _ <br />