|
���DPf���.I��6i.� i�! �i..`� K�, �,�.,�.�,
<br /> '°Y`��°'°°" CONSTRUCTION �
<br /> everett P�ItIV�ST
<br /> C3UILDING DEP<.RTMENT
<br /> 259�86�0 TO BE COMPLETED IN INK - PLEASE PRINT
<br /> l! DEMOUTION ❑ COMBINATION ❑ BUILDWG ❑ �1ECHANICAL ❑ PlUM81NG ❑ SIGN
<br /> ,, s,,,u «onc„ — ���., an- ,�,��r,�
<br /> Alvin Rainbolt 3 Sellflower Rd. Soth. Wa. _ 743-3797 _ _
<br /> _. .�.�c i�u,u� ..cr„N u>u coun�•,, c�-- — �,�,si
<br /> Paoi-deslghn _ Everett Wa. _ 3�+7-09W� __
<br /> ....1 V:aL�:.:Y1qPGlti�� �...� .�.:I�•. '�� �����'.al L'i.:[N��� a
<br /> DicGlnn Const. ���th Dr. S.E. Soth, Wa. 485-2460 MCGINC*131LJ
<br /> �ei�ooncss .. . . _ ���c��:r� .
<br /> H . �.... . ..c.. ..�y -.�
<br /> [��� '' ' .,--- i >ooress „�. ��— r��nvv ��r.u�s� .
<br /> C�H C & K P1umbinq P.'0 Box 1702 Both. Wa. 9gOw1 ++ei-4y56
<br /> a i-3 C: a.,ss o�wo:�..
<br /> Ha$' � NEV! ❑ �1DOITION ❑ A�TE�ATION ❑ REP4IR ❑ OEMO�IiION ❑ '.VJGD.`110VE;FRPLdNSERT ❑ Bl11LDING REIOG�tG!4
<br /> � '�� .n�i .�o��ar��uo. t., , .� .::ir,.�.,�,,,,,..�nt:_r
<br /> o xo �B,00O -
<br /> 's] H'�] c<scr+.��rv:>i;.
<br /> y �'r Nex constructlon of a bedroam home --
<br /> x 2g�7 .i.i or i�uuo��,c I HEREBV CERTIF�THAT I HAVE READ AND EXAA9IWED THIS AF'�
<br /> hOt7 Slnale family dwellin PLICA710NANDKNOWTHESAIdETOBETfiUEANDCORRECi :.L.
<br /> � .i �,.,,� „ ,.,.,,.� -�� ,,,�,�� . v.����+'+o ' PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTY�'E
<br /> O H „ . _ ., �„ .
<br /> X7 C]C7 - OF WORK WILL BE COMPLETED WITH WHETHER SPECiFIED HERF�
<br /> H �0 - IN OF NOT THE GRANTING OF A PERMIT OOES NOT PRESUME`O
<br /> y�� n . � _r„��,c.—n�
<br /> p.� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF
<br /> xH LOt j� 3 S.P. ZZOZ (B–B�I ANVOTH[f�57qTEOR�OGALLAWREGULATINGCON5IRUCTlO^.J
<br /> OR THE PERFORM1IANCE OF CONSTRUCiiON.
<br /> � ryy s�.ar�.,�w,� „� cc•�,.,:_:r:.��nn:..;.�-��nn:.�!.vr i,.�,
<br /> ov,H Portlon of Lot p_Block 10 ,
<br /> � �� ---X /' � i
<br /> Plat of intercity_�_?._ � �' s ��-/ =r- -_-----� -'---`-E
<br /> r I .
<br /> � �.- .: ,., �:� :, ,�'_
<br /> �'
<br /> H O Vi �
<br /> PLUMBING M[CHANICAL
<br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE
<br /> WniER GLOSEi�iORETI � —' a C -a�.HCIG uNiiS-H�'
<br /> lI BRTI+TUO I� IiEfRIGEPAT10NUN�TS-MP EA
<br /> � Lr1VATCPv�WA9�Bn51N1 ` � DO�lERS-OTU.NP
<br /> — Gp1FIR[D>C UNITS-9TU
<br /> �� SMOWER
<br /> � t- .— �OPCEOniRSYSTEMS--BTU ��FA
<br /> !. ' / RITC��EN SiNK 6 DtSP —
<br /> �� �ISH1Vn5MER WPLLHE4iE415-F1rU M
<br /> � LAUNO��YTRFV IINIiHE�TCAS-9TU ��
<br /> �+ � CLOTMESLVnSNE� i EVP�C��TrvECOOlERS ^
<br /> ! � URINAL � GLOTMESCRYER$ `
<br /> O��INNINGFOUNTTIN � VE11TIlAiIONF<N �~ � �
<br /> GLOOR pRA1N I [IAI:GF HOOD �l,�`�
<br /> ��' .� WATF�NEnTE9
<br /> ' pACNFLOW��E�ENTEf15
<br /> �a ^ wU0U5TOVE
<br /> 1ipOF��/iN5-�AINLEPOERS
<br /> SINN ISERV�GE -OAP.ETC I METAL�IREPIACL 1 CMIMN[\'
<br /> iiPE�l.10E iNSEPT
<br /> � ' HE�T VUMP
<br /> �• GAS�'�PiNC.
<br /> [rH.�U$T FAN
<br /> "d SUO TOTAI S - SUB TOTA� ,--t��
<br /> PERMIT S � PERMIT
<br /> ' TOT�L FEE S 1 )'. — .
<br /> TOTAL fEE - � �1� �
<br /> :i.�h�]�EC„NUMt3ER F[E PECEIP�NO
<br /> r.�.� ...- �i�:rTo�.;. �.�,enn.c. sio�s[ro.c. _ � _--
<br /> i C 7
<br /> ��
<br /> i�' �_ �'C�� �� _ _ O� �
<br /> -..� :.,•a �`�>���^ ->„i sni FEES VALUATION FEE
<br /> " K;- I �� > ,� ,<<<5 ,.�o ;I i 1
<br /> i, � o���o��� s ,� ��'
<br /> �.�Io� . •V.i OCrunaqcvGf.our NDOrow�wNourer; �/A.
<br /> T� �Q� � � PIUMUiNG ��
<br /> 1�
<br /> :I JI L.I���. N�]OI G�IIIIS M�F OLI: Ll]�p )
<br /> //y�3� i�.r; MECHANIC�L ,h�l . �^�.
<br /> J
<br /> 4f(¢.Sf �O/aR� Oil{[R
<br /> r iii[ ;:nr"� t ERS REOUIRFD ❑�ES �NO _ � r��\�
<br /> _' yTATE�UILOING SURCHARGE
<br /> STATEENLRGYSUPCHARGE �� i ^�l
<br /> -. �.�,;ri.lccu• �'u'.SCN[Crc[oBv er��qroni55u�NctOr �1�� �'�r
<br /> vuoucwoAKs
<br /> .. .IS� `^ i �li..�- /6L. TOTAL ___ � i_
<br /> Y� 'a:�:: ' Jc�i
<br /> ------- -- F{iOPE�7YUlV�JCfiSAPERES�'JNSI�LEFORDEIE(7MININGALI �
<br /> PIiUPERiI'l'.N[ l_OCAiIONF�4Nf'f�[LATED F.AS[AfEN?5-
<br /> �
<br />
|