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� ,-. - <br /> t.�PLICATION FO(� ��e <br /> fMEv�rp'M� CONSTRUCTION <br /> CITT OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259•8810 <br /> ❑ DEMOLITION O COMBINATION �] BUILDING C�MECHANICAL C3�PLUMBING ❑ SIGN <br /> OWNER MnIL�D�AE55 ��T'� ZiP PMONE _ <br /> George b. Cind Stevens 2815 tJ. ASarine Viaw Dr. ,�verett, 98207 339-1275 �- <br /> pqCMiTICTON�ESiGNER M1iL�DORE55 C�1V Ziv . VHONE � <br /> H P Design 725 IIutler Hill Rd ,Burlington 98233 757-0685 <br /> GENER�L GOMPAGIOR MAIL AODRESS CIiY 21P _ G. GHI7� � IICtNSE• <br /> rTC <br /> Danard Custom Homes 607 S E �verett Dta.11 1Ja n7,Everett,9E1208 355-2001 ,DA-NA-RC-H2- <br /> MELM�NiGLCONTR�GTOfl <br /> MPLL RDON[55 G�iV 21P PIIONE ENSE• <br /> Everqreen State Sheet Met�3411 Ha es, Everett 98201 252-3114,Tv-ER-GS <br /> PLUMBING CONLRACiOA MAIL AOOAES: ��TM 2iN PIIONE E• <br /> Robinson Plumbinq 607 S E Everett Mall l4ay,Everett 98208 355-6171 ,R0-BI-NP <br /> CUSSOP WOAN <br /> [� NEW ❑ ADDITION ❑ 4LTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCNT�ON <br /> W L W T�ON OF WON�ICO51 OF MAiEFIALS PLUS LPBOAI <br /> 71��/�0�.�� <br /> pFSCA�BE WOPN <br /> Construct a new sin le famil residence. <br /> usE oF euaou+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> Sinqle Fami1Y Residence PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> lEWLOESCFIPiIONOFPROPERTVISHOWNBELOWORRTtACMFOURCOPiES PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> ia�_a�o�,�_aF IN OR NOT.THE GRANTING OF A PERMIT DOES WOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> Lot 4, ExcePt the Easterl 16 feet theYe OR HEPERFORM�CEOFCO STRUCTIONNGCONSTRUCTION <br /> SIGNATURE OF CONiRACTOR OR FUTMORiZED/GENT f1ATE <br /> all of Lots 5 & 6 and the Easterl 7 <br /> X • . ,��.�`i..�oJ /r /g/s7 <br /> fe�t Of LOt 7 Rlbck 13 Ueen AnTle Add• APPL'C iSCitY8lI5WE551i ��seno <br /> PPOJECiRODFE55 t0 EVOL'ett. <br /> �ng.land Ave. - Lots 4, 5,6, 7 (Partial 4 & <br /> PLUMBING � MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM <br /> �E Np, TYPE OF EOUIPMENT �E <br /> WATER CLOSET�TOILET� 't � A/C—A/MN�LG UNITS—MP. <br /> �BATHTUB �O � REFRIGERATIONUNITS—HP.EA. <br /> LAVATORYIWASMBASIN� QO � BOILERS—B.T.U./HP. <br /> �� i GAS FIHED A�C.UNITS—B.T.U.']S OOO �d <br /> /L SMOWER <br /> ,� KITCHEN SINK 6 DISP. S � FORCED AIR SVSTENS—B T.U. M F�. <br /> C � WALLHEATERS—B.T.U. M <br /> �! OiSMwnSHER ` � M <br /> LAUNDRVTNRY � UNITMEATERS—B.T.U. <br /> CLOTHESWASHER S � EVAPORATIVECOOlERS <br /> CLOTHESORVERS � b� <br /> URINAL � � <br /> ORINKING FOUNTAIN VENTIlAT10N FAN <br /> RANGEMOOD � � <br /> FLOOR DRAIN 6 d <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF ORAINS—RAINLEAOERS <br /> WOODSTOVE p � <br /> � SINK�SERVICE—BAR.ETCJ 5 � MEfAL FIREPLACE d CHIMNEV <br /> FIPEPIACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXMAUSTFAN <br /> SU!T0T111 f SUB TO7AL 7 �� <br /> PERMIT f ' P[NMIT <br /> TOTALFEE f TOTALFEE <br /> PLANI:HE KNUMBER FEE RECEIPTNO. <br /> �uc>NLSE*Os�K RE�RSEIO�GK Si0E5ET&�Cn Q l/J�� �/./� �/��� ��OJ I <br /> .�+7�OJiRGJ L�� � ' U { I I �� �/ O` � <br /> vAR�M.Ic� FEE <br /> usemNE �orARE� V�CRNTSILE FEES VALUATION <br /> �- � 79 Zo st r�. )rres oNo 5/Gb � <br /> BUILDING <br /> 1��'CO[CO45i OCCUPANCYGFOUF NOCiDWELLINGUNILS �O �� <br /> ,g-n/ R-3 / PLUMBING <br /> YLE OF pLDG NO 0�SiOPiES MA% OLC LOAD MECHANICAL • � � <br /> 255L_J/25� 2 N�¢ <br /> .6S7L - <br /> OTHF.R <br /> FIRE SPRINKLERS REOUIRFD ❑ VES NO yTA7E BUILDING SURCHARGE SU <br /> STATEENERGYSUFCHARGE _./ <br /> a��vuCauOu n[c ur �LANS CMEGNEO BV ��PA FON ISSIUNGE BY pUBLIC WORKS w <br /> � � � �� ' TOTAL $ 3� �v <br /> "•�Il \ <br /> PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br /> PPOPERTV LINE LOCATIONS AND RELATED EASEMENTS. <br />