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I I <br /> � �.PPLICATION Ft�k�� <br /> ;".E",°'"" CONSTRUCTION !��"n <br /> ��r o� e <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOlIT10N C] COMBINATION XD BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER IA��I �(1[IP[55 '�IV IIV PNpNF <br /> Pt+regon Construc�ton Inc. U371 NG G7Lh Ce N11212 Redmond, Wa 98052 BAS-3900 <br /> �qcHirluonufsmn[a u.n eoonrss crtv n�� rv�nHi <br /> M1LNkRALCON�R�C1011 M�II �PIli1I9S Crl� !�P rv�Ob! �ICFNSE• <br /> Pnragon ConaCrucCion, Inr_. Snme ns abuve YARGCI13411L <br /> utc��Mir�icon�N•r.rnq M�i� �nonFs� ci�v nr nr�nn[ i.icFHsc. <br /> n�uMnn�nrow*nsuan M•n aonnrss cn. n�� n�ioNc I�CENSF . <br /> CµUy55 D�WDer <br /> C1 NEW ❑ ADOITION ❑ �LTERATION ❑ REPA�R ❑ GEMOLIIION ❑ WOODSTOVElfRPIJNSERT ❑ BUIL�ING FELOC�iION <br /> veiu�nun or won.icost o� uu�mu s nius i�nnu� � " <br /> 3�:F)(3f):dB--� `J97 V0�' �— -- -- <br /> u�sen�ee wun. <br /> New conslruclion ____ <br /> use orewimNo I HER[�V CERTIFV �FIAT I HAVE HEAD AND EXAMINE� if11S A(`� <br /> res7denCal PLICATIONANDKNOWTHESAMETOBETRUEANDCORR[CT ��L <br /> IC.�LOF9CA�P�IONO�PqO�FPlv�9�1pWHOElOWf1N�11�L���OU�CUPiFS� pROV1510NSOFL�WSANDORUINANCESGOVEPNINGTHISTVPG <br /> � � OF WORK WILL BE COMPI.EiED WITH WfiETNER SPECIFIED HERE� <br /> ioi�S_a�oc�_nr INORNOT. THFGR4NTINGOFAPERMITDOESNOTPRESUMETO <br /> ^� yy. pI - GIVE AU7NORITV TO VIOL4TE UR CANCEL THE PFOVISIONS OF <br /> y'k�l 1 <a' I �O�U ANV OTNFR SiqTE OF LOC4L LAW REGULATING CONS.-FUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> siaN�iunin�cnain.c�ononnuu�omrFo�c[N� n�re <br /> X � <br /> cnn�Fc��oaness •rri��vN�•;rn.ni�,.�.,i s.T������sr nn �. <br /> 1010 - 110th Plnce SL fvnrell, 11n � <br /> PLUMBINO MECHANICAL 'i <br /> NO. TYPE OF FI%TURE OP ITEM FEE NO. TYPE OF EOUIPMENt FE! �I <br /> � WIITEP CLOSET�TOILET� � � -- AiC -��NNOlO VNITS-M P I <br /> B�THT�'^ � �EFf11GE�ATION UNI7S-N P E� i <br /> UVATU!7Y IW�SIi B�SINI OOILE�S-fl 7 U H P il <br /> SMOWER � � GASFIREOAC UNITS-BTU �� <br /> ' NITCMEN SINK A OISP ~ � FORCE�AIR SViTEM$-B T U M EA I <br /> ] DISHW�SHER � WALL��EA7ER5 -8 TU M _ I <br /> LAUNORV TR�Y UNIT HEA7ER$-B T U M II <br /> CLOTNESWASMER � EVAPO�AiIVECOOlEf15 �, <br /> URINAL CLOTHES D�YF.f15 � ' <br /> DRINKIN6FOUNTAIN VENlIUTIONf�N �� .� ' �. <br /> F�00�OAA�N RANGE��OOD � �, <br /> B�CKFLOW PREVENTERS W�TEA HEAiEII I <br /> ROOF UR�INS-N�INLEA�ERS WOOD STOVE <br /> SINN�SERVICE -BA� ETC� METAL fIPE�UCE 6 CNIMNEV '� <br /> FIREPLACE INSEl1T <br /> HE�T PUAAP i <br /> OAS i'IPIN(i <br /> ENHAUST MN ' <br /> SUe TOTAI f � 6U0 TOT�L <br /> PERMIT f P[RMI� <br /> TOT�L FE! ! / C , iOT�L F!! � <br /> � �nnru�ef�A�rr —1nE�n5E�B�c+ S�ue9[�B�Gx NlAN:/ECICNUMOEN FE�.-� , RECEIPTNO <br /> zo � ���, ' �, ' �1>',� I ��.�. ! •:�. I• � � e '`,1 _' _�— <br /> "'� "'"' '°�"^F" v�f.�Ni fi�tE FEES VALUATION FEE <br /> �_/ � ;7�/,� ❑vE5 �1N0 / l' _ � � <br /> euaowc S� f . � <br /> �rvtO�C�� OGCUv�N6vG�q�jli� NOOfOWFlliNOUNrt.9 <br /> V-N I�'J I PLUMBING �. ` .. <br /> s��yOnu Nn C 9tUmE9 M�� �C=�n�O ('-' ' <br /> MECMANICAL <br /> a �oG,a� / <br /> OTHER <br /> fI11E SPf11NKLEflS REOUIRCd I] YES L1fJ0 - STATE HUILDINC SUfiCH�(IQE � <br /> STATEENEPGYSURCMARGE r ��,1 <br /> u�oncsunn�i� nr ni�ns¢��ecxrnPr •rrnrnnivSu�H�.te. pUBLICWORNS �.��( � . <br /> —� �� /� TOTAL �) " J � <br /> PROPEFTV OWNFiiS ARE RESPONSIBLE FOR DETERMININa ALL <br /> PROPCHTV LWE LOCRTIONS AN�PELATED EA9EMENT9. <br /> .w� .r-n-•-. . . . . . . � <br />