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<br /> ` - ��n�F U4NSTRUCTIONE � C
<br /> - APALICATIO'. FOR l�'ONSTRUCT JN PERMIT everett 2l."279
<br /> n;�e�o�A��� " TO BE COMPLETED IN INK—PLEASE PRINT everett PERMIT PERMIT NO.
<br /> ciTvoF e 259 -8810
<br /> everett - - _ _ - -- - --- --__--
<br /> ❑ DEMOLITION � COMBINATION B BUILDING ❑ MECHANICAL 7 PLUMBIN6 ❑ S�(i
<br /> MAII.ADDPESS CIT' 21P PHONE
<br /> BUILDING DEPtiRTMENT HEATING SYSTEM: �GAS U EIECTRIC C]= Gonerco 1914 N 34th St Seattle 98103 547-8213
<br /> 259•8810 MAILA�DRESS CITY ZIP PHONE
<br /> TENANT
<br /> -- I i DEMOLITION b\ COMBINATION BIi�LDING MECHANICAL I I PLUMBING I I SIGN ��n. ZiP PHONE
<br /> OWNER M�ILADDflESS �I7V ZIP p�E AflCHITECTORDESIGNER MAILAODNESS
<br /> 9 � �EONfI?_Ct� 1�14_ N. 3u*" 5i� s�;aar�r� _�-S2/_C; 547-8.1/3 Deeign Lines �in, ZiP PHONE uc�r+se.
<br /> D8t@ � g����!T� —�------ MAILADDRESS
<br /> PUUIicWorksPermil• �O TENANf M�I161>11IIfti5 CIIY 711� pH�E p�EqALCOMRACTOF GEONEI173RL
<br /> Application For BIGO.Depl.r__�"7`'`„'�'�—
<br /> PUBLIC WORKS PERMIT - �onerco
<br /> �RCNITECTOR�ESIGNEP M�ILAODRESS CITY 21P pHp�E MEGIUNIC�LCOPoTRACTON MAILADDHESS CITV ZIP VMONE LICENSE�
<br /> Puehc worke Fee � $II2ig}� RBC18�lII
<br /> TotelFee S_ _ nESIG^N Li�/rs .20lc 7s'h S/ rvcr��__. ._ ���, Z�p PMONE LICEMSEY
<br /> Less Appl.fee Paid S_, �
<br /> GENERALCONTR�CiOR G�ILADDRESS GIfY ZII' PHONE �ICENSE/ P�,UMBIN�CONTRACTOR
<br /> MAIL FDDRESS
<br /> Print or T e Onl ee�e��eo�, S ZP�' GEON!'�t[' Performance Plumbing
<br /> yp y T4 POSTING���S'g/ GEUNE/ R /73K __
<br /> MECNANICALCONTp�CTOR MAILADDflE55 Gfv
<br /> � ZIP PNONE LICENSE�
<br /> _FNEQL•i' ,CfGCA�ry �l' - 1 • /v. CLASSOFWOflK
<br /> � / Bnucuti'�-r c✓;. TikC•MA SE�! 'ySZ'G' 6C(Q20lO/Obl LCJ NEW ❑ ADDITION ❑ ALTENATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIN6RELOCA I
<br /> COMACT PENSON AND PMONE NO.IF OTHEfl TMAN ABOVE
<br /> PLUMBIN�CONTflACTOR MI1R �0[)HF.SS f.IIY Ili' PHONE LICENBEI Peter Delmiesier 259-2456 547-8213
<br /> .pron,�g�rr) � �1/�/ N 3�fr'` st SP ;fi�-/e �i�_��7-��i� , r �
<br /> � Ow�er Mai4ingAddresS Cit � . �f�C%Z,h'/,�b��CG f(L'Md/N�+ l.C%. J�[: �/�7[ L�NNtvCT,'/) 3�a ��5,u PFnFno,� �37c3 CONTRACTPRICEOFWORK:�
<br /> Y Z�P Phone I �� , ., CLA$$pF WppK ' pE5ppI8E WORN 11ND 50UARE FOOTPGE INVOLVED
<br /> ' �(I NEW I I ADDITION � � ALTERA710N � ' REPA�R DEMOLITION WOODS70VEiFRPL INSERT ( I BUILDIN(3 RELOCATION New conattuction
<br /> r
<br /> _ �YN
<br /> � ___.___.________..___. _ .. _ _ ___.._ '_._. . . ._'__.."_ �� .
