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APPLlCATION FOii CONSTka1CT10N <br /> PERIIflIT <br /> Ihe Evorgroon <br /> CITV OF <br /> rvrrctl <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNEfl AIAIIPDDRE55 Li1Y ZIP PIIOtlE ' <br /> Ken Harvey_ 2�;23 Lomhard Eoerett __ __ 2E.2-8289 <br /> TENAIIT MAIL�ODRE55 �IiY IIP pppNE � <br /> pPCMITECTORDESIGNER M41lRODFESS LiTY Z�P PIIOt1E <br /> GENENALCONTPACiOH MAIIADDRESS CitY -ZIP � _fWp�7ryz62 IICENS[• <br /> 00'i <br /> Goade Construction Inc dba North�_vest Garages __ 11217-60th St N.E. Lk. Stevens 9E258 WORTHG 124L0 <br /> MECY'ANIf.ALLONIflRLTOR l.IqII�DORE55 C11Y TIP PIIONE ULENS[� <br /> __—___"___ . _. ____ _. "__ . _ " "' _ _ _ _ '" " '._'__ __—_— <br /> PLUAIBINGGO4iRACTOF AIAIIAD[]flL55 f:IIY [IP p110NE IICENSE• <br /> CLASSOFWOPN -- ------' �-� -""-"--- - <br /> C# NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ �EMOLITION ❑ WOOOSTOVL/FRPL INSERi ❑ Ol11LDRJG RELOCqTION <br /> TENr1Ni1MPROVEMEr�ORMTERIO REMODELONLY CONiAGiVER50NPNDV110NEN0 <br /> .���-.+�i o... Y G Yc� <br /> coNTaecrveicEOFv/onm - 7�295.00 <br /> UESCHIBE WORK ANO SOU�RE FOOT�GE INVOIVED � —� — -- <br /> 24' x 24' gerage (E76 sq Ft) <br /> PROPOSED lISE OF BWLDiNG — -- <br /> 1 li EREBY CERTIFY 7l1AT I HAVE REA�AND EXAMI�JF.D 7HIS APPLICATION AND <br /> garage KNOtV'HE SaME TO BE TRUE AND CORRECT.ALL F'ROVISIONS OF LAWS AND <br /> lE4ALpESCRIPTIONOFPROPERttI5110WNBElOWOPRTfALMF011BGOPIES� ORDINANCLSGOVERNIN3THIS7YPEOFWORKOYiLLBECOMPLETEDWITH <br /> WHE7HER SPECIFI[DHEREINORNOLTHEGRAN7INGOFAPERMITDOESNOT <br /> ipQ2 6 13 eiocK 5�8 ofplat Eve�ett Vol 3 PHESU�dE70GIVEAU7HORINTOVIOLATEORCANCE�TMEPROVI510NSOF <br /> — ANVOTHERSTATEOHLOCALLAWPEGULATINGCONSTRUCTIONORTHEPER� <br /> FORMANCE OF CONSTfiUC710N.7HAT I AM AU7HORIZED 8Y THE OWNER OF <br /> ][a,qe 32 __ _ THISPROPERTYTOPFRFORAITHEWORKFORWHICHAPPLICATIONISMADE <br /> -- ANO I COIdPLV WI7H THE STATE CONTRACIUFS LAW 1827 RCW AND <br /> 296200 WAC. <br /> SiGNRIUREOFLONIRnQO�iOi�AlII110RI2E0AGENt DAi[ <br /> PHOJECT�DOIVE55 ������i ��e�S..J� � �J.._�l_/ <br /> M LIC NiSCITYBl1511!@:SIICLNSCNOFNppUF�'![SSNAME <br /> 2423 Lom6ard <br /> PLUMBING MECHANICAL <br /> NO. TYP�OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn A/C-A/HNDLG UNITS-H.P. <br /> BA'fMTUB FORCED AIR SVS7EMS-BS.U. M EA <br /> LAVATORY�WASNBASIN) UNI7HEATERS-B.i.U. M <br /> SHOWER CLOTHESDRYERS <br /> KITCHEN SINKB DISP. VENTILATION FAN <br /> DISHWASHER RANGEIIOOD <br /> LAUNDRY TRAY Wq'ER 11EA7ER <br /> CLOTHES WASHER WOOD STOVE <br /> — _— ____--_.. .-_. _. _______. _.__.____.._—.—_-_. ___.--_ — <br /> UfiINAL METAL FIR6^IACE 8 CI IIMNEV <br /> --_-____--_'___—_'_"__ "'__. ._ '_' ' _ ._ . . . _ _.._ _ _._. _.___ - '_ _.__'_ — <br /> DRINKING FOUNTAIN FIREPI.ACE INSEf7T <br /> FLOOfi DRAIN I1EAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS C-XHpUST FAN <br /> SINK(SEFVICE-BAR,ETC) <br /> SUB TOTAL $ SU6 TOTAL S <br /> PERMIT S P[RMIT S <br /> — ____ —_.__ '___'_'___ ___ . . _ _._-___ _. _ .__- _. __... ..___—_____. - — <br /> TOTAI FEE $ TOTAL FEE S <br /> FRONTSETUACR flURSEIUALR SI�E56ipnLK PtANCHECNNUM0E11 FE[ PELEIPTNO. <br /> Z� � Zv� —� / 9/ .��57 7o � zv Ys' 7s7 <br /> usezor+E IOTMER W�M�T+itE PEE VALUATION FEE <br /> I1Y[5 D(NO <br /> �"�Z —_ aui�oiNc � _ �qZl6 �_L� �CL <br /> TYPPOFfANSi. OLCUP�NGYGf100P NOOFOWELLINGUNITS <br /> R1L01'/ABLE/�GTU�L <br /> �- M-I PLUMBING _ <br /> SREOFOLDG NO.OFSTORIES BSM:. OCCI AO <br /> S 7� S ��Y MECHANICAL __ _ <br /> I �a� nl/4 <br /> rieim�runnrnrioN OTHERIS� IG.US '1 U•L� �� <br /> ,J /—� � <br /> FIRESPRINNlER5HE0UIRED ❑VES y.NO I"J I <br /> — STATE BUIL�ING SURCIIARGE � <br /> O_ <br /> STATE ENEFGY SURCl1AFGE <br /> APPLIL�TIONACGBY PLANSAPPR.BY <br /> 3lty PUBLIC WORHS <br /> A �C+ TOTAL / ! <br /> I <br /> V <br />