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APPLICATIC"y FOR CONSTRUCT'�1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PHINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ELECTRIC U <br /> 259-8810 <br /> f� DEMOLITION Cl COMBINATION I� BUILDING f�MECHANICAL ❑PWMBING fJ SIGN <br /> OWNEP MAII�ODRE55 LITV ZIP PNONE --' <br /> Northwest Everett Neighborhood Assn. , P.O. Box C, Everett, WA 98206 259-6184 <br /> TENANT MFILRDDRESS GiY Zlu p�� <br /> •RLMIIEGT OR�ESIGNER MAII ADDRE55 GTY ZIP PNONE <br /> GENERpLCONTRRCTOF M�IlA0DRE5S CIJy Z�p PHONE SiATELIGENSE/ <br /> Oc,av�e� <br /> MELNANIGILC(klTR�CTOR MFIL�DDRESS CITV 21P PNOHE STRTELI�ENSE� <br /> PLIWBING CANTR�CTOR M�IL 11�DRESS CITY ZIP PHOHE STATE LICENSE� <br /> CONTP�CT PRICE OF WORN <br /> D[SCFIBE WORK AND SOU�HE FOOTAGE INVOLVED LOkTACT PEPSON AND PHONE N0. <br /> Gazebo, 8-sided; 14-foot diameter; Drew Nielsen - 259-6164 (w) 258-333:3 (h) <br /> volunteer labor <br />� I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> PPOPOSEO USE OF BU�LDING APPLICATIG?V AND KNOW THE SAME TO BE TRUE AND GGRRECL ALL <br /> Neighbonc�od Paric PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> LEG�IDE$CAIPTIONJFPqpPERtt�SHOWNBEIOWOR�TTACHTWOCqP1ES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �orl'S �Zg-�e�cK 228 �Cf1UYC11 & LaMoure's NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Addition t0 tl]e Clty of :Everett, dCCOIal nUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS UF ANY <br /> rlOTHER STA'i E OR LOCAI U1W FEGUUTING CONSTHUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> TECOTdB Of Snohomish Covnty, Washington. OWNER OF TNIS PROPERTY TO PE!iFORM THE WORK FOR WHICH <br /> P�RCELTA%I.D.NUMBEflS � — ��(� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> 4094-228-001-0005 4094-228-004-0002 CONTR CTORSLAWS827RCWAND296200WAC. <br /> Cn�TaRUCTqiI LO�N LENDEH,�DDRE55,TELEPHONE NUMBEP <br /> / �� <br /> DDRESS� � �y s . nve o��E <br /> �Coiby Ave. , Everett, WA �,,,A,,;,�,�„«,_;�,q <br /> PLUMBINO MEq1ANICAI <br /> NO. TrPE OF FlI(TURE OR rtEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � !VC—PIHNDLG UNITS—H.P. , <br /> BATHTUB FORCED AIR SYSTEM�B.T.U. M E.A. � <br /> UVATORY(WASH BASIN) � UNIT HEATER�B.T.U. M ; <br /> SHOWER � CLOTHESORYERS <br /> _ KITCHEN SINK B DISP � ; VENTILATION FAN � <br /> DISHWASHER RANGE HOOD , <br /> LAUNDRYTRAV ' WATER HEATER � <br /> CLOTHES WASHER � WOOD STO'JE ; <br /> UR�NAL � METAL fIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN FIREPLACc INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENI'ERS GAS PIPING � <br /> ROOF DRAINS—iiAINLEADERS � ExHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � � <br /> . �' ' <br /> � �. <br /> ' S ' <br /> -- - ' <br /> � one , <br /> SUB TOTAL $ ; SUB TOTAL $ � <br /> PERMIT $ � PERMIT $ <br /> TOTAL FEE $ � TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONTSE7D�CY. REARSETO�CN SIDESET6ACN P�ANCNECNNUMBER FEE RECEIATNO. <br /> Lo Zo ' S � /o ' ;� <br /> usez LOT�HEA vncar�tsrte �FE 3 VALUATION FEE <br /> � � C7 YES r � BUILDING � � �O s f ' <br /> � _ <br /> 1Y1'EOFCONSi NOAFSTORIES octuwxCr xOaowFurvcU4rts --i— <br /> V�N ��P PLUMBMG ' <br /> ' � ' <br /> —�-- <br /> SIZEOFBLIX'iD � FRESPRI4NLERSREUD PASEMENT IdECHANIC�L � <br /> � ( ❑ YES ❑ NO � _ <br /> OCCUPANCY LOAO FIRE AIARM REO D NEIGHT LIMITATION ADDITIONAL PLAN CHECK 3 �/ <br /> � � � _ _ <br /> OTHER i <br /> REASON <br /> STAic BUILDING 5URCHAFGE ; <br /> INT�KEBY �ANS PROVEDBY CITYOFEVEHETT PUBLIC\VORK$ � <br /> �AA LOCAL SALES ' <br /> DRTE _u ,�9 t TAX CODE IS 3105 �TAL C� '�Q <br /> �i i <br />