<br /> . , r.nr�inc i ri m.�n�nr�u rnnrn ia� �
<br /> Applicant MailingAddrecs 'City Zip PIIOII@ � � CONTRACfPNLL;E(M'WOHK ' � � �-�/55/Ei=' .Z$ `�'it�/$-( S7/�-9;2/�� � -
<br /> - �@SCrjbB Pf0 O8Cd�VOfk n'pl�1 �/A �7 r DESCR9E WOBK ARE FOOUGE INVOIVED ,�p�� �/
<br /> P —�-4 (}��JYT��� I�PS j � r f ��� �. (�l� f-{� W�S'1�'^�LY I�� ____ PROPOSEDUSEOFBUIlDINO
<br /> Single family residance
<br /> ✓ I i PHOPOSEDUSEMBU0.Dk!(; I HEflEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS �e[u�oescnivriodoFrRoveaTrlsHowee�owoA�rr�ct+FouRcoriEs�
<br /> I � - -- � � . � �� + -/y"//L lZt:S, APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AlL i � �pT 1L o�ocK--oF
<br /> . ,_, � ��� LECLILDESCRIPTYJNOFPRpPERiY�SMOWNBELOWOFA7GACHFWHCOPIES� PROVISIONSOFLAWSANDORDINANCESQOVERNINOTHISTYPEOF �
<br /> �Z,� -Z L("� (�Q, �� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN Oq � ! �
<br /> i� ■ ■ ■ � i �or�_ B�ocK oF (NP�IL�P� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE ��. �
<br /> '�' �" � � � � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY �
<br /> , Froject AdCress(if knowrQ L.r //-if.-,c-�ecc.�•� � , OTHER STATE OR LOCAL LAW REQULATING CONSTRUCTION OR THE ��' � .
<br /> i - � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE ao �oor+ess
<br /> Attach four(4)copies of plae� for proposud wurk- Draw to scala and note the follcwing as appir.able: �,.-. cn OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH 9�20 24th Dr SE
<br /> � � � � • Prc,?erry Lines • Centerline of stree! � _ ' � � � �g� �� � � _.L--� qPpUCAT10N IS MADE AND I COMPLV WITH THE STATE p�,UMBINQ MECHAWCAL
<br /> . • Outli�ie and dimensions of all existin and � . � CONTRAC ORS LAW 18.27 qCW AND 298200 WAC. TYpE OF E�UIPMENT FEE
<br /> , � 9 • Indicate Ncrth
<br /> ' proposed sfructures nn the �ot • Show any proposed grading changes � , SIGNIITUR F c r�}cr OP�UfHpRI¢DA6ENT D�TE FEE NO.
<br /> I - �/,�j��I� '� � pp, TYpEOFFU(TUNEORITEM q�C-A/HNDLGUNITS-H.P.
<br /> � . � , • Ezisting and proposed utilities • Show measuremants � ' /E�'���"'�/��"Ld�� •��� WATER CLOSET(TOILET)
<br /> �— m � � � X Z �TM�B FORCED AIR SYSTEMS-B.T.U. M EA. � ',
<br /> � � , . DO NOT WRITE BELOW THIS LINE ' G�C� � (�6 UNITHEATERS-B.T.U. (�/SSI�� 2� �
<br /> . . � O � PNQIECTADORESS _____._ j LAVATORY(WASH BASIN) CLOTHES DRVERS
<br /> �PPLICANiSCIfYBU51NESSLICEN5EN0.µDBUSINEUNAME 1 $HOWER
<br /> i�ERMIT CONDITIONS VENTILATION FAN
<br /> . . 1.All calls for inspec.tton shall be made 24 hrs.In advance-phone 259�881 O. � PLUMBINCi MECHANICAL - 1 KITCHEN SINK 8 DISP. RANGE HOOD
<br /> _ 2.All work ahall be peAormed in eccordance w�+�!his permit and current City of Everett Deriign and Construction ' NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE 1 DISMNASHER WATER HEATER
<br /> � Standarda and Spedticationa WATER CLOSET(iOILET) � � fVC-A/HNDLG UNITS-H.P. � uUNDAv 7Mv y,�ppo srovE
<br /> � 3.Call Locat,�n Underground S�3rvice 49 hn•�.before you dig SOLL f°REE NUMBER 1-SQ0�42¢5555. � � gp7F{7�g � FORCED AIR S`!STEMS-B.T.U. M E.A. � 1 CLOTMES WASHER
<br /> � METAL FIREPIACE 6 CHIM
<br /> . , � �. IM�/1� 11b0� COt1HElUC'��011 entrance Y�b�Ad ����j � z �� �. LAVATORY(WASH BASIN) � UNIT HEATERS-B.T.U. M ; UAiNAL FIREPLACE INSERT 3 00 �
<br /> � � �� QiI� /�ndQL'� �ZOB t0 91��ISat9 bld.:k� � � � - SHOWER � CLOTHE5 DRVERS � ppINKING FOUNTAIN
<br /> /��N�I Y dii'�CtBd �y PUb11C �Or�H IA�lpB�: � ; KITCHEN SINK 6 DISP ; VENTILATION FAN � FLOON DRAIN Gqg pPpING
<br /> �• � 6�� i1�P9et6 Cle9l1 at 811 t3Me. DISHWASHER � RANGE HOQD � g/�CKFLOW PREVENTERS EXHAUS7 FAN -
<br /> d• f ��!' a� eideMalk in the plat aPC � � � LAUNDRYTfiAY ; WATERHEATER � ROOFDRAINS-MINLEADER6
<br /> �� �y a8�9� t�Q!'�t0 �1811 � �'E� � � � � CLOTHES WASHER � WOOD STOVE � � SINK(SERVICE-dAR,ETC.) 6 00
<br /> Ss��ti� � � ��� � #� � � � URINAL ' METAL FIREPLACE 6 CHIMNEY �
<br /> � 7. Ay eb� ls fti t�vtwag� � wnr is . _ ..
