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�Ok <br />TY °I,AT <br />CIor <br />CONSTRUCTION <br />TR <br />everett <br />' ERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />BUILDING DEPT. <br />259.8745 <br />COMBINATION ® BUILDING ❑ MECHANICAL <br />4 <br />❑ PLUMBING ❑ SIGN <br />IWNER <br />AID. ADDnr11 <br />City <br />ZIP <br />PHONE <br />Boyden Realty, Inc. <br />1429 Broadway <br />Everett <br />98201 <br />252-1166 <br />ARM I MYon nFSlnNt N <br />MAN ADIIRT9R <br />city <br />ZIP <br />PHONE <br />Gary Parkinson <br />527 Medical Dental <br />Bldg. Everett <br />982(It <br />252-2153 <br />GENERAL CONTRACTOR <br />MAIL ADOnE99 <br />CITY <br />ZIP <br />PHONE <br />LICENSE A <br />J 6 D Builders <br />1429 Broadway <br />Everett <br />98201 <br />252-1166 <br />223-01 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LKIENREA <br />3DRUI223JO <br />PLUMBING CONTRACTOR <br />MAIL ADORE 59 <br />city <br />ZIP <br />PHONE <br />LICENSE <br />White Coast Plumbing <br />119 Avenue A <br />SnolEomieh <br />98290 <br />568-6155 <br />Ct AS9 Or WORK <br />0 NEW ❑ ADDITION ❑ ALTEnATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEJFnPL.INSERT <br />❑ CUILDINO <br />RELOCATION <br />WALUAIIGN Or WORM ICOSI Or MAIERMLS PLUS LASOM <br />DESCRIBE WORK <br />New Single Family Residence - Plan <br />USE Or BUIt OINO <br />SFR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TORE TRUEANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORK WILL BE COMPLETEDWITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TIIE PROVISIONS Or <br />ANYOTHEn STATE OR LOCAL. LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CON` 111011 ALTIOnIZED AGENT DATE .3 <br />51 <br />x L. <br />LEGAL DESCRIPTION Or PROPERTY (SHOWN BELOW ORAITACH FWR COPIESI <br />Sunridge Div. III <br />LOV 64-BLOCIt_Or <br />911rd cE _ c I: FvoretI <br />Y <br />PROJECT ADORE 53 <br />APPLICANTS CITY BUSINESS LICENSE NO 1 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET IOILEI <br />AIR COND. UNITS-H.P. EA <br />BATHTUB <br />RErruomnoti UNITE-H.P. EA <br />_ <br />_ <br />LAVATORY WASH BAST <br />_ <br />BOILERS-M.P. EA <br />SHOWER <br />OAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINKS DISP. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNOnY FRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RA`IGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />noon DRAINS-RAINLEADERS <br />_ <br />_ <br />METAL rInEPLACE S CHIMNEY <br />SINK isERVICE-BAR ETC. <br />WOODSTOVE/FIREPLACE INSERT <br />BUS TOTAL <br />BUB_TOTAL E <br />PERMIT B <br />PERMIT B <br />_ <br />TOTAL FEE E <br />_ <br />TOTAL FEE E <br />_ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />I &G/xiso <br />VACANT SITE FEEE <br />OYES TIRO <br />IUPANCY GROUP <br />NG OF DWELLING UNITS <br />BUILDING <br />OF STOGIES <br />MAX WC LOAD <br />PLUMBING <br />I O YES D NO <br />MECHANICAL <br />OTHER <br />PENALTY <br />NSCHECKEO BY <br />v / <br />APPR rOn 191UANCE BY <br />J.: <br />I <br />ZC <br />TEE -19— RECEIPT NO <br />VALUATION FEE <br />