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APPLICATIC J FOR CONSTRUCT. �N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPAHTMENT '— <br />259-8810 <br />I I DEMOLITION '� ' COMBINATION <br />,,..„,�e MAILADORF55 <br />HEATING SYSTEM: U GAS ❑ ELECTRIC ❑ <br />14 <br />� BUILDING <br />CITY <br />MECHANICAL PLUMBING <br />Z�p PHONE <br />98206 347-7115 <br />no PMONE <br />AflCNITECT OR DESIGNER MAIL AD�NESS <br />��tY Z�p PMONE <br />��T� Z�p PHONE STATE LICENSE � <br />GENERALCONTHACTOR MAILADORE55 347-7115 <br />Homesweet Homes P.O. Box 1514 Eve cett 98206 pHONE sTAre��cer+se. <br />MECMANICALCONTRACTOR MAILADORESS <br />PLUMBING CONTRACTOR MAII R�ORESS CITY ZIP PNONE STATE LICENS[ • <br />.,_�.:..�,,,, nit,� 607 SE Ev Mall W #z6 Everett 98208 355-6171 ROBINP*272C2 <br />! I NEW I I ADDITION �. ��. ALTERATION ��� REPAIR <br />CONTRACT PRICE OF WORK � 14 Z O. O O <br />DESCRIBE WORK AND SOUAPE FOOTAGE INVOLVED <br />_ S�rinkler s}�stem - 1 <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL UESCR�7TION OF PROPERTV �SHOWN BELOY <br />LOT BIOCK OF <br />PRQlECT AI <br />215 <br />rilyn Avenue <br />�E OF FIXTURE OR ITEM <br />JSET (TOILET) <br />(WASH BASIN) <br />iINK 8 DISP <br />iER <br />TRAY <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REAR� <br />USE <br />OiCONiS <br />FOR <br />INTpNE BY <br />LOiAREA <br />TYPE Of C0� <br />�� <br />NO. OF ST <br />SIGN <br />I I DEMOLITION '� WOODSTOVFJFRPL INSERT BUILDING RELOCATION <br />CONTACT PERSON ANO PNONE NO. <br />AJ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIPlED THIS <br />APPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALL <br />fOURCOPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI lAW RE(iULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATF. <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />��f GtJ..,.,.� I-x z- s 2 <br />s�c�+.runE o•rE <br />SUB TOTAL 3 �_ <br />PERMIT 5 <br />TOTALFEE 5 <br />SIOE SETBRCK <br />yA�ANT SITE <br />LiUAL OCGvaN[� FOofONEUNGUY]5 <br />�F�:o � <br />� <br />5 BASEf NT <br />NO <br />SPRNNLEBS PEO-D <br />4�s <br />EVEflETT <br />SRLES <br />E IS 3705 <br />OF <br />FORCED AIR SYSTEMS-B.T.U. M <br />UNIT HEATERS-B.T.U. M _ <br />CLOTHES DRYERS <br />VFNTILATION FAN <br />WATEti HEATER <br />WpOD S70VE <br />METAL FIREPLACE 8 <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />S <br />5 <br />GMECKNUMBER I FEE ,n I^cyc / IID <br />'1�.�7 / <br />i <br />BUILDING <br />i <br />PLUAIBING ' <br />MECHANICAL � <br />� <br />A�OITIONAL PLAN CHECK ' �' <br />SPRINKLER �AL _ � <br />STATE BUILDING SURCHARGE <br />i <br />PUBLIC WORKS � <br />TOTAL �� <br />