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� STOTh� <br /> IAF EYFrprNn <br /> GlnOF CONRUCION ) PVPFPI) <br /> everett PERMIT <br /> BUILDING DEPARTMENT' <br /> 259-874:3 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION O COMBINATION C) BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL ADDRESS CITY SIP PHONE <br /> NATIIALIF. TAYLOR 4 - 76th St.* S.W. Everett We. 98203 355-7714 <br /> I AGORfBB <br /> ARCHITECT ORDFBIONCITY IIP PIIOHE <br /> GENERAL CONTRACTOR MAIL ADDRESS CIn IIP PHONE �Yff** <br /> AYPR Cntirmlrrtnu TtIC 525 IIEVFRLY Rl VU EVEREIT, WA. 987.03 357-6427 fl4LZ <br /> MECHANICAL CONTRACTOR MML AGGRESS CITY ZIP PHONE LK;ENBE <br /> MdIT1.T1)N Iri.•.CTRIC_ I1It EVFREITT WA 9tl=03 PIIONL LICENSE. <br /> PWMBINGCONInACT .ARA RR <br /> 1YER C00TRUCTIU111111' <br /> CBBOF NEW RK <br /> ❑ ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPLANSERT ❑ BUILDING RELOCATION <br /> VALUA nON Or WORN ICOSI OF MATERIALS PLUS LASOM <br /> or SCRIBE WORK <br /> ADDITION OF tiliU BIiDROOM LIVING RuAl AND BATA <br /> USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> E ILLY 11011E PLICATION AND KNOWTHE SAME TO BE TRUEANDCORRECT.ALL <br /> LEGAL DE8CR1°11ONY-0 ROPBRIYIBHOWNSELOWORAIIACH FOURCOPIESI PROVISIONSOF LAWSAND ORDINANCES GOVERNING THISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> LOI_BLOCK­Or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> 3935-U00-001-U10?. GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> 96594-59 <br /> BEVERLY 11011ESITES DIV. L - BLT; OUO D-01- BEG NE SIONATU71rC NTRACTOROR �HORIZEDAGENT DATE <br /> COR TR I Tit 11 ISF-I 111 S 60.3FT Ott X ( 1 �� I e,L <br /> ESCRIPTION ON FILE*** Cry cC <br /> PROJEC1ADORES9 APPLICANT CITY BUSINESS UGENSEN <br /> y- 76th St. S.N. Everett WG. 98203 AYERC**314L7. <br /> PLUM BI NO MECHANICAL <br /> _NO. TYPE OF FI%TURF FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET TOILE AIR COND.UNITS-H.P.EA <br /> 1 BATHTUBLID REFRIQERATION UNITS-H.P.EA <br /> LAVATORY(WASH BASINI BOILERS-H.P.EA <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA <br /> KITCHEN SINKS DISP. FORCED AIR SYSTEMS-B.T.U. M EA. <br /> DISHWASHER WALL HEATERS-B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL I VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERB METAL FIREPLACE B CHIMNEY - <br /> BINK SERVICE-BAP ETCJ WOODSTOVE/FIREPLACE INSERT <br /> SUB TOTAL _BUB TOTAL • bb <br /> PERMIT • PERMIT • <br /> _ TOTAL FEE B _ - _ __ TOTAL FEE _ __ _ • V <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FRONT SETBACK REAR SETBACK BIDE SETBACK PLAN CHECK NUMBER FEE 8. CHECK FEE <br /> 3 MAN <br /> NO 7908�r <br /> ?A 5 <br /> USE LONELOI Ant ��O `� VACANT SITE FEES VALUATION FEE <br /> R- sT OYES-ONO / ^ A <br /> TYPE orCOrISI OCCUPANCY GROUP NO OF DWELLING UNITS u 1 I 1/lr l C �1 U4 14ap ,( <br /> 9:-?4 K-3 1 BUILDING -10 <br /> SIZE Or BL DO NO Or STORIES MAX OCC.LOAD <br /> Sf. AooN I PLUMBING (1dO <br /> MECHANICAL 3 _QCJ <br /> FIRE SPRINKLERS REOUIRED 0 YES O NO <br /> OTHER <br /> PENALTY <br /> APPLICATION ACC BY PLAITS CHECKED BY APPS FOR ISSUANCE SY <br /> TOTAL <br /> .T <br />