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. p <br /> , APPLI��u�'ION �OR CANSTRl.�410N <br /> PERwll17' <br /> th6�Eve�Oreen . <br /> CITY OF <br /> everett <br /> a everett � <br /> j BUILDINGDEPARTMENT <br /> � 259•8810 TO BE COMPLETED IPl INK— PLEASE PRINT <br /> �� OWNEH MAILADOHESS GiIY ZIP PHONE <br /> i JUNEAU & RIZZIlTO 4630 200th SW, Suite G Lynnwood 98036 771-4R8? ' <br /> .� ��'WT � MqLR�pqE55 GITY IIP PHONF �-- '""" • <br /> � CAROL CHEVALIER 9109 Evergreen Way Everett 98204 35'-"r5;i3 <br /> � ARCNRECTOROE9IGNER M�ILAODNESS CITY ZIP PHON_ <br /> � McC00L-IdcDONALD••HM C0. 1219 Westlake AVe. N. , N200 Seattle 98109 284-1651 <br /> QENEMLCONTH6CTOH MFIL�OOPE59 CITY ZiP FHONE UGENSEa <br /> � <br /> i MEGW1NICpLCONTMCTOR MALAODRE55 QTY 21P PNONE LICENSE• <br /> � <br /> '} GIUMBINOGONTNAGTOfi M�IIPDDFE59 CiTY . <br /> ZA PMONE 4LENSE• <br /> ' fi <br /> � G�1yA590FWORN <br /> j L�4 NEW ❑ ADDITION ❑ ALTEPATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVFjFRPLINSERT Q-.'BUILDINGRELOCqTION <br /> 'j iENIJITIM�NOYEMENTONINTEFION(iEM0�E�0!I:Y CONiRCTPERSONRNDPNON NO <br /> � CONTF�CTPHICEOFWOHK z�p ` `'D Roger Mebust - 284-1651 ' <br /> ��� D ANO O qEF00/0 �NV <br /> �BY��'�' ot� `�ype �-�1 �� One-Story Frame <br /> ' Rv oroseouseoFeu�iLoir�af a ��yrrP f.pntnr - frni!n T_1 � <br /> � See attached copy of Special IHEREB'fCERTIFYTHATiHAVEREADANDE%AMINEDTHISAPPLIC.ITIONAND <br /> C�AYCARE CENTER o ert Use Permit #13-88 KNOWTHESAMETOBE7RUEANDCORRECT.ALLPROVISIOiJSpFLAWSAND <br /> � LEGALpESCPIPfIONUFPHOPEFTY�SHOWNBELOWORRTTRCMFOIIRCPPIES� ORDINANCESGOVERNING7HISTYPEOFWORKWIL�BECOMPLETcDWITH <br /> WHEfHER SPECIFIED HEREIN OR NOT.THE GRANTING OFA PEHMITDOES NO7 <br /> -�I lor BLocK oF PRESUME TO GIVE AUTHOR!TY 70 VIOLATE OR CANCE�THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER• <br /> �" See attached THISPRO ERTY OPERFORMTFiEWORKnF RWHICHAPP IC TEONVISMADE <br /> � AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 296.200 WAC. <br /> �' SIGN�TUREOFGONIqA�iOBORAUT110RRE0RG'cNT DFiE <br /> X Age • fo Jun � z 10/26/88 <br /> � <br /> � PROJECTADDRES9 <br /> d <br /> y APP CR B 51 ESSLIG N ENO.ANp INESSN�ME <br /> � 9709 Hollv Drive, Everett WA <br /> . PLUMBING MECHANICAL <br /> i <br /> �i NO. TYPEOFFI%TUREORITEM FEE NO. TYPEOFEOUIPMEN7 FEE <br /> � WATERCLOSET(TOILET) A/C-A/HNOLGUNITS-H.P. <br /> I BATHTUB FORCEDAIRSYSI�EMS-&T.U. MEA ' <br /> iLAVATOPYIWASHBASIN) UNITHEATERS-B.T.U. M <br /> � SHOWER CLOTHES ORYEFS <br /> � KITCHEN SINKB DISP, VENTILATION FAN <br /> �i DISHWASHER .RAIJGEHOOD �� <br /> ; LAUNORYTRAY <br /> — WATER HEATER <br /> :� CLOTHES WASHER / �/ � � <br /> i WOOD STOVE <br /> URINAL METAL FIqEPLACEB CHIMNEY .. ' <br /> � DRINKINO FOUNTAIN <br /> 1 FIREPLNCEINSERT <br /> � FLOOflDRAIN HEATPUMP �— <br /> ! BACKFLOW PREVENTERS � ' GAS PIPING <br /> � ROOF�RAINS-RAINLEAOERS -' EXHAUSTFAN <br /> iSINK�SERVICE-BAR,ETC <br /> � / <br /> I <br /> i <br /> SUBTOTAL S SUBTOTAL S <br /> � PERMIT $ PERMIT F <br /> TO7AL FEE S TOTAL FEE 3 <br /> FflONiSf:TBACK pFAqSEfB�CK SIOESETBACK YtANLIIE NNUM9E11 FEE O� qEGEIPfNO. <br /> d18 Feet 86 Feet 26 Feet a� — <br /> USEZONE LOTRREA V�CANTSITE FEES <br /> R'3 N, 62,513 SF ��E9 ono YALUA�ION FEE <br /> 7YCEOFGON9T. GUPANCYONOUP NQOFOWELLINOUNIiS BUILDING � F <br /> ,«oWr���,-� <br /> E' 3 None PLUM9ING <br /> SIZEOFBLOQ NQOF9TONIES B9MT. O{;GLOAD <br /> 6 016 SF One ocN � MECHANICAL <br /> � HEIOMTLIMIiPiION OTHER <br /> FIFESPRINKLERSREOUIHEO ❑YES IXNQ � <br /> - STATEBUILDINGSURCHARGE 3 c�� <br /> STATEE�ERGYSURCHARGE � S Qa <br /> APPUCFTIONRGGCY PUIi4Fi'PH. � <br /> r^'� PUBUC WORKS <br /> I YVM1� <br /> TOTAL 2 5`� <br /> J <br /> ..-,....;.,. „«,'y . ,� ,A., �. „ ._ . „ .:;:,_ ._._ : .. . . <br /> ...�lxrat_...__ <�..+rw'�1��1�l.#��"��.W_'^�,.eii.n��d�«�_*_wd3+�4'.'�'fbu*d?Lwerr.e-._ "__ _.-... . . _ <br />