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i'. <br /> H�� <br /> /"'Y� <br /> APPLIG.-.7 iON FOR CONSTRurCT10N <br /> PERMIT <br /> mo rcc�g,ecn <br /> GITY Of �•���•��•�t <br /> everett � <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> CWNER FIAILApDPE55 GItY LIN PMONE <br /> The Casa Group Corpora[ ion P O. Box 2188 Evere[t �da . 98203 _ 347-3775 __ <br /> TENNNT MAIL�O�RE55 . CIiY ZIP FNONE <br /> ARCHREGTOR�E5IGNEF MAIL�D�PE55 CITY LP VHONE <br /> Ron Sohnson 546-2288 <br /> GENERALLONiR�CTUP AIPILAO�RESS GIY ilP PMONE IICENS[• <br /> � � � The Casa Group Cornoration P O. Box 2188 Evere[t lda . 9820� 347-3775 CA51GC* 1530E <br /> MEGHANIC�LCONTRACIOP MIIILPOOPESS G11Y ZIP VNONC LICCNSE• <br /> � � � Ever¢reen St . Sheet Metal P.O. Box I508, Everet[ . 6'a . 252-3114 EVERGSS121K7 <br /> y PLUMBINGCONTRALtOR MAIL��DPE55 CIiY 21P PMONE LICENSE• <br /> t+ y y Robinsun Plbq Co 607 SE Everett Mall Wa�, Evt . Wa . 355-6171 ROBINP*27%CZ <br /> t-i � anssorwo�+K <br /> y h� <br /> K' (] � NEW ❑ ADDITION ❑ ALTERAiION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ 9UILDINGqEI.00ATION <br /> y � TENAYTIMPRWEMENiOPIMERiORPEMO�ELONLY WNiACTPER50N�NOP110NEND <br /> '�H "'d CONTP�LTPRICEOFWORK y9 �py. C^ Richard E. JOnes , Pres . 347-3775 <br /> �H <br /> � x f-I OESCRI6EWORKANOSOWREfOOUGEINVOLVEO ---_-- <br /> 5n <br /> ow New cons[ruction <br /> OF� rJ PPOPOSEOUSECFBURUING IHEREBVCERTIFYTHATINAVEREADANDEXAMINEDTHISAPPLICATIONAND <br /> '�Q �y SinRle family residence KNOWTHESAMET06ETflUEANDCORRECTALLPROV1510N50FLAlYSAND <br /> �"� �� LEGALOESGHIPiIONOFPROPERTYISMOWNBELOWOflRTAGNiOIIFCOP�E51 OROINANCESGOVERNINGTMISTYPEOFWORKWILlBECOMPLETEDW�TH <br /> p� �) WHETN[RSPEGFIEDHEFEINOFNOT.TNEGRANTINGOFAPERMITDOESNOT <br /> yp.� � wt�— BtOCK pc ' PRESU1dETOGIVEAUTHORINTOVIOLATEORCANCELTHEPROVISIONSOF <br /> J,va1C4.CL1-�ES-GLDOv ANVOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER� <br /> FORtAANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> rMF3 ISI � F[7218I1[I AVenLe �eLP<< Wa . THISPROPERTVTOPEFFORMTHEWORKFORWHICHAPPLICaTIONISh7ADE <br /> AN[l I COMPLY WITH THE STATE CONTRACTORS LFP! 18.^7 RCW AND <br /> C7 � M 296200 R'AC. <br /> ��y 5'�G'1>1UR[OFCO!liRACLOPOFnU1NORIZEORGENi pAih <br /> The Casa Group Corporation <br /> � X <br /> y� y PNOJELT� oaess R i r h a�d F T n r c � P r n 'd n� <br /> y � �' ` APpUCFNiSCRYBU5iNE55LKEN5EN0AN00U51FE55N4ME <br /> J �2�8� � <br /> � PLUMBING � MECMPNICAL <br /> NO. 7'YPE OF FI%TUflE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1� _ WATERCLOSETITOILET) _ _ NC—A�MNDLGUNITS—HP — <br /> BATHTUB � � FORCEDAIRSVSTEh15—BT.U. MEA <br /> C� LAVATORWWASHBASIN) � UNITHEATERS-9TU �� <br /> SHOWER � = _ CLOTMESORYERS <br /> ' KITCHENSINK801SP. � = VENTILATIONFAN <br /> � OISHWASHER AANGEMOOD <br /> i �� LAUNDPYTRAY — WATER HEATER <br /> CLOTHES WASHER wOOD S70VE <br /> � URINAL �dETAL FIREPLACE d CHIMNEV � <br /> DFINKING fOUNTAIN FIREPLACE INSERT <br /> FLOOR DRi.�� HEAT PUMP <br /> I �1� _ BACKFLOW PREVENTERS GAS PIPING <br /> RpOF ORAINS—RA�NLEA�ERS E%HAUST FAN <br /> SINK ISERVICE—BAR,ETC) <br /> I �1_' <br /> � � <br /> `t+1 SUBTOTAL S SUB70TAL S �_= <br /> PERMIT 5 PERMIT 5 <br /> TOTAL FEE 5 TOTAL FEE 5 <br /> iRONiSETWGe REARSElOAGN SIOESET�ACN I GUNCNECNNUMDEH reeGy3 /,F AECEIPTNO. <br /> r 20' 6 <br /> r ode � er code �� er en e 90 c/i3 ' �a .� 3 <br /> �EEotiE ioraaEa v,+cAr+Tsrte FEES VALUATION FEE <br /> 6t -1 �G xYES ❑NO I �'J1 <br /> IYPEOFLONSi. OCCUPANGY ROUP NO.OFDWELLINOUNIL$ Bl11LDING �� � /��r�` �(: 9L{� " I�� � <br /> ALLOWABIE/ACiWL sls��encemily � PLUMBING _ _�_ <br /> SIZEOF6LDG. M1OOFSTOPIES BSMT. OGGLU�O <br /> �Z y5 S:+ [gr MECHANICAL /�Q_ <br /> 4; SF G4 �� <br /> Hemrttu it•rior+ OTHER <br /> [iRESFRINrcLER5NE0UiNED ❑YES XJNO N A STATEBUILDINGSURCHARGE � <br /> STATE ENEFGV SURCNARGE <br /> �PPLICAiIOH ACC BV PLAN$AFPR.BY �� � <br /> / PUBLIL'WOPNS <br /> 7 � TOTAL /C C^ l.`� <br /> C�v�c�Ct: ;����?c�;2.`� cti� E3lc ��rr�Lcr, S-�r-° r����-���n'x��� <br /> ,_ <br /> �� ��.�rt C'l'_ �E', <br />