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APPLICATIO�. FOR CONSTRUCT��N PERMIT � <br /> TO 8E COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: J GAS J EIECTRIC _�J� � <br /> 259-8810 <br /> DEMOLITION COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING fJ SIGN <br /> OWNEfl MAILADDPE55 CItV ZIP P110NE <br /> Larry / Donna Baldwin 3206 Wave Drive Everett 98203 353-7289 <br /> TENRNi MAILRDORE55 GTY ZIP PNONE <br /> AACHITECTORDESIGNER �tAitApDRE55 CI'�l' ZIP PNOYE <br /> GENEFRL CONTqALTOR MNl ADDRESS Cltt IiP PHONE S10.TE LICENSE� <br /> Evere[t Ruilders Inc 19010 61st Ave YF If3 ArlinQton 98223-35'�-716 F.v .RF.Alt701 PH <br /> MELHANICALCONTRPCTOR 1AAILADORE55 CITV 21P PHONE ST/TELIGENSE� <br /> PIUMBING LONTflACTOR MAIL ADDR[SS GTV ZiP PIIONE STFTE UCEYyE� <br /> CONTFRCT PRIC[Of WORN <br /> 1 ,�(n Dann 3 3-716 <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVE� CONTAGT PEtiSON AND PNON[N0. <br /> 71 'v"r74' Sunrnom / 70'r'i0' drivava <br /> /Reroof of residence / underRround elec. servi e. <br /> i HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEDUSEOFBUIIDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> tL9ldellt� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �ecn�oescRiaTrorvoFPaoveArvBNov.�uaeiowoaaTrnc�irv+ocoviesi WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot e�ocK oF AU7HORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> — PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORI2ED BV THE <br /> OWNER OF THI � TY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAD AND I COMPLY WITH TH� STATE <br /> PARCEL TAK I O NUMBEq CTORS L W 1027 RCW AND 296200 WAC. <br /> a�5�n-nns-oo�-000s , . <br /> CONSTRUCTION IOAN LENOER.4D('RE55.TELEPHONE NIIMBER <br /> ' �0- 1�-Qs� <br /> PROJECT ADDRESS sic�.+m r o��� <br /> 3206 Wave Drive Everett 98203 -�^���s�„�ss���,�sF� <br /> PLUMBING MECHANICAL ` <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A%HNDLG UNITS—H.P. <br /> BATHTUB i FORCEDlJRSVSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M i <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK&DISP VENTILATION FAN <br /> DISHWASHER RANuE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL ' METAI_FIREPLACE�WOODBUflNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> —:-- <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS GAS PIPING <br /> —T <br /> ROOF DRAINS—RAINLEADERS ExHAUST FAN <br /> SINK(SERVICE—BAR.ETC.) — <br /> — i <br /> i <br /> SUB TOTAL 5 SUB TOTAL 5 <br /> PERMIT $ PERMIT $ <br /> TOTALFEE S TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB4GK AEAPSETBACK SIOESETBACH PLANCHE UM R FEE RECEIPiNO. <br /> —�5' 2s ' . s' ������ �1,. ��� lyo�l�- <br /> use zorve �or naen vncnN.sire � FEES VALUATION FEE <br /> 2� Z ��i ��L YES .r ' BUILDING � � � - <br /> rrre ovcorvsr. rvo.oc sroaies or.���.ao, �,o����wn���M����-� — � <br /> Z aaauv 1 pLUMBING � <br /> r <br /> SIZEOFBLCG FIFE WRMNLEf15RW'D �ASEMENT � <br /> MECHANICAL <br /> J -�. YES �. NO - <br /> OCCUPPNCvIOAD ` fIRERtFPMREOD MEIGHiIiMIr�TION ADDIiIONALPLANCHECK <br /> � z� OTHLfl <br /> FERSON <br /> SiAiE BUILDING SURCHARGE <br /> MTRNEBV PLANSAPPP�i'E�B'/ CITYOFEVERETT PUCSICWORKS � <br /> v Q LOCAL SALES � <br /> oA,F� � � TAX COOE IS 3105 TOTAL <br />