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IAA ErA <br />C'"OF ,YIAAII f1 �} P L I C A I !� N F O .. <br />CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK INK - PLEASE PRINT <br />BUILDING DEPT. <br />259.8745 ❑ COMBINATION ® BUILDING Q MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />Boyden Realty, Inc. <br />MAIL ARORESS <br />1429 Broadway <br />F <br />Everett <br />98201 <br />252-1166 <br />ARCIIIIrc/on OEFInIRn <br />Cary Parkinson <br />MAN ADnnFGn <br />527 Medical Dental <br />clri <br />Bldg Everett <br />EIP <br />98201 <br />MORE <br />252-2153 <br />NAIL PROFESS <br />1429 Broadway <br />CITY <br />Everett <br />ZIP <br />98201 <br />PIIONE UCENSEF <br />252-1166 223-01 <br />GENERALCONIRACTOR <br />J 6 D Builders <br />MECIIANFIAL CONTRACTOR <br />Ml ADDRESS <br />CITY <br />EIP <br />MORE MENTEF <br />JDBUI223JO <br />PLUNOUCTOn Coast Plumbing AA1119RE <br />35 <br />WhiteAvenue A Snohomish 98290 568-6155 <br />19 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIn ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT 0 BUILDING RELOCATION <br />VALUATION OF WORKICoel OI Mucnule PLue­OM <br />UE1CP19E WOOF <br />m-... Li-1. R..11. RRRirinnr•e, - Plan el, _ <br />USE Of BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />SFR <br />PLICATION AND KNOW THE SAME TOBETRUEANDCORRECT.ALL <br />PROVISIONSOF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />W <br />LEGAL DESCRIPTION Of PROPERTY 11110N BELOW On At FOUR comm <br />59 Sunridge Div. III <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />LOTBLOCK or <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANYOTHER STATE ORLC SAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANC'. OF 1CNNIDDOONSTRUCTION. /c <br />IMC R OR AUI RRE AGENT DATE �/s f <br />SIGNATURE OF CON <br />X �// <br />220 - 93rd St., S.E.,Everett <br />4C <br />PROJECT ADDRESS <br />APPLICAN BCIIY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />FEE <br />NO. TYPE OF FIXTURE FIE <br />NO. <br />TYPE OF EOUIPMENT <br />WATLR CLOSET (TOILET) <br />AIR CONO. UNITS-H.P. EA _ <br />_ <br />BATHTUB <br />REFRIOERATION UNITE-H.P. EA <br />BOILERS-H.P. EA <br />_- <br />LAVATORY WASH BAST <br />SHOWER <br />OAS FIRED AC. UNITS -TONNAGE EA <br />_ <br />KITCHEN SINK I DISP. <br />FORCED AIR SYSTEMS-B.T.U. M EA <br />OISIIWASIIER <br />WALLIIEATERS-B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.1.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEALER <br />CLOTHES OnYER5 <br />URINAL <br />_ <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />_ <br />_ <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEAOERB <br />METAL FIREPLACE I CHIMNEY <br />SINK SERVICE -BA E1C. <br />WOOD5TOV9jFIAEPLACE INSERT <br />BUB TOTAL <br />BUB TOTAL I <br />PERMIT I <br />PERMIT I <br />TOTAL FEE I <br />_ <br />________.TOTAL FEE IT <br />I <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT.. PEPERSONNEL-- <br />__._. _.. •...•••.......��Tm AN CnFDM xuuBEP - _.. IPEPtANCI4ECK <br />VACANT RITE <br />OYr1 LINO <br />ED BY APPA FOR <br />�� <br />TV <br />rate <br />BUILDING 1 <br />PLUMBING <br />MECIONICAL <br />OILIER <br />PENALTY <br />TOTAL <br />1,9— I RECEIPT N0. <br />