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APPLICATION. FOR CONSTRUMiN PERMIT %(.101 <br />TAPE",, TO BE COMPLETED IN INK —PLEASE PRINT e <br />CITY Or <br />everett HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ Alone <br />BUILDING DEPARTMENT <br />259 8810 <br />DEMOLITION COMBINATION X BUILDING MECHANICAL -PLUMBING SIGN <br />OMNER MCA ADUM un rm kph <br />Terry & Randi Slatten 4100 South Third ,arett 98203 252-4578 <br />MANT MAIL ADDRESS CITY ZIP PHONE <br />Same <br />MALL ADDRESS CITY <br />none <br />GENERALCONOACTOP *yF ADpREss CITY ZIP PNprt LICENSE. <br />none <br />Mnone <br />R LAYING CONLAACIOM MAC ADORM Cm SIP PHONE LICENSEA <br />NEW ADDITION ALTERATION X REPAIR DEMOLITION I I WOODSTOVE4RPL INSERT BUILDING RELOCATION <br />Ucing myself/ $30GO to $4000 bid <br />IXMmAC\ MCC Of NORK <br />CO1rt"`1°�R90M""DP10"ENO <br />OESCRREV AND SQUARE FOOTAGE INVOLVED <br />Repair garage 24 x 48 structure <br />PROYi USE a RUIL ING <br />Existing garage <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />,4LICATION AND KNOW THE SAME TO BE TRuE AND CORREC T. ALL <br />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 LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 2% 200 WAC. <br />SIGNATURE OF CONIRACTU ML AUTHORIZED AUNT DATE <br />X%fjMy.i��V 2h—Aw? <br />LLGAL MZRIP7"OF PNORRIY SHOWN STI ON ATTACH FOLM COPESI <br />LOT GLOCa OF <br />copies ittached. <br />The buiLd'n will noe enlarged nor t bled <br />g g <br />will the sat backs be altered. <br />PFORCT AMITE SS <br />4100 South Third <br />APPlICA1ET8CItV B115NES5lICEN6E NO ANOWSWSSNAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />_ <br />WATER CLOSET ITOILET) <br />AC—AHNDLG (JNITS—H.P <br />BATHTUB <br />FORCED AIR SYSTEMS—B.TU. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />KITCHEN SINK A DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />�— <br />SINK ISERVICE—BAR, ETC.) <br />SUBTOTAL $ <br />SUBTOTAL E <br />PERMIT $ <br />PERMIT $ <br />_ <br />TOTAL FEE $ <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />IRORt SE\BACN <br />YEAR U111ACM <br />SIDE SEIBACA <br />PIANCHECKMYAINCR <br />f[E <br />RECE11TW <br />USE ZONE <br />LOT AREA <br />VACANT SIR <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />63 <br />\vtip UNITSAIIPYWF <br />iYR SIT MST AG[IA4 <br />�]M4[. <br />KOtlAiHlw. w'L <br />SIR d: BLDG <br />NO.OPSTOPE3 <br />BASEMENT <br />MECHANICAL <br />ADDITHZAL PUN CHECK <br />DOAmuFcr[0.AB FIRE 6PRMtlERS RFOD N[IONT LIMRATgN <br />gEASON fOR 6PRNNERS <br />OTHER <br />�— <br />STATE BUILDING SURCHARGE <br />PRAKE RY <br />PLAN "PR°`°Y <br />`CITY OF EVERETTI <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />I S7j <br />