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1 , <br /> IhrErerprNn '-�.-�PPLICATION F��t� crerett I <br /> CITVOF CON�1'RUCTION <br /> everett PERMIT � <br /> BUILDING DEPARTMENT <br /> 259�fl745 TO BE COMPLETED IN INK- PLtASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ql BUILDING ❑ IViECHANICAL ❑ PLUMBING ❑ SIGN <br /> �������� MRIl�U0FE55 CI�Y ZIP PIIONE <br /> �_PoNf�(ZU$T $I11TE �03�0���-4� T T EVERETT 98Z�� 259 6622 <br /> CIiY bP PIIONE <br /> AS ADOVE <br /> f•!11[HALCONI(1PLfOP MRIlA0�FE5S GIiV ZIP VIIpNE LICE115E• <br /> WM. P. BRUST SuirE 103/1701 -41sT Sr. EVERETT 98201 259-6622 BRUSTWPZ32L� <br /> M6LIUNiGL CONtRALiqq M�IL AOORES$ CIiY =IP PHONE �I�ENSE• <br /> PLUMpRlRLONIRACiOR MAILAODBE55 dIY ' ilP PMONE ULErvSE• <br /> CU55Of WORn <br /> ❑ NEW ❑ AO�ITION � ALTERATION ❑ qEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> VµU���ON Oi WONR ICOSI OF M1tENULS PLU9 LABORI <br /> $3,500.00 <br /> uescnmiwoen <br /> FRAME IN CORNER OF OLDG. NEW DOORWAY ENTRANCE�EXIT,CHANGE SOME WINDOWS <br /> use or Da�oum <br /> BU$ I NESS I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED TI�iIS AP� <br /> PLICATION AND KNOW THE SAME TO BE TRUE A�iD CORREC7.AL L <br /> If�AlfIISCRIPIIONO�fROPERfY15��OWNpELOWONAiTRCMFOUHCOPIESI pROVISIONSOFLAWSANDORDINANCESGOVEFiNINGTHISTYPE <br /> ?0�32 eioc�B��S� �G PLAT OF SO.PARK ADD. OFWORKWILLBECOMPLEfEDWITHWHETHERSPECIFIEDHEfiE- <br /> IN OR NOT.THE GRANTING OF A PERMIT DOES NO7 PRESUME TO <br /> GIVE AUTHORITY TO VIOLA7E OR CANC[L ThIE PROVISIONS OF <br /> TO EVERETT V � F P ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIOM <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> COUNTY OF SNOHOMISH,cTATE OF WASHINGTON SIGNATU oFc ffiACTOROiiAUiHpRIZEDAGENi OAiE <br /> EXCEPT PORTION APPROPRIATED BY STATE OF X � i - � �/.� /�� <br /> " C�A �V��� AfP�ICANTSC1iY9U51NES5�ICENS O. <br /> � SZO-Q15T ST. EVERETT <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUf1E FEE NO. TYPE OF EOU�PMENT FEE <br /> WATER CLOSET�TOILE7� Alq COND. UNITS—H.P. EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> IAVA�Of7Y�WASH OASIN� �OILEFS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TUNNAGE EA <br /> _ KIiCHEN SINN E DISP. FORCED AIR SYSTEMS—B.T.LL M EA. <br /> DISHWASNER WALLHEATERS—B.T.0 M <br /> LAl1NORYTRAY UNITHEATEFS-9.T.U. M <br /> CLOTHES�YASHER EVAPORA7IVECOOLERS <br /> WAtER NF_ATEF CLOTHES DFYEPS <br /> URINAL VENiILATION FAN <br /> ORMKING FOl1NTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUrd9REAY,ERS STOVE <br /> ROOF Oi7AIN5—RAINLEADERS METAL FIREPLACE d CHIMNEV <br /> _ SINH�SERVICE—BAP.ETC.� WOO�STOVE/FIREPLACEINSERT <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PEflMIT 5 <br /> __ TOI�ALFEE 3 TOTALFEE S <br /> THIS PORTION 1'O BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> ��IONf$LIpACh !i[ARSEIpACN $IOESEIBRCN PLANCNECHl.UM///BER CL�NCIIECNFEE <br /> U .� �r^ / /� iEE �'� C� nECEIPfN� � ['/! <br /> Ilti!l(]N( l01 RIIfA V// (IJ O ,J C <br /> �22 VACr1NiSliE FEES VALURTION FEE <br /> �J � ❑Y[5�NO <br /> fYvlOff.ON51 OLCU4NCYGOOUP NO.OFOWELLINOUNIfS <br />' �'i� !��3 c'� - <br /> B��ILOfNG 8� � — t--/1 <br /> tiiLE Oi,Pt�P�G/�_ NO O!SIORiES M�%.00C OA� �`-' <br /> F'� '�F I � �• PLIIMBING <br /> MECNANICAL <br /> FIRE SPRINKLERS REOUIF.LD Ll YES NO <br /> OiHER <br /> PENALTY <br /> 41'PIII;AIIONACCOY PUNSCIIEGNEOBY �PPR.FOqI55URNCE6Y _ _ <br /> �`/�ivl ��� L. . c, .o.A� � � <br />