<br /> . ��1� �� 5���: , DtiINKINGFOUNTAIN � FIREPLACEINSERT i sUsi07ILL f 6 00 !UlTOTAL i
<br /> FLOOR ORAIN � HEAT PUMP � p�pMR f
<br /> d. Ti�tl�e a3� swl� �M M� ���j�� ���`���y�,����i�� BACKFLOW PREVENTERS
<br /> �IO� �O C.s. /�� �r �� A� Al� �2! M��!! r�sssr O � � GAS PIPING � iE11MIT f � - TOTALFEE f
<br /> � 1���a� �N a ROOFDRAINS-RAINLEADERS � TOiA�FEe f 60 00
<br /> u� � � � -- EXHAUSTFAN i
<br /> FEE RECEIPTNO.
<br /> � : SINK(SERVICE-BAR,ETC.) ' . smeserancK PLANCHECKNUMBER
<br /> �e �� ��� � � � S� � ���� . � � FRONTSEfBACK REARSETBACK
<br /> ����N��► @i� �9�5 �F�i��il�BR -- —�_._ — ' 20' 20' ' 90 26178 baeic
<br /> � BUIlDINO CODE
<br /> � USE ZONE LOT�REA VAGANT SITE �ES FEE
<br /> , x-i �,oos ef ��ES o N� a
<br /> �/ ' ACKNOWLEDGEMENTOFCl7NDITIONS � ' ry�����noxnuawne� 7YPEOfCONSTPUC110NACNAL �o","�'�' ��OFOWELLINGONI75 BUILDING 60 00
<br /> .�`����__ ____ The unde�signed ownedapplicant hereby aryrees to hold and save harm- � �— ' V-N R-3 1 PLUMBING
<br /> � •ess the City of Everett from any and all claims fo* damages, costs, SUB TOTAL $ � � ��; SUB TOT t -
<br /> expenses, or causes of actinn that may arise because of installation ----�------ - - ------ ,.-..- - --_.--__
<br /> AL ' �
<br /> � � _ PEAMIT g � PERMIT t , s�ze 1953 Es
<br /> NO.OFSTORI BASEMENT
<br /> and �aintenance of the improvement nr other righbof-way use hereto -- ----------- - � - � � � � -- �� - -�--- � - .--_-- t 481 g8 2 ❑ves �NO
<br /> MECHANICAL
<br /> M Z'-I.I�( TOIAI FEF $ TOTAL FEE S ' HEIfHTIIMITATION
<br /> aPP�ie:d tor and further agrees to remove same upon notice from the OCLUPANCYLOAD FIRESPRINKLERSPEO'0 OTHEfi
<br /> Aporoved for siruction Dale
<br /> / i '' C' y and to replace pub�ic properry da aged thereby. FOR OFFICE USE ONLY• �
<br /> � � �. ' — N/A ❑YES �NO LS STATE BUILDING SURCHARGE 4 O
<br /> �� y�/ FRONT SET&1CK REAq SETBACN SIDF.SETBAC PLAN CHECN NUMBER FEE RECEIPTiq. qEA50N FOR SPRINKLERS
<br /> FINAL ,NSP�CTION - ��U (r� � ;� P' STATE ENERGV SURCHARGE
<br /> Date � � Z� o �'G /7 ',d.`"/P7�j' 20 0
<br /> ApprovedasConstructed yi�natu�eofApplicant �Bl@ USE2potiE LUTAPEA VACnNTSItE t FEES VALUATION �E qppLICATIONACC.BY PