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APPLICATII ..�1 FOR CONSTRUCZ^aN PERMIT /� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT [� -- <br /> ��.«., � <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS O ELECTRIC ❑ <br /> 259•8810 <br /> ! DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN �� <br /> OWNEP MAILADORE55 ��ry Z�P .. <br /> Ides Ruth 2128 Broadwa PHONE <br /> Y Everett 98201 258-6793 <br /> T'cNANT MqI�qDDRESS Cm. 21P <br /> PHONE <br /> AFONIiECTORDESIGNER MAILADORE55 CITY 21P PHONE <br /> GENE9ALCONTHRGTOF MqILqDDRESS ��Ty <br /> Everett Builders, Ina 19010 61st Ave. N.�. /l3 ArlinRton, 9A223 PM353-7161 IsVEREII*301PH <br /> MECHANI�A�WNiRqCTOR MAIL RDDRESS CITY Z�p <br /> PMONE SIATE UCENSEt <br /> PLUMBINGfANTRRCTOR MAII.ADDRESS CITY Z�p __ ' <br /> PHONE SiATELI�ENSEN ' <br /> CUS$OF W�RK <br /> �� NEW I ' ADDITION '�. . ALTERATION }(x REPAIR � DEMOLITION WOODSI'OVE/FRPL INSERT I I gUILDING RELOCATION <br /> CANTq�i pER50N ANO PHONE NO. <br /> CONTRACTPRILEOFWORK 5,320.00 07,3 Jack Gee 353-7161 <br /> �ESCFIBE WORI'AND SOUARE FOO7AGE INVOLVED —_ <br /> Foundation Renair under existin residence <br /> PROPOSED USE Q'6UIl01NG <br /> i HEREBY CERTIFY THi,' I HAVE READ AND EXAMINED THIS <br /> APPLICATIOfJ AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL DESCRIPTION OF PAOPEFTV�SNOWNBELOW ON ATTA FpuacoP s� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> / <br /> LGT� r�O BLOCK J � OF G �- B - � �'�RK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRHNTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF ONSTRUCTION.THAT I AM AUTHORIZEC BY THE <br /> OWNER OF THIS PR .ERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION- I MADE AND I CO'�APLY WITH THE STATE <br /> TORS LA 18.27 RCW AND 296.200 WAC. <br /> �31/ �37 0 / �' �0�2 ` � -� . Cf <br /> 'ROJECT q�ORE55 sc.iunm[ netE <br /> 'L128 Rroadway Ever.ett, Wa 98201 <br /> cnrousitirssur�yvrun — — <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF�'I%TURE 041TEM FEE NO. TVPE OF EQUIPMEN7 FEE <br /> _ WATER CLOSET(;"OILET) A/C—AiHNDLG UNITS—H.P. <br /> _ BATHTUB ; FORCED AIF SVSTEMS—B.T.U. M E.A. —�— <br /> _ LAVATORY(WA�FIE4SI'�) UNITHEATERS—B.T.U. M <br /> _ SHOWEI4 � CLOTHES DRYERS �— <br /> � <br /> _ V.I'CitEN SIMK 8 DISP'. ; VENTILATION FAN i <br /> DISH�VASHER � RANGE HOOD -—� <br /> LAUNDRV TRAY ; � WATER HEATER , - <br /> _ CLOTHES WASHER � WOOD STOVE �� <br /> URINAL ; IdETAL PIREPLACE 8 CHRdNEY � - <br /> _ DRINKING FOUNTAIN ; FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � �—" <br /> BFCKFLOW PREVEN7ER5 ' GAS PIPING <br /> ROOF DRAINS—RAINLEADISRS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) � — <br /> _ � <br /> � —�— <br /> I <br /> I <br /> SUL3TOTAL $ � <br /> i � SUB TOTAL $ � <br /> PEFMIT $ � PERMIT $ <br /> TOTF,L FEE S TOTAI FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACN SI�E SEiBACK PLAN CH 'K NUMBER FEE � RECEIPT N0. <br />� �s��� 3 sl �c�_�-o 9 <br /> I USE ZONE IAT AREA VACANT SITE FEES � <br /> VALUATION FEE <br /> �- � 6cxx� N;, <br /> BUILDING p Z i <br />, TYPEOfCONiS.ALlOWABLE TYPEOFGON57ACiURL �uvex[r xoofpMwxeuvns C� � — <br />� enou� � PLUMBING ' <br /> - J -�J � � <br /> SRE OF BLOG. N0.OF STORIES BASEMENT � <br /> K�ST'G MECHANICAI � <br /> � <br />� OCCUPANCV LOAD PIRE SPPNKLERS REO'D HEIGHT LIMITqiION ADDITIONAL pLAN CHECK i <br /> I Nv � , , <br /> I REASO J Fpq SPqINKLERS SPRINKLER �— <br /> STATE BUIL�ING SURCHARGE � h!1 <br /> INTANE BV PLANS APPROVEb BY ' �.l L ' <br /> CITY OF EVERETT PUBLiC WORhS T <br /> ..� I� LOCAL SALES <br /> 3 TAXCODEIS3105 rora� ��2�J�% <br />