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:�n,r,m� . .� <br /> ��PL�C,RlTIC '1 F�R �ONSTRUCT `3�01 PERM17' �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRI�JT �/IErr <br /> �EATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT � ;;; <br /> 259-8b10 d <br /> i DEMOLITION ' 1 COMBINATION id' BUILDING I I MECHANICAL IJ PLUMBIN�3 � I SIGN w <br /> O:'/NER MAILA�9PES5 CITY Z�P PHONE � <br /> llallv HomeszInc. 324C Eastlake Ave. Past, Seattle, 98102 (206)328-3770 � <br /> TENANT FIAILRDORE55 pTV ZIP PHONE µ <br /> _ V <br /> A�CHITECTOflOESIGNER hIBII.AD�RESS C!ry 21P FNGNE <br /> GEIli�RALC011TP4^TOfl A!A�LADDRESS CITY ZIP PHONE STATELICENSEtl � �3` <br /> Dallv Flomes, Ir.c. DALLYI�I120L7 <br /> IAECF'ANICALGONiflACTOfl FIAILAD'JRE55 qTY Z�P PHONE STATEUCENSEp <br /> � <br /> PLUhIBINGCONiRACTOR MAllA00RE55 CITY ZIP PHONE STn�EI�.:ENSF.� <br /> GLAS$OF YlJPK <br /> I IX NEW i I ADCITION I I ALTERAlION i ! RFPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATIO��I <br /> CONT�CT PERSON NID PNONE N0. <br />% CONTRACTPFICEGrWORK __ }['JTLti ���i".�'_� 252-9098 _ <br /> DESCRI3E WORK AND SOl1ARE FOOTAGE INVOIVED <br /> Construction of sinele familv h�me ____ Sherry N�nl-er 325 •3770 <br /> �ROPCSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence APPLICATIOtI AND KNOW T4E SAME TO BE TRUE AND CORRECT.Al� <br /> LEGALDE CRIPiIONOFPROPEdTY�SMOWNBELOWOPATTACHFOURC0AlE5� PROYISIONSOFL.4W5/�NDORDINANCESGOVERNINGTHISTYPEOF <br /> �cr ��� ��(� �7� �� , 1 / WOFlK WILL BE COMPI ;:'ED WITH WHETHER SPECIPIED HEREIN Ofi <br /> ewcK oF �'[1� �Y-�,G�V� NOT. THE GRANTING ��' � PERMIT GOES NOT PHESI I!dE TO GIV[ <br /> qUTHORITY TO VIOLATE ON CANCEL THE PROVISIONS Q� APJY <br /> '"����� � �LJ� OTHEfI STATE OR LOC.4L lAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSiRUCTIUM.THHT I AM hUTHORIZED BY THE <br /> � `'/ OWNE�1 OF THIS PROPERTY TO PERFORM THE WORK FOR NIHICH <br /> 7 APPLIC-�.TION IS MADE ANO I COMPLY WITH TIIE STATE <br /> — COUTRACTOFiS LAW 1827 RCW AND 296200 WAC. <br /> / �j � <br /> X v ��� �`/ L% ✓'" /�� .:,'i — <br /> SO�Ui iE_ �/ OeIE <br /> PF0.IECT 49DRESS , ' �/ '�� <br /> �� ��� i-,%�;-� — <br /> 1 ("nrv A,srt+BS LiGt iSE no <br /> PLUMBING i�AECHANICAL <br /> NO. TVPF 7F FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TUILET) , A/C—AlHNDLG UNITS—H.P. <br /> BATHTUn FORCED AIF SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH Bi�h:J) i UP!IT 4EATERS--B.T.U. M _ <br /> SHOWER CLOTHES DRYERS _ � <br /> KITCHEN��NK&DISP ; VENTILATION FAN _ i <br /> DISHWASHER � RANGE HO00 <br /> LAUf![1RY TRNY � WATER HEATER <br /> CI.OTHtS WASHEfl � WOOD STOVE i <br /> l ���NAL METAL FIREPLACE 8 CHIMNE" i _ ! <br /> DRiNKING FOUNTAIN ; FIHEPLACE INSERT � <br /> �— <br /> FLOOR DRAIN HtAT PUMF' <br /> BACKFLOW PREVENTERS ; GAS PIPINii ; <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> -- i <br /> SINK(SERVICE—BAR,ETC.) ; __ '� <br /> � ___T� I <br /> � 1 <br /> .�L I <br /> � T <br /> i � <br /> SUBTOTAL 5 SUBTOTAL 5 _ ' . <br /> PERMIT S PEC'MIT 5 _ <br /> TOTAL FEE 5 TOTAL FEE $ _ _y__ <br /> FCR OFFICE USE ONLY: _ <br /> FRONT ETUAGN BEARSElOACN SIOESET84CK PL�Nf,HELK�llIMF1ER FEE REGEIPTNO. � <br /> � �U �� - < �/ZG-, :3C - - � i! -3 <br /> US ZONE LOTAREA VACANTSITE FEES VALUATION FCE <br /> �� - � � �tio r <br /> eui�o�v� OS �8 ' "� � <br /> TYPEOFCONTS.FIlOWAOIE TYPEOFWNST.PC70Al ac[uGu�tt HOOfmtFwn;UxnS <br /> TT�� /J ��v3 PLUMBING _�_� � <br /> �(- <br /> S2EOF�L�G NO.OF°TORIES BnSEAfENT MLCt�ANICAL � ' <br /> ' C i <br /> SF Az Z v ' <br /> OCCUP.WCYLOAD fIflESPRNKLER5RE0'D NEIGHTLIhItTpTION ADDI1�^NALPLANCHECK —� <br /> i <br /> �) N� Z , _sPww,c�� ' � ' <br /> - K' n"%�f�r '� /� � — <br /> REASOf!FOF SPRINNLERS � <br /> STATE BUIL�ING SURCHARGE i,��� I <br /> i <br /> I!il:���:EBY PLANSAPPiiOVEDAY CITYOFEVERETT PU�LICWORKS Ji — <br /> �J�� LUCALSpLES � <br /> I � or3 TAXCODEIS3105 rorn� �� 9 ;,�( ; <br />, <br />_,F , � <br /> .i r - '"�.. � .�. � .. �. ., =ti;<.s �� � '' .� <br /> � ¢ . "'Y' <br /> "},l�r t •j$'�`�.`l� �' �'`b`� � h . J� _ ,:-.��aA . F�ty,��y"�� - ' . . <br /> � � . �k�. ., +,r"._.... �, r ��y �.{ii iS r y a�, ��y�,�i' p � . : : rc S.�iiv --���,r <br /> ' 9�i4�c k 1� +, �.� '� �4k o� A �1 �.;+lYYt�a�i�`t'� y ,y. � sN'�: . <br /> - ' �' i .._ .�, av t'. � 4P ` � �� ✓✓: <br /> e1Y�j� - ' . . . <br /> � 'i ' 'i•Ylf� '�^�"�'-�" � '- i � -:�.� � '.;. .�..M "Li6`� <br /> t <br /> t-",f %tL �`ry �. . , .. �� .F �..�'`-...., . . ``"�"`�"'.i"�.'�r.r �� �' �. .l.w..✓J'i','''�',' __j <br /> 'C: y !' .� �..}� .; 'l G ��// „ . <br /> � .�.1 �"+��4.. � ^�." 1in' I/ ,�� ' . . �,�-'..:� . � <br /> '� �C�:':: � .. . r/ J��.Y� ... , .-.v _ .� � • �. .�� � <br /> � _ . �_. J...._. � .... .. ee . �..- .. <br />