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� ^ <br /> �j APPLICAT6� FOR CONS�'FiUC'i''rt�1N PEF�:NIT <br /> everett <br /> . fhe Evergroen �. <br /> ceverett �%' <br /> BUILDWG DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> ; ❑ DEMOLITION L I COi�At`INATION I I BUILDING I 1 MECHANICAL i 1 PLUMBING ❑ SIGN <br /> OWNER MAILADUAf:55 CIiV ZIP PHO4E <br /> Hovd^-Weitzel-Hummel partnership c/o 10008 151st P1. S. �., Snohomish, Wa. 98290 481-'v348 <br /> TENANT MAILAODRESS � CITV ZIP PNONE <br /> i Vacant <br /> ' APCMITECTORDESIaNER MqILA00FE55 CITV ZiP PHONE <br /> ' Ron Johnson 19601 23rd Ave. N. E., Seattle, Wa. 54ti-2288 ��)11{Ih,�s�2/�� <br /> � GENERALCONTRACTOR MAIL�DOPE55 CITY 2iF PHONE LICENSEY <br /> HUPIMEL CONSTRUCTION & DEVELOPPIENT, INC. 601-028-672 <br /> MECHANICA�GONTR�CTOR MNLA�DRESS CITV 21P PHONE LICENSEe <br /> *1/A — <br /> � PLUMOIkGCONTPACTOfl MAILA�JBESS CI�V ZIP PHONE LICENSE�1 <br /> N/A <br /> CL�SS OF VlORK <br /> , f{7 NEW ❑ ADDITION LI ALTERATInN I I HEPAIR I-.1 DEMOLITION I I WOODSTOVE/FRPLINSERT ❑ BUILDINGRELOCATION <br /> � TENANTIMPROVEMcNTOFIMER10RPEMODELO I CONiACTPER50NANOPNONENO. <br /> � CONTPACTPPICEOFYIORN: �,i I�OJy HUP1�fEL CONSTRUCTION & DEVfiLOPMENT , INC. <br /> 025CRIBE YlORK ANO SOUAnE F GE INVOLVED <br /> 8 Unit A ar[ment Bruce C. Hummel 481-4348 <br /> �I PflOPO5E0USE0FBUIL�ING I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> Multi-Famil Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALLESCRIPTIONOFPROPERTV�SHOWNBELOWORATfACHFOURCOPIES) PROVISIONSOFLAWSAP!DORDIWANCESGOVERNINGTHISTYPEOF <br /> � �oT 21 & 22 BIOCN 14 oF Plat of WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PE9MIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIO�ATE OR CANCEL THE PROVISIONS OF ANY <br /> � Pinehurst Volume 8 Pa e 3 of Snohomisll OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> , County: Less ttile North 131 feet; Less State APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ��"� ��-' '•� CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> �� R03a �� � ' SIGN�iUflEOFCONiR�C'�RORn�HORIZE�AGENT TE <br /> ' 2503 Fl�.wv2fJ �/'.v / 7 P— �S X .6�CeaC ��� <br /> PflQIE`CT/ADDRE55 Bruce C. Hummel June 13, 1990 <br /> �I ' X7�� f/nwaa.n � Q�RO�ODCJq �PP�IC�NTSCINDUSINESSLICENSENO.ANDBUSINESSNAME <br /> ,� PLUMBING MECHANICAL � <br /> �� NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ;j WATEP CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. � � <br /> ' BATHT JB ' FORCED AIR SYSTEIdS—B.T.U. M E.A. ' <br /> ' LAVAT JflY(WASH BASIN) i UNIT HEATERS—B.T.U. M i <br /> ��! SHOV ER CLOTHES DRYERS ' <br /> KITCh�N SINK 8 DISP VENTILATION FAN /� ; <br /> DISHWASHER RANGE HOOD � <br /> 'j LAUNDRY TRAY � WATER HEATER <br /> ' CLOTHES WASHER % � � W0075TOV i <br /> � URINAL METAL PLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN � i FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PR VENTERS ; GAS PIPING ; <br /> , FOOF D NS—RAINLEADERS � EXHAUST FAN <br /> � SIN ERVICE—BAR,ETC.) ; � <br /> , � <br /> � � <br /> � <br /> � <br /> , � <br /> . SUB TOTAL 5 ; SUB TOTAL 5 ; <br /> PEAMIT $ � PERMIT $ <br /> TOTAL FEE $ ' TOTAL FEE $ ' <br /> � FRONTSETBACK FEARSET9ACH SIDESECTB�CN PLANCHEGKNUAIBER fEE RECEIPTNO. <br /> �� ZU, ��, .J ! 9a as'Ps� P.iS. .?o 38� Y <br /> usezoue LOTAREA VRC�NTSITE FEES VALUATION FEE <br /> '� �- [I YES f 1 NO BUILDING q � //�)1 <br /> � TYPEOFGONStALlOWABLE lYPEOFtON51.AC1U4l occuvescr xoorow[u�xcwms ` —�T�� <br /> GPWP � <br /> �,� '��2 � PLUMBINI± t <br /> S2EOPBL�G. ND.GFSTORIES BASEMENT MECHANICAL � <br /> � O $$� 'Z � YES L 1 NO � <br /> � OCC PANCYLOAD FIRESPFNNLERSREO'0 EIGNTLIIAITr1TION DTHER � I <br /> ', U YES }�d0 Sf STATE BUILDING SURCHARGE 50 <br /> / _ <br /> ' flEASON FOR SPRINKLER^u <br /> �� ' STATEENERGYSURCHAPGE � <br /> � PUNSAPPROVEDUV CITYOFEVERETT PUBLICY/ORKS Q� R�p <br /> 1, �i�F ^ �, / LOCAL SALES <br /> { y TAX CODE IS 3105 TO7AL <br /> , <br /> , ��r�,�{=_C, C�31�9•3 <br />, <br /> ;, . .� . ,.�, _.._....;. `�, <br /> �_ _. __ <br /> , . <br /> - , . . <br /> : , ,::. � , . <br />