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_ . <br /> APPLICATItiN FOR CONSTRUCTI�ON PERMIT E�«f'�' <br /> InoEvmprovi i� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF • i <br /> everett HEATIIJG SYSTEM: I�GAS U ELECTRIC U ` <br /> BUILDING DEPARTP.IENT <br /> 259•8810 <br /> I I DEMOLITION I I COMBINATION $I BUILDING IXMECHANICAL IXPLUMBING ! I SIGN <br /> OWKER MAILq�DfiESS CI7V 21P PIIONE <br /> BRYAN HEARD 9530 tst Avr. G_F, mm•ar.mr �82(l8 (�) '�e��8q <br /> TENANT M�IL�OOfi[SS C17V 2�P PHONE <br /> N.A. <br /> ARCIIIIECTORDE51GNEfl MRILADORESS QTY ZIP PIIONE <br /> SRYAN HEARD 9530 1St AV[,. c_F. F.vra .rrr __gB2f1A f�n6) 'i47_S�a9 <br /> GENERALLONTR�CTOfI MAILpDORE55 QIV 21P PIIONE IICENSEY <br /> BRYAN aR 95�0 7ct�S1E:�S.E_ �lCEtEL•P _982(l8 (2D61-3Il7-S389 <br /> . MECHANICALCONTR�CTOR MAIIADDRE55 CI1Y IIP PIIONE IICENSEI <br /> � OLY�T FY`f�lANT AT �]l�(Z{ 1] AVF'`[�7 SIiT'IT,2O8_Mf1IIN'PTTI<P TH'RRA��$�4'� (�y�,�q,.u�7��� <br /> PIUMOMGCONIR�CTOR MAIIADpqESS CIIY ZIP PHONE �ICENSEI <br /> WILLIAM c 18� 6 4&ttL&YE_W, r.yp�yp�n qHna7 �75=g[�7 S9II,L.IAI149t.7 <br /> CIASS OF WORK <br /> I.J NEW I�ADOITION I-I ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPLINSERT Cl BUILDINGRELOCATION <br /> CONiACT PEpSpN RNO PMONE NO. <br /> GONTp�CiPqILEOFWORR BRYAN HFT�RD (206) 397-5389 <br /> , D �+��YANDSOUAflEF00i�GEINVOLV[D <br /> V�ii._ <br /> -659•SQ. FT. .�4�350 <br /> PROPOSED USE OF BOII�ING — <br /> I IIEREBY CERTIFY THAI' I HAVE READ AND LXAMINED THI: <br /> , � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALi <br /> IEG�L�ESCRIPTIONOFPROPENTY(SHOWNOELOWOqATTAC11fOU000PIF.S� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOI <br /> ioT 20 BLOCN S oF IN1'II2GITY nD7T7p[� j�j . NO T THELGRANT�NG OF A ERMITyDOESENOT PRES MEETO GWl <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN1 <br /> SNOH(Y"IISH COUNTY� y]p$�ji[3QQ�i_��pr�j�_�jQj�� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THI <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THI <br /> , EAST 90 FII:P �ITIIItpg pNp p�CGpP SOU'1T1 100 OWNER OF THIS PROPL"RTY TO PERFORM THE WORK FOR WHICI <br /> _rrer pPPLICATION IS MAOE AND I COMPLY WITH TNE STATI <br /> CGNTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> TFIERmF. AS PII2 PLAT RE�pRDED IN VOL[}ME 11 OF SIGNAIUpEOfCONiMCTOROq�Ui110NIZE0�GENT DRE <br /> ' PL•ATS,_ON PAG_r•. 9, Rm nG OF Gnn:rn.irgt� n� inrrv X r <br /> PPQIECTADDRE55 <br /> 9530 1st p�PIICRN7SCITYB SMESSLICENSENO rWDBU51NES5NaME <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> � WATER CLOSET(TOILET) _ A/C—A/NNOLG UNITS—H.P. ' <br /> BATHTUB t r,/`i � FORCED AIR SYSTEMS—B.LU. M E.A. � <br /> --'`-i= <br /> � LAVATORY(WASH BASIN) � D UNIT HEATERS—B.T.U. M (1 00 � <br /> SHOWER _�j'OU � CLOTHESDRYERS , <br /> KITCHEN SINK 8 DISP VENTILATION FAN � <br /> DISHWASHER RANGE HOOD —'— <br /> LAUNDRYTRAY � � <br /> WATER HEATER <br /> CLOTHES WASHER � — — L— <br /> � WOODSTOVE � <br /> � URINAL ' METAL FIREPLACE 8 CHIMNEY <br /> ORINKING FOUNTAIN � FIREPLACE INSERT � <br /> 1 FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADEqS � EXHAUST FAN <br /> : SINK�SERVICE—BAR,ETC.) � <br /> — -- — � <br /> �— —_r. <br /> -----------------_. . . ._ _ _ ._ i __— --- ' <br /> --�-- -� - ------ - <br /> — —�— <br /> T <br /> _ SUB TOTAL $ .S � SUB TOTAL $ � � <br /> _, PERMIT $ PERMIT $ �— <br /> � TOTAL FEE $ 'CP/ TOTAL FEE $ i <br /> FOR OFFICE USE ONLY: <br /> FRONTSETOACK RE�RSEIFITCK SIOESETppCK PIANCRECNNUMpEIi PEE NEC[IPTNO. <br /> 1 <br /> ; 2U ZU' -5 ' G Z: /�38" a- <br /> . � USE20NE �otnnen vncar�tsrte EES VALUATION FEE <br /> � 2 <br /> _� <br /> ,� � uu��o�r,c/5y•cv� Ko,9s —j�----�_'��.��` <br /> rvvcorcoNtsuiownou nrcoreuxsr.ncmni rcnn.n�., rrcimuvnwxcuxns LL�tL�r � �OOJ <br /> �7 �( ���� / PLUMOING <br /> ; � �1-'� � <br /> ' SREOFBIDG. NO.OFSTOOIES UASCMCNT --� <br /> 1 ^__ 5� MECHANICAL ' S� <br /> �rl 'fW N� G_'i- <br /> ; ; OCCUP�NCYLO�D FIRESPiu�N1EA5R[aD HEIGI17lIMITA710N ADDI1lONALPLANCHECK <br /> Q ���� Z$ / <br /> � — <br /> 'e flEASONFORSPRINNLEFS OTHEfl <br /> —__J— <br /> ' �� STATB pUILDING SURCIIARGE (-I ��� <br /> '� WiANEBV Ninusnrrnovmor CITYOFEVERETT <br /> P11131JC WORK$ � <br /> ,�� �� 6��� TAX COOE SL3105 Torn� � <br /> --�---- I 9a ,s� <br />