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fM Ew�WMn <br />un w <br />everett <br />BUILDINQ DEPARTMENT <br />259-8810 <br />�-;►'PPLICATiON FO�..� <br />CONSTRUC�'ION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PHINT <br />erereM <br />e� <br />❑ �EMOLITION ❑ COMBINATION �J BUILDING O N�FCHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER M�ILADORE9S Cltt 21P VM�YE <br />' JMC CABINETS & INTERIORS P.O. Box 628 �Verett 98206 568-3011 <br />AqCMITEGTOR0ES10NER M�IL�D�RE53 ��T�' Zi� PMONE <br />Charlea Lee P.O. Sox 1306 Diukilteo 98275 745=6569 <br />OENEP�' GONTR�GTOR M�IL�OORE55 ��TY z�P PH�NE ACBU`194"�52QK <br />AC BUILDERS 17819 44th Ave. W. Lynnwood 98037 743-6325 <br />PLUMBIN6CONTFACTOR MAIL��DRE55 ��T�' Z�P PMONE LICEHSE� <br />CL�890F WORN <br />❑ NEW ❑ ADDITION �C ALTENATION ❑ REPAIP ❑ OEMpI.,,iON ❑ WOODSTOVE/FR! -NSERT ❑ BUILDING RELOCATION <br />V�LWTIOpN OF WORItIC09T OF M�IERUILS PLU9 L�BORI <br />SJ�UUO�OO _ <br />GEOGRIlE WORN <br />TENANT IMPROVEMENT <br />Cabinet & Millwork Diatribution <br />�ti°s-r�a9 <br />27, 28, <br />�.. 73 , <br />29,30 <br />LSGAL LESCRIPTION ATTACHED <br />PLUMlIPIG <br />NO. T1'PE G1' <br />WATEP CLOSET 1T1 <br />BATNTUB <br />UVATORYIWASNi <br />SMOM/EN <br />KITCHEN SINN L OI <br />DIBHWASMFR <br />' UUNDRY 7RAY <br />- � CIOTMES WI13H <br />UNfNA <br />DRINKI F I <br />N IN <br />t Add. <br />fU�TO�AI. f <br />KIIMIT f <br />TOTALrE! f <br />R SETB�CK SIOE SETB�CN <br />�PEA. VAC� T ITE <br />OYE NO <br />��UP•�QNCYGROUP NO.OFDWElLINOUNITS <br />/.�7 ' � � <br />'ION�CC�9Y PL�NSCMECNEDBY <br />�� � <br />I HEREBY CERTIFY THAT I HAVE FEAO AND EXAMINED THIS AP• <br />PLICATIONAND KNOW THESf "ETOBETRUEANOCORRECT.ALL <br />PROVISIONS OF LAW S AND OFDINANCES GOVE RNI NG TH!S TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CRNCEL THE PROVISIONS OK <br />ANY OTHER STATE OR LOCAI LAW REGULATING CONSTHUCTION <br />OR THE PERFC�RMANCE OF CONSTRUCTION. . <br />SIQNATURE OF CONfRACTOF OR �UTNORIZED AQENT O�TE <br />X /�o,-D/�1��,/. �� i �� <br />MECHANICAL <br />NO. TYYE OI <br />uc — ��Nr+o�¢ unir: <br />FEFR16ERATION UNIT <br />BOILERS — B.T.U.M.P. <br />Q�S FIpED A.C. UNITS <br />FORCED AIR 9YSTEM: <br />W1LL MEATERS — 9.T <br />METAL FIR <br />fIREPUCE IN; <br />HEAT PUMP <br />OAS PIPINO <br />E%H�USTFAN <br />EUSTOTAL <br />P[RMIT <br />TOT�II R! <br />Pln` C/ K� V 80 l0 .. I F IY �n � I RECEI� <br />7 <br />euaoiNc <br />�LUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDIN6 SUNCHARG' <br />STATEENERGYSURCHIIRGE <br />PUBLIC WORK9 <br />� / TOTAL <br />S <br />�� ��' y„— -,`^� PROPERTVOWNERSARERESPONSIBLEFORDEiEFMININ�ALL <br />� f�r C�U /(�.f PROPERN LINE LOCATIONS AND RELATED EASEMENT3. <br />�t�D� �- '�,►�'T's� • � �`}�E4�Y'S � <br />..... .. -�.,•;.�,: <br />