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�� <br /> AP�'LICATIt.�.� FOR CONSTRUCT C/N PERMIT � <br /> everett <br /> mo e�org�oeo <br /> CIT1'OF I <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PFlINT � <br /> 259-8810 <br /> p�H i DEMOLITION j{X COMBINATION X BUILDING X}�AECHANICAL X' PLUMBING i SIGN I <br /> OWNER MRI�ALOqE55 CITY ZIP PHONE <br /> pG C�sa Group Corp. P .O. Box 2186, Everett , Wa . 9820) 347-3775 <br /> � M�y3' �/1 TENANT \141Lp��RESS CIiY ZIP PHONE <br /> y ^� PRCHREGT OR DESIGNER MAIL ADDRESS CITY 21P FHONE <br /> k � lJa . 546-2288 <br /> F'y]� Ronald Johnson 19601 23rd N.W. , Sea[tle , Z� pqONE ucrr+se� <br /> y�..� H GENER�I CONTRAGiOB MPIL�D�RESS CITV <br /> Casa Group Cornoration P .O. Box 2188, Everett , Wa . 937.03 347-377: CAS:`.GC* 1530E <br /> � �Yi� MECH/.NICALCJNTRFf.TOR MRiLADORE55 Cltt ZIP PMONE LIGENSE• <br /> o �� P .O. 8ox 1508 , Everet [ , Wa . 98206 EVERGSS 121K7 <br /> OHC Ever�reen STate Sheet Pfecal , ZiP PHONE LIC[NSEt <br /> PLU��BINGCONTMGtOR MRILAODflESS ��TY <br /> �n <br /> �� Robinson Plb . Inc . 607 SE Evere[ t P1a11 lJa . Evt . , rla . 98208 ROB1N*272C <br /> CUSS OF WORN <br /> "'1 H XXNEyy ❑ qDDITION f � ALTERATION L i REPAIR ['� DEMOLITION �, �I WOODSTOVEIFRPL INSERT CI �UILDING REIOCATION <br /> � �.)q) '1 l C N�� � �'�'l CONTACT PENS�N ANO PHONE N0. <br /> TENANT IEIPROVEMENT OR INTERIOR REMO�EL ON�V � <br /> � H H •�S. Richard E. Jones , Pres . 347-1i75 � <br /> C VJ GONTPACtPRICEOFWORN: <br /> � �y DESCRIBEIVORNAN�SOURREFOOTAGEINVOLVED <br /> �C�� New Cous[ruc[ ion <br /> PROPOSE�USEOFBUI�OING I HEREBY CERTIFY THr1T I HAVE READ AND EXAMINED THIS <br /> S i n¢1 e E�m i L v r e s i d e n c e APPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT.ALL <br /> y O N PROVISIONS OF LAWS AND ORDIIJANCES GOVEflNING THIS TVPE OF <br /> IBGALDESGRIPTIONOFPROPERttISHOWNOELOWORATiAL11FOl1RCOPiES� yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioT •j o�p�K oF H a r b o rv i ew NOT. THE GRANTING OF A PERMIT DOFS NOT PFESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> E v e r e t t W a s h i n o t o n 9 8 2 0 3 _ OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMA��CE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGNATUREOfCD4TPACTORORAUTMOBIZEDAGENT �BTE 2/ 14 /90 <br /> The Casa Group Corp . <br /> - Xichard E . Jones Pres . i���r,t-��l^` <br /> PNQIECT�DDRESS pPPLICANTu CITY 9USINE55 UCENSE N0.AND BUSINESS NAME '�O�O B O I <br /> . E t . Wa . 98'103 <br /> -'� PLUMBING MECHANICAL <br /> �C ` N0. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE _ <br /> ��� WATER CLOSET(TOILET) z � A/C—NHNDLG UNITS—H.P. <br /> • � � BP.THTUB I FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> � LAVATORY(WASH BASIN) , LINIT HEATERS—B.T.U. M <br /> ._� SHO'NER � CLOTHESDRYERS <br /> I�I KITCHEN SINK 8 DISP __��� VENTILATION FAN <br /> I , DISHWASHER RANGE HCOO <br /> � LAUNDRY TRAY WATEA HEATER <br /> I �� CLOTHES WASHER c � WOOD STOVE ; <br /> � I URINAL ' METAL FIREPLACE 8 CHIMNEY <br /> � FIREPLACE INSERT � <br /> � DRINKWG FOUNTAIN ' <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS GAS PIPING <br /> i !'_� ROOF DAAINS—RAINLEADERS EXHAUST FAN <br /> � SINK(SERVICE—BAR,ETC.) � <br /> � <br /> i <br /> ' �'�I --;- ' <br /> SUB TOTAI ff ; G SUB TOTAL 5 O' I, <br /> �� PERMIT 5 PeRM1T 5 ' <br /> I ,='=� TOTAL FEE S TOTAL FEE 5 1 <br /> � " PLAYCN HNUMBER FEE REGEIPTNO. <br /> \ FRONi SETOACN PE�R SETOACN SiDE SETBACK , �S/ JJ 7 �7/ <br /> \ 20�� `D <br /> min . min . <br /> USEZONE <br /> LOTAPEA �ACANTSITE FEES VALUATION FEE <br /> Resident al 9 , 595 XXYES `.-'� NO BUILDING J80pa� � 3 '� <br /> � <br /> MEOFCOxS�.�t0Y/M1BLE n'PFOFCON57.AL7U4 acuru¢r HoauMuixGuxifl G � <br /> G9WP PLUMBING 0 S��G <br /> y- N 1�-s , <br /> SREOFB��G.5�3�jy �1� NOOFSTORIES BASEMENT MECHANICAL SOiIx) <br /> �yT pT z Xl YES Ci NO 9 ' y <br /> �f � <br /> OCGUPANLYLOAD FlRE PANKLERS EO'D NEIGNTIIMITATION p� OTHER ,�L! � "1 JII C� <br /> �5 �NO per P1oC p1anZD STATEBUILDINGSURCHARGE �7 �✓� <br /> RERSON FOR SPRRlNLERS ��_ �- � <br /> STATE ENERGV SURCHhfiGE <br /> qPpUGAiIONAGFBY P 1J5?.��AOVEDBV CITYOFEVERETT PUBLICWORNS ' i <br /> �(f�'� LOCAL SALES <br /> �,� � n TAX CODE IS 3105 TOTAL '7 L <br /> 51w� P(«r �- t�-$s ` <br />