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o <br />APPLICATION FOk <br />PYlrE„ <br />IAE r•rNn <br />CONSTRUCTION <br />Con oof <br />everett <br />PERMIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />BUILDING DEPT. <br />256.8745 ❑ <br />COMBINATION ® BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNER <br />Boyden Realty, Inc. <br />MAIL A0Unris CITY UP <br />1429 Broadway Everett 98201 <br />PIIONE <br />252-1166 <br />ARCHOrci On nE1N111Fn <br />Gary Parkinson <br />MAIL ADUnESe CITY FIP <br />527 Medical Dental Bldg. Everett 98201 <br />PIInNE <br />252-2153 <br />OFNEMiCOIIIRACIOR <br />MAIL AnDOFOS CITY ZIP <br />1429 Broadway Everett 98201 <br />PHONE <br />252-1166 <br />LICENSEE <br />227-01 <br />J 6 D Builders <br />OT <br />MECHANICAL CONIRAOR <br />MAIL AOoOlSS CITY FIP <br />PNONf LA;lNSE <br />aDnu12z3./o <br />rLUMNNO r,ONIRAr.IOn <br />MAIL AnOnESS CITY rip <br />119 Avenue A Snohomish 98291) <br />PIIONF <br />568-6155 <br />MENSE E <br />White Coast Plumbing <br />r.LASS <br />NEW or RB❑ ADDITION ❑ <br />ALTERATION [I REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FnPL.INSERT ❑ BUILDING RELOCATION <br />VALUARON Or WORRICOST OE NAnnMLO PLUS LABOM <br />IIESCnIRE WORK <br />,... _I_L _....., <br />new - <br />USE Or BUILDING <br />I HEREBY CERTIFY T HAT I HAVE READ AND EXAMINED THIS AP• <br />SFR <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OE PnOPER1YIB11UWN Of.LOWOR ATTAC14 FOUn COPIES1 <br />LEOAI PESC.OIPIgN <br />Sunr SLlge Div. LIT <br />OF WORKNTH WHETHER SPECIFIED HERE- <br />BE ATPLETED I <br />79 <br />O NOT.THE G ANWILL <br />RANTING A PERMIT DOES NOT PRESUME TO <br />LOT_ PI CL1.--� OFF <br />TO VIOLATE OR CANCEL THE PROVISIONS or' <br />GIVE AUTHORITY <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />9FLONIn/Onon AU1 Anlr OAGENT GATE 1�/5- LI <br />BIONATOnF <br />X , / L fr <br />120 - 93rd St., S.E., Everett <br />/ V " ��`4' <br />AP�LIcA ra CITY BUSINESS LICENSE NO. <br />PPOJECI ADDRESS <br />MECHANICAL <br />PLUM NO <br />TYPE Of FIKTURE FEE NO. <br />TYPE OF lOUIPMlNT FEE <br />NO. <br />WATER CLIISET(TOILETI <br />AIR COND. UNITS-H.P. EA <br />REFRIOEnA110N UNITS-H.P. EA <br />_ BATIITUB <br />BOILERS-H.P. EA <br />LAVATORY IWASN BASIN) <br />OAS FIRED AC. UNITS-TONNAOE EA <br />SIIOWER <br />_ <br />FORCED AIR SYSTEMS-B.T.U. M EA _ <br />KITCHEN SINK A OISP. <br />WALL HEATERS-B.I.U. M _ <br />DISIIWASHER <br />UNIT HEATERS-0.1.U. M <br />LAUNDRYIRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />_ <br />_ <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />ORINKINO FOUNTAIN <br />AIR HANDLING UNIT- C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIREPLACE A CHIMNEY <br />—_ <br />ROOF DRAINS-RAINLEnUERS <br />WOODSTOV LIFIREPLACE INSERT <br />SINK JSEFIVICE-BAR ETC) <br />SU_B TOTAL <br />SUS TOTAL • <br />PE_R_Mli • <br />PERMIT • <br />TOTAL FEE • <br />TOTALFEE • <br />__ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />.. 1 <br />