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APPLICATION FOR CONSTRU�. �ION <br />IheEverpraen TO BE COMPLETED IN INK—PLEASE PRINT <br />CITY OF <br />everett - - -- <br />HEAfING SYS'iEM: U GAS <br />BUILU�NG DEPARTMENT ----- -- � <br />259-8810 <br />� I DEMOLITION i i COMBINATiQN � BUILDING MECHANICAL i� PLUMBING i SIGN <br />---------------- -.. _ _ -- -- _ -----___ _- - - - ---------- — <br />OWNER A1A114011PC55 (:IIY IIP �'�iONE <br />Knox Rhine & Bette RatzlaEf 1002 5lst YL SW Lverett�__ldA .98203__ 348-4732 <br />--------------------- -- - <br />TGNANT MAII AUPI1F.55 (:IIY LII' . . I'IIONC <br />If/Cc%EC� <br />PERMIT P�«P« <br />e <br />_ _- --. _-- <br />iLECTHIC U ___ <br />_______'"_"_'_—"._..._"_—___" _. .. _ .... _ ._. .._ .___..... .___"_—_______'____ <br />ARCIUTEC70RUGSI(i11GR IAnll aDURL:iS GIIY .. .... LIP I'IION[ <br />Gary Parkinsonl Architect_ 2812 Col.by_Aye___LveretC,__ WA _98201__252-2153 <br />GENERRLCONTRFCTOfl AIAILRDOPESS ���� 21P P110NC LICLNSGt <br />MECHRNICAiCOtITRACTOA MAILpDDRESS <br />PWMBINGCONTRACTOR h1All.ADDRE55 <br />CLASS OF WORK <br />I I NEW IX ADDITION I i ALTEHATION <br />CONTFACT PRICE OF WORK �ITj O V V. V V <br />DESCRIBE WORK AND SOUAflE FOOTAGE IIIVOI VEO <br />i3edroom Addition 90_sg__ft, <br />rr�nvoseo use ot uau uir+u <br />CIIY 21P PIIORE <br />CIIV ZIP PIIONE <br />LICENSE t <br />l ICENSE I <br />�� REPAIR � DEMOLITION �� I WOODSTOVEIFRPL INSEiiT �, i BUILDING RELOCATION <br />�`V �.�,��. ICONTAGiPER50t+ANUP110P1EN0 <br />� / c � <br />LEGRL DESCRIPTION OF PROPERTY �51101VN DELOW OR ATTACII F011q COPIE51 <br />�or 27 x�aK _____ ��r Seahurst_Manor._ <br />/o o � - S/ "c 4-! .rCJ <br />PLUMBING <br />� NO. TVPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILE"f) <br />BATHTUB _ <br />LAVATORY (WASH BASIN) <br />SHOWER <br />- KITCHEN SINK 8 DISP <br />_—� <br />� DISHWASHEii i' <br />LAUNDRY TRAY �-� <br />� � CLOTHES WASHER ; r <br />� URINAL - �� <br />DRINKING FOUNTAIN� �— <br />FLOOR DRAIN . r <br />BACKFLOW VfiEVENTEHS <br />ROOF �RAINS-RAWLEADERS <br />SINji (SERVICE-__BAR ETC.)__. _ . _ _ . <br />— � ___ _ <br />FEE <br />I IitHEBY CEHTIFY THAT I NAVE HEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WtiETHER SPECIFIED HEREIN OR <br />NOT. TFIE GRANTING OF A PERMIT UOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STA7E OF LOGAL 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 296200 WAC. <br />SIGNA7UIIEOFC�JNTNAGTOHORAIIi OHREDAGENI OATEY•/(�s,<, <br />X `�C: .���1t1 <br />APPI.ICAtlIS CITV PIISINE55 LICENSE NO. AND BUSMESS NAME <br />NO. I TYPE OF EOUIPMENT � FEE <br />A/C-NHNDLG UNITS-H.P. <br />fORCED AIR SYSTEMS-B.T.U. M E.A. <br />UNIT HEATERS-B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RAMGE IIOOD <br />----'-- ---- ---�----- <br />; WATER li[ATER _ ___ <br />� WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />� FIFEPLACE INSERT <br />- — -- � HEAT PUpdP ---- <br />------_—_.i._____ . _ __.. _..--'------------'--._.__—. <br />' GAS PIPING --'._-_—_ <br />� EXHAl1ST FAN <br />_._.. _._._ _ _� __.- - �-- -------'�-------�----___.. <br />� <br />_ _ _ ._ ...'_ .. __ __. _____ ....._.._.___.__.__ <br />PERMIT S � <br />� TOTAL FEE 5 <br />FOR OFFICE USE ONLY: <br />FROHT SETBACN � REAR SET�ACK SI�E SL�A('iN — <br />S <br />USE ZONE I.Oi FREA VPf,AflT SIIE <br />� � --�'L5� -- �o <br />IYPE OF LONIS AlIOWABI F iYPC Of CONSI. AGIOAI nccim+ucr un nr mvfuiur.unas <br />-(�' -�/ �7^amqir <br />y—� __.11 �_.____-.{c. ..___—�— <br />SREOFBIDG. HOOFSTOFlIES UASEIdE11T <br />OCCUPAHCYLORD <br />INTRKE BY <br />FIPE SPFiPIKI [f15 <br />r� <br />PI ANS APPROVEO DY <br />`� � <br />a <br />u <br />uEicnr%i_ n�,ur9nou <br />_ __ W'"_"_..__ _ . _. <br />CITY OF EVEflETT <br />LOCALSALES <br />TAX COOF IS 3105 <br />. . _ --- -��-- -'— <br />TOTAL FEE <br />PIAtICIlECH1lIII.If3[❑ fEE <br />%O �2 5 .3 % � `%� y i <br />uuu oiris _ <br />FI.UMBING <br />!dL-CHANICAI. <br />�AUUITIONAL PIAN CIIECK <br />OIIIEfi <br />SIAfE BUII.DING SURGHAFGL <br />PUI3I.IC WURKS <br />TOTAL <br />�— <br />i <br />� <br />PTNO <br />���L <br />FEE <br />� <br /><�3i�� <br />i <br />i <br />i <br />---�— <br />__ � <br />i <br />� <br />i <br />� li <br />y;s�, ! <br />' I <br />� <br />i <br />-r- � <br />L��iSe <br />