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APP�ICA�IOrI FOR CONSTRUCTI.,�M PERMIT "'"`'" <br /> TO BE C0�9PLETED IN lNK—PLEASE PRINT � <br /> rhe Ev_�nreen <br /> GIiY OF <br /> �� � everett HEATING SYSTEM� i�GAS ❑ELECTFIC ❑ � <br /> p� � , BUILDING DEPARTMENT <br /> > 259-8810 <br /> H,ti.yC � DEMOLITION COMBINATION `�`BUILDING MECHANICAL PLUMBING SIGN <br /> y ?� '„� OYINER h1AR4DDRE55 CiLY 2iP PNONE <br /> Mulvin Bridgham 14905 West Lk. Goadwin Rd Stanwood 9E291 6�2-7993 <br /> O H � i[NANT MAILAUOfiE55 CIIY ZII PNON[ <br /> � �arr 9H2O3— <br /> y H 7031 Rainer E�' Zip Pi�oN� <br /> y � AHCHiTEGfOR�E5IGNER MAlLA0Df1E55 ��TY <br /> �� �u <br /> Q� d GENEIIA�CONTRAGTO� IARILADORE55 GITY ZiP P��ONE LICENSEy <br /> � � � c k S_Trven '��4 9262 NCR7HG�29L0 <br /> Goode Const Inc. d6o Northwest qaraaes 11217�DSILZ�.�_4,E.—L �,��orvF ucer+se. <br /> �Y Q AiECH�NICALGONTRRCTOR MAILAODRE55 LRV <br /> � y� PLUM�iNGCONiRRGTO� MNLRDDRESF CIiV Z!P PHONE IICENSE• <br /> z <br /> HH <br /> � CLASSOFWORH <br /> C� t7 W NEW � � ADDITION ALTERATION . REPAIF � DEMOUTION WOODSTOVEiFRPL INSERT . BUILDWG RELOCATION <br /> �C � CONTACi PERSON ANp P��� Hp11E NO„����� ��� <br /> �� p �y� G �� <br /> �l.'F]�/J CONTRAGT PRICE OF WORN 4 995.00 �! n� f /12' —_/-/r <br /> yDy OESCRipEWORKRNO50VAREPO��AGEINVOW[0 <br /> 16' x 20' Garaae 320 sq�Y <br /> PROPOSEDUSEOF9Uil�WG I HEREBV CERTIFV THA7 I HAVE READ AND EXAMWLD THIS <br /> Gara e APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> icca�uescaivnonorrnorearv�sNowr+oe�owcannncHrouncovies� PROVISIONS OF Li.WS AND ORDINANCES GOVERNING THIS NPE OF <br /> 7 oF Beverly Hills Oiv. 1 WORK WILL BE COMPLETED WI7H WHETHER SPECIFIEO HEREIN OR <br /> NOT. THE GRANTING OF A PERh11T DOES NOT PRESUME Ti� GIVE <br /> �or iz e�°�K acc--a--�g to plat in AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> vol 10 pg 76 6 77 OTHER STATE OR LOC�L LAW REGULATING CONSTRUCTION OR THF. <br /> PERFORMANCE OP CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR\YHICH <br /> APPLIGATION IS MADE AND I COMPLY WITH THE :TATE <br /> CONTRACTORS lAW 1827 RCW AND 296200 WAC. <br /> $IGNAIU'�[OFCONTRAGTOfiORApT1109REDAGENT DATE <br /> — PRN[Ci4pURESS p p�i ANTSCtivB 'iNEiSLICEN5EN0 NDf1U51NE55NAME �� <br /> 1 ' PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE N�� A�C—A�HND G N TS—UH P ENT <br /> FEE <br /> '�1 _ WATER CLO:ET(TOILET) — 1 <br /> BATHTUB FORCED AIR SYS1EM1iS—B.T.U. M E.A. <br /> ' ' LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. h� _T <br /> � SHOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN �_ <br /> IDIShWASHER _ RANGE HOOD <br /> ' _ LAUNDRY TRAY WATER HE�1I ER <br /> CLOTHES WASHER WOOD STOVE <br /> METAL FIREPLACE 8 CHIMNEY <br /> �' URIIJAL _ ' <br /> ORINKING FOUNTAIN FIREPIACE INSERT _r <br /> �' HEAT PUMP <br /> FLOGR ORAIN <br /> � GAS PIPING <br /> BACKFLObVPREVENTERS <br /> 1 FOOF DRAINS—RAINLEADERS EXHAUST FAN <br /> ' SINK(SERVIC[—BAR,ETC.) <br /> ' SUB TOTAL 5 SUB TOTAL 5 <br /> — PERMIT S PERMIT 5 <br /> -- TOTALFEE S TOTALFEE S � _ <br /> FOR OFFICE USE ONLY: neceivr Ho <br /> FRONiSEiHACN HEARSEtOACK SIDES[T9ACN PIRNCULCNNUUOE❑ fEE <br /> ao 5' S' �i .�� �� > s-.�. �s� ys�s'y <br /> �5[ZONE LOL AR6A VACANT S�E FEES <br /> VALl1AT10N FEE <br /> R� ��� BUILDING �'SIZO t� I ' �: i <br /> 1\P�0lCONISAIlOWh6lC 1VPEOfLON51AG1110.1 atcqWpCr NOWm+1�tm;,uva5 <br /> / n ` PLUM�ING _ <br /> 9Z[Of BLDG NO.OF SLORIES DASENI NT MECHANICAL . <br /> 2� � N� - <br /> AODITIONAL PLAN CHECK <br /> (KCUFANCYLOA� FIRESPRHKLERSRW'D MEIGMTUMrt4tION � <br /> �fu S� OTNER __�— <br /> R[450NFORSPRINNLERS � � <br /> SiATE flUILDING SURCNARGE �' '1-�i <br /> �Hrnnc m ����5 '"104�0°'' CITY OF E1IERETT PUE3LIC WORKS � <br /> � '/ LOCAL SALES <br /> ,V ZZ TAX CODE IS 3105 TOTAL h `� ��7 G <br />