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APPLICAT101� FOR CONS�'RUC71uN PERMIT <br /> everett r <br /> IMEverg�een TO BE COMPLETED IN INK—PLEASc.P91NT � <br /> GTV OF <br /> everett I HEATING SYSTEM: IJ GAS ❑ELECTRIC U _ _ —� <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ; IY'DEMOLITION I I COMBINATION i BUILDING I i MECHANICRL I i PLUht91NG I I SIGN <br /> OWNEN M�ILAUUOESS QIY lll` PIIONF <br /> � Mcilvi�i Bridgham 14905 West Lk. Goadwin Rd Stenwoad 98291 6�2-7943 <br /> . 1EN11NT M4ILAUUOE55 • CIIY IIP PIION[ � <br /> 7031 Reiner _E��rett 9820+ - <br /> AACHITECTORUESIGNE" MAllA0Uf1E5S CIIY 71P PIIONF. <br /> , GENF.B�LCONiBhCiOt1 M�IL�OUf1E55 [��e�,�1C�� ���Y 1��' ������� UCENSE� <br /> _ neY-geeege6__�"21��Bbl r*SS'1�rEr�l �-5�'asfiei "�� E`-��os�eaa�.n. <br /> MECHIINICIILCONL11AClOf1 M4ILAUU�ESS CIIV 21P PIIOtlE UCENSE� <br /> PLUMBINOGONIMCIOII M41LAD�l1E55 CIIY i�P PIIJNE LIGENSE/ <br /> CLASSOF WORN <br /> I .1 NEW I I ADDITION I I ALTERATION I I qEPAlfi I I pEMOLIiION I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> COIII�CI PF.fI50N�NII PIIONE NO. / <br /> CONTRAC'i'PICEOfWORN ��.7+ou.vv __.��JJ��'�Oa`^� �� ��� <br /> �DESCH�BEVIOfiN�NDSOUnnF.FO0il1(iEINVOWFD �i'�r-�-a ���( %�� � �'��` <br /> � — -- —--- - -- ---- ----- <br /> rnoPoseouseurnuaoir+a �I HEIIEPl CERIIfV TIIAT I HAVE READ AND EXAMINED THIS <br /> Garege ___._ ___ �P�'LICl,IION nNn KNOW lHE SAME TO BE TRUE AND COR{7ECT.ALL <br /> �eo��oescmm�oHor rnoremvisiuwr+neiowonnimcnrouncoriF.vi PROVISIUNS OF I AWS ANU ORUINANCFS GOVERNING THIS TYPE OF <br /> 7 Baverl Hills Oiv. 1 W��K WILL BE COMPLETED WITH WHETI�IER SPECIFIED HEREIN OR <br /> tor �2 BLOCN ur Y ..__— NOT. 7HE GRAN7ING OF A PFRMIT DOES NOT PRESUME TO GIVE <br /> ecco�3cr ing to plet In AUiIIORIIY 10 VIOLAiE OR CANCEL THE PROVISIONS OF ANY <br /> vol 10 pg 76 6 77 OTHER SIAIE Ofl LOCAL L�W REGUL�TING CONSiRUCTION OR THE <br /> -- PERFORMANCE OF CONS7RUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OP TIiIS PROPERTY TO PFRPORM THE WORK FOR WHICH <br /> ___ — APPL��CATION IS �dADE AND I COMPLY WITH THE STATE <br /> CC�J.*RACTORS LAW 1827 RCW AND 29620U WAC. <br /> sice�mm�eorr.annnciaionnuu�omzeon.em unre <br /> PHOILCT�CDRE55 �1�������----"�� (�I`Y— <br /> AP LICM1NISCIIVPUSINFSSUCF.NSENO. IOflUSINE55N�MF. <br /> 7�J <br /> PLUNBINO MECHANICAL <br /> NO. TYPE OF F'"TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) � NC-NHNDLG UNITS-H.P. _ �_ <br /> i BATHTUB ; � FORCED AIR SYSiEMS-B.T.U. M .... ; <br /> LAVATORY(WASH BASIN) r UNIT IiEATERS-B.T.U. M � <br /> �— — --�- <br /> SHOWEfi �_ __ CLOthiES DRYERS ; <br /> KITCHEN SINK 8 DISP � VENTILATION FAN � <br /> i RANGE I IOOD � <br /> DISHWASHER ,__ ____ — <br /> LAUNDRYTRAY ; WATERfIEAIER ' <br /> CLOTHES WASHER i WOOUSIOVE � <br /> �— - ---�-- <br /> URINAL � NEIAL PIREPLACE 8 CHIMNEY <br /> DPIt�CING FOUNTAIN � FIREPLACE IIJSERT �_ <br /> — �— HEAT PUMP ' <br /> FLOOFi DRAIN <br /> BACKFIOW PREVFNTERS ; GAS PIPING ___�_ <br /> — — —__�— — -----' <br /> ROOF DIiAINS-RAINLEAUERS � EXIIAUSI F�N � <br /> SiNK(S[flVICE--BAfl,E7C.) _ ; _____._ � <br /> ..—'--- — --r-- --- — <br /> � � <br /> — ------- ---- ------'—_ . .-- -- �----��--�-------_' — ��— <br /> � <br /> ----�— --- --- — <br /> — — — — � <br /> i � <br /> - ___—___ ._�_ _ _ _'__ r— <br /> � � <br /> SUB TOIAL $ ; SUB TOTAL $ ' <br /> PERMIT $ � <br /> � PERMIT E � <br /> ,_. — ---•— <br /> TOIAL PEE $ ' TOTAL FEE S ' <br /> FOR OFFICE U3E ONLY: <br /> fRONfSETBACN 11E�I1SEIMCK SM1�ESf:IOACN P1�1lCIIFCNttJM0E11 fEE �ECEIPiNO. <br /> use zone io�nn�n vncnut sne FGES VALUATION FEE T_ <br /> [3UILOING � <br /> IIPEOfCONISAU�WAPIE 11Tff11C11N51�f.I11A1 �'.[u�a�¢r xnMttAlu�xr.uru�5 ---- — �— <br /> r.nnm 1'LUMflING i <br /> _. �-- <br /> 512EOfOl�C. —_' ...NOAffiIOI11E5"-"-"--'__ 045FMGNf"'_-'-�-���_-�- --__ � <br /> AIECI I�NICAI. � <br /> _.--_ __'... _" _ - 'i_ <br /> IX:CUP�NCYLONI IlI1f51`IIlIHIPIISIIFOiI".._- IIH(i111111.111�11UH-_ — Al1UIlIpH�LPI.ANCIIbCN � <br /> ___"__�.__ _ ; <br /> umen � <br /> -- -- -- --- � <br /> nensor+ronsrni�vviens �---------------- --- ---�r— <br /> SIMF:�UII.OWGSUIICIIARGr y I�b <br /> winKear r�nrisnrrnaveuov CITYOFEVERETT ruuucwonKs ; <br /> LOCALSALES <br /> TAX CODE IS 3105 1orn� y 1 � <br />