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4 � �� <br /> APPLICATIdrI FOR CONSTRUCT�ON PERMIT <br /> everett � <br /> Ihe Ereqrtan <br /> cin or <br /> ��� everett i <br /> BUILDING DEPARTMENT ' <br /> b � • Z59�88�a TO BE COMPLETED IN INK—PLEASE PRINT <br /> ',�,�H W i-1 DEMOLITION ❑ COMBINATION X! BUILDING i-1 MECHANICAL PLUMBING -i SIGN <br /> ��� OWNEIi A�A:L�ODRESS CITY ZIV PHONE <br /> The H.O. Seiffert Compam P.O. Box 810 Everett 9820G 259-5108 <br /> oyyyy�p�A TENANt M�ILADDflE55 CITY ZIP PHpNE <br /> 'Rly'C N/A _ <br /> RRCHITEGiOPDE51GNE8 MRILADDPESS CITV 21P PHONE <br /> � Finlev Architects P.O. Do� 100A Evere-t 98206 25R-6471 <br /> H <br /> ��d GEkERALCONTRACTOR MAILR�DIiES^ QTY 2iP PHONE LICENSE� <br /> ^�J���yyy Owncr as aUove <br /> M <br /> Q•y� MECHANIGAICONTR�LTCR 1AAIL��OHE55 GTY ZIP PIIONE LICENSEI <br /> �+H� N/A <br /> �y PIUMBMGGONTN�CTON M�IIRU�RE55 Cltt ZIP PNONE LICENSE) <br /> M N/A <br /> ��� CUSSOF WORN , <br /> �� .gl NEW ❑ ADDITION L ALTERATION � PEPAIR f_i DEMOLITION ❑ WOODSTOVE/FRPL I.'JSERT ❑ BUILDING RELOCATION <br /> S� TEN�NT IMPIiOlcMEl1T OR MTERIOR REMODEL ONLY CONTACT PEPSpN AND PHONE NO. <br /> R � �.'.MITMACT�-�10EOFN'ORN: � �] $OS Rav Sievers 259-5106 <br /> y�y ".[�IP' JRN�NOSOU�REFOCWGFINVOLVEO <br /> - /�.�in:lividual Tenant Stora e ' � r � �� -- <br /> 1 �ROPOa'��U6EOFBUIIDiN. I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS �, <br /> . ,�, APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL . <br /> LEGAlOCSCNIPTIONOFPR4E9TV�5NOWNBELOWOH�TfRCHFWqCOPiES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF � <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LUf__,__ BLGI:F _ OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEF STATE OF LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> —" PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED FY THE <br /> OWNER OF THIS PROPERTV TO P� ORM THE WORK FOR N'HICH <br /> APPLICATION IS MADE AND/ I�MPLY WITH THE STATE � <br /> � RAC S LAW 16. RCW ND 2 200 WAC. . <br /> iGNATUREOF iN�CTORbfi UTHORI ED ENT DRTE <br /> I �. <br /> �4 Ja�t y�, ,��ti� <br /> PRQIECT�ODRESS � <br /> '�, pPPLIC�N CI BLL ESSLICENSENO ANDB INE SN�ME � � <br /> 2320 Newitt Avenue, Everett v et vowntoian �t��a e - no license <br /> PLUMBING NONE MECH I AL I NONE � yN <br /> 1�' � N� TYVE OF FU(TURE OR ITEM FEE N0. PE OF EGUIPMENT FEE � <br /> N'ATEfl CLOSET(TOILET) NC- � DLG UNITS-H.P. <br /> '�� _ BATHTUB FORCED AIF SVSTEMS-B.LU. M E.A. � <br /> LAVATORY(WASH BASIN) UNIT HEATERS-B T.U. M � Y <br /> 1�I SHOWER CLOTHES DRVERS � ' <br /> KiTCHlN SMV 8 DISP VENTILATION FAN ; <br /> � _ f SHlYaS4ER RANGE HOOD � <br /> ' __ i_WNf.fiY ,-RP.Y WATERHEATER . <br /> ��J7HE[WASHER WOOD STOVE <br /> .1RINAI. METAL FIREPLACE 8 CHIMNEV � <br /> ' _ <br /> DfiMi(iKG FOUNTAW FlFEPIACE INSERT <br /> 1� FLOOR DRAIN HEAT PUMP <br /> �' BACKFLOW PREVENTERS GAS PIPING � � <br /> 1 RO']�DRAINS-RAIN�EADERS E%HAUST FAN � i �. <br /> SINK�SERVICE-BAR,EiC.) ' � -3��d' <br /> / i <br /> �1 <br /> ' SUB TOTAL 5 <br /> SUBTOTAL $ <br /> � PERMIT ? PERMIT S <br /> �-"� TOTAL FEE ' TOTAL FEE ? - <br /> FPONiSEtORCN �� pEf�S� cACN � °C✓ PLANC�F�KNOMBER FE[ .; - J�7, PECEIPTGO <br /> � '"� :%;�S'7�'� ,��� � ---- :�i�( �',(-` <br /> USE20NE IOTRRE� VAUNTSITE FEES VALUATION FEE j <br /> G YES . NO . Bui�niN� 570 �- p ' I' <br /> iroEOfCONSiRIICNABIE lYPE01tON5i.�f,fU�L ���'�r r��orwrtuw4urvu: <br /> tAwv p�UMBING � � <br /> -T^� � <br /> y� <br /> SIZEOFBL�G. NOOFSTORiES Br1SEMENT MECMANICAI <br /> �suj _( r� ves � o <br /> OCCUPANCYLOAO � FlNESPRNRLERSREdO HEIGNTIIMITAT10N OTHEfl 5 � . <br /> � N/�J ' ' YES SC NO STATE BUIIDING SURCHAR�E L�;[n_ <br /> NE�SONFORSPPINNIlfS / � �t�� � <br /> STATEENERGVSURCHARGE �i <br /> APPL�CATION�GC.BY FUNS�PPROVEDBY CITYOFEVERE7T PUBLILWOHK$ 3 �� I <br /> LOCAL SALES _ i <br /> �� � TA)(CODE IS 3105 TOTAL <br />