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APPLICt�.f10N F�R CONSTFiI,CTiON <br /> PERMIT <br /> I�o EvCrgrean rrru•II <br /> CIT1'OF <br /> ev�rett e <br /> BUILDING DEPARTMENT <br /> 25s-f38�0 TO BE COMPLETED IN INK— PIEASE PRINT <br /> H r+ owrvea ienuRoor.cs's cnr ..r i���orvt <br /> N � � � _ _— <br /> y Jack Brunner 130 East McGill Everett � :_�'0� 353-6146 <br /> p � ����q��i �dnilApOPE55 CITY 21P PIWNE <br /> C M <br /> 7 H N _ —_ <br /> � <br /> N � �I. F(1CMiiECtORpLSGNER N.4RA�DPC55 CI1Y 21P PNONE <br /> H i � <br /> K n _ _ <br /> y p Ciiv ZIP FIIUNL IiCENSE• <br /> O m O GENEFFLGONiRAQOA MNiLADOR65 <br /> � N H <br /> F] ['� Goode Constrction Inc 11217-60th ST NE Lk. STevens 78258 334-9262 NCFTHG 124L0 <br /> CC 7L � MEGNANIC�LLONIRALTOR MAILADDRES$ GIV ZIP PNONL IICENSE• <br /> O <br /> O F�1 pLY ZIP PIIONE L�LEN.[• <br /> �.V n O PLUMBINGGOMMCLOF MAILPODFE55 <br /> � :° Rg - <br /> � N �T. LUS�`OFN'ORN <br /> H �a �/ <br /> N y YJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSiOVE/FRPLINSERT ❑ BUILDINGRELOCATION <br /> R N M 1ENANtIM1IPRWEMENiOPINiERIORPEMO�ELONLV h%i��.f C�L/ �[O�Ni�n.G�iPER50NAN�P110N[NO � <br /> J[ Y' /�/ 2ti' vr /_'Sr�A��o�✓P- <br /> " C N CONTRAGTPRILEOFWOPK.. g�6gS.00 _J_J��_ — <br /> � � � DESGRIBEWORNZNj150U�REfOOt {.0O LVED . . � <br /> y 24 x �gara9e � sq Ft 33y�a � <br /> N <br /> veoaoseo use oF euaon+c I HE�E�V CERTIFY THAT I HAVE READ AND E%AMINED THIS APPUCATION AND <br /> KYOW'.HE SAME TO BE TRU[AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> �ccn�oescainnoN ov caoa[nrr isMo'�vH ae�ow oa nnacH v0ua coa�E51 OPDINANCES GOVERNING TH IS TYPE OF WORK W ILL BE COMPI.ETED WITH <br /> NMETHEii SPECIFlLDHERLIN OHNOiTMEGRANTINGOFA PERMIT DOESNOi <br /> B BI II'1tG'I'C Add #1 PRESUIdETOGN[AUTNORITViOVIOLATEORCANCELTHEPFOVISION50F <br /> �pr kp�e�n �Y — ANVOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER� <br /> Volume 11 oF Plats page 9 FORh1ANCE OF CONST(7UCTION.THAT I Ald AUTHORIZED OV THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE\VORK FOR WHICH APPLICATION IS MADE <br /> AND I COMPLY WITH iHE STAT[ CONTRACTORS LAW 1827 RCW AND <br /> 296200 WAC. <br /> scr+aivaeoF �� �Acio�+�����un�oa�zcoaceNr ome <br /> �a�-�� <br /> PaOJELiAD�liE55 AP IC SQiV8U5 �ESS IC[6� . P [l U �N[5 AM[ <br /> 1 <br /> ���� PLUMBIN3 MECMANICAL <br /> I _ ryp, TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> - WATER CLOSET(TOILET) A/C-NHNDLG UNITS--H P. _ <br /> 1 BATHTUB PORCED AIR SYSTEMS-BT.U. M EA _ <br /> I I.�_ _ LAVATORV(WASHBASIN� _ UNITMEATERS-BT.U. M — <br /> _ ' SHOWEfi CLOTHESDRYERS _ <br /> � VENTILATION FAN <br /> KITCHEN SINKB DISP. — <br /> DISHWASHEP RANGE MOOD _ <br /> � LAUNDRY TRAV �VATER MEATER _ <br /> I I '- CLOTNESWASHER WOODSTOVE _ <br /> � METAL FIPEPLACE 8 CHIMNEV <br /> URINAL — <br /> � DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOORDRAIN HEATPUMP _ <br /> I '-1 BACKFLOW PREVENTERS _ GAS PIPING _ <br /> ' ROOF DRAINS-AAINLEADERS E%HAUST FAN __ <br /> . SINK(SERVICE-BAR,ETC I — <br /> a � <br /> � 1_' , ——_ <br /> I <br /> — <br /> I �� SUBTOTAL 5 SUBTOTAL S <br /> I '��1' PERMIT $ _ PEFMIT 5 _ <br /> �� TOTAL FEE S TOTAL FEE 5 <br /> FRONTSEIB�CN AEnRSEIDACK SIpESLiBRGM PUNCHECN MfiEP FEE PECEIMNO. <br /> �' �' s�=�o'�s 9 z�G �3�° %: �2 ) <br /> usezorve �ornAu �vncnHrsnE FEES VALUATION FEE <br /> l'�` tl VES�O `/�� <br /> 2 tJ _�L �_ <br /> ttPEOfCONSi I OCCUP�YGBOIIP NOOFOWELIINGUNILS — BUILDING — �C,�oO � <br /> nuowr,Bleiecroni p�UMBING <br /> M-i m — --- <br /> s¢eore�o,. Noors*oaies esuc occ�ono MECNA7ICAL <br /> nr <br /> 0o sF x N q — —_ <br /> rrt�cnruui.*ioH OTHER ' <br /> naESveiNKieaSnEowaeo ❑rea r+o STATEBUILOWGSURCHARGB _ ��� <br /> STATE ENERGV SURCHARGE <br /> qPPLICAi�ONFLG.BY PlPN5AVP0.9Y p��BLICWORKS <br /> 9 P ��/, T�TA� — <br /> �`/�-�..�Clt:i�ksynx�,.t. � �I�477 ' iC,C <br /> ,CAF'd�/2d� /z1' �fdq�(-Q/ <br /> 0 U <br />