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1 , APPl.IC"Tl7N FOR CONS'�RI"FTION i <br /> ! -- PERMIT � <br /> � ma E�e.a�eo� ' <br /> ��; CITYCF everett <br /> ; everett � e <br /> i BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLE'i ED IN INK— PLEASE PRINT <br /> , OWNER MAIL�UOPE55 GITY ZiP PNONE <br /> ' f, & M Investment Seattle � <br /> � TEYANT M�II.�DDRE55 CIiY ZIP PHONE ' <br /> �' MCNITEGTORDES16Nia M�I�AODRE55 CIIY LP PMONE . I <br /> ; Charles Horgan e �ssociates i301 Reverly Lane �verett 7'17.03 353-2t3II3 � <br /> ' QENEMLGONTRACTOR M�R�O�PE55 GIiY 2iP PHONE UCEN9E• <br /> ' Mf:CMAHIG�ICONTMCtOP MAIL�DDNE95 CrtY Zlv PHONE LICENSE• , <br /> , PLUM9INOCJNTMCTOfl M�Il�00RE55 CIfY 21V PNONE ULENSE• <br /> CLA9SOF WJPN � , <br /> j C� NEW ❑ ADDITION ❑ AUERATION ❑ RER41A ❑ DEMOLITION ❑ WOO�STOVE/FRPL I�JSERT ❑ BUILDING RELOCATION I <br /> ' TENANTIMPNOVEMFN70RINTEkNIOflPEM00ElON1.Y CONi�CtPER50NANOPHONENO. . i <br /> � CONTMCTPRILEOFWORM �?� f�n�e�nn ; <br /> ' pEBCRIBEWORNAND80UMEFO0IAGEINVOLVED , � <br /> j 10f? unit a�artment bl�la. - n5,Q1 "i s�. ft. _ <br /> �I ppppp9E0U9EOFBUILUINO IHEfiEBYCERTIF�:7HATIHAVEFEADANDE%AMINEDTHISAPPLICATIONAN[ � <br /> resi�lential KNOW'HESAMEfOBETRUEANDGORRECT.ALLPROVISIONSOFLAWSANC ' <br /> � LEMl�ESGflIPTIONOFPPOPF.FTYISMOWNBELOWORATT�CHFOURGOPIES� CRDINANCESGOVERNIN3THISNPEOFWORKWILLBECOMPLETEDWITh �. <br /> WHETHERSPEL'IFIEOHEREINORNOLTHEGRANTINGOFAPERMIT�OE8N01 '� <br /> ' PfiESUMETOGIVEAUTHORINTOVIOLATEOaCANCELTHEPROVI510N30F , <br /> � �07 BLOCK_ OF ANYOTH�RSTATEORIOCALLAWREGULATINUCONSTRUCTIONORTHEPER ' <br /> ' FORMANCEOFCONSTRUCTION.THATIAMAUTHORI2EDBYTHEOWNEROF � <br /> ' See attached THISPPOPEFNTOPERFORMTHEWOFiKFORWHICHAf'PLICATIONISMAOE <br /> AND I COMPLV WITH THE STATE CONTRACTORS LAW 1827 RCW ANC � <br /> • 296.200 W.4C. . � <br /> � SIGN�TUREOFGONTMCi0R0iiAUiHOPREOAGENT DATE ' <br /> f;rand Avenue hetween �17th & h?aryland x �� � � �� ,� �' _ I <br /> � PROJECT�D�RE59 �ppLICANTSCITY0U91NESSLICE N .�ND6USINE59NAME <br /> _ � ih ..T7� � _ � <br /> ; PLUM61N0 MECHANICAI i <br /> � N0. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET(TOILEn A/C—A/HNOLGUNITS—H.P. � <br /> BATHTUB FOfiCED AIR SYSTEMS—&T.U. M E0. � <br /> ' LAVATORY(WASH BASIN) UNIT HEATERS--fiT.U. M ' <br /> �� SHOWER GLOTHESDRYERS I <br /> �, KITCHEN SINKB DISP. . VENTILATION FAN � <br /> ' DISHWASHEFi RANGEHOOD <br /> LAUNDRY TRAY WATER HEATER <br /> • CLOTHES WASHER WOOD STOVE I <br /> UflINAL METAL FIREPLACE 8 CHIMNEY ( <br /> �, DRINKIN�FOUNTAW FIREPLACEINSERT I <br /> FLOOR DRAIN �� HEAT PUMP I <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOFDRAINS—RAINLEADERS •' � E%HAUS7FAN � <br /> ;i SINK(SERVICE—BAR,ETQ) " <br /> i <br /> i� — I <br /> � . I <br /> � SUBTOTAL S SUBTOTAL S • <br /> 1^I PERMIT S PERMIT S _ � <br /> TOTAL FEE S TOTAL FEE S � <br /> ,� FRONTBETBI�CK RE�RSET9ALH SI�ESEIB�CN PIANCH CNNUM6EN � FEE IDI.. AEC��k���� I <br /> � ' `nv�� �.� lV O��J <br /> «- <br /> - USE20NE LOTAREA V�GNTSIiE FEES VALUATION FEE � <br /> , D}�ES 0 NO G 5 G <br /> r 1 <br /> . TYPEOFCONST, OGCUVANCYGROUP NO.OFOWELLINOUNIT9 BUILDING 7�6 �00 r <br /> e��oweo��ecru PLUMBING <br /> �_ /_ �2— t7 J <br /> , SIZEOFOIOQ NO.OFBTORIES BSMi. OCGLOAD <br /> y MECHANICAL <br /> 8(e �oo �r+ 43q <br /> ' � NEIGNTIIMIiATION OTHER � Z � <br /> ZQ�oo �[!C5 <br /> � FIRESPnINNLEN9RE0UIRED ves or+o — S7AT[BUILDINOSURCHARGE zLy <br /> � STATE ENEPGY SURCHARGE <br /> � APPLICATIONAGCBV PL�N9�PP0.0Y ' . <br /> auouc worvKs _ i <br /> � o.V�� TOTAL � . <br /> i <br /> I <br /> 1 <br /> i. <br /> i . <br /> I <br /> ! . .. .. . ._. . .. . . . ._.. . <br /> : . '.'_!'"' .. '"�. . . ... . � ' . . .. .� . � � - . ... . . .. _ , . ' .. . . . , . .. � � <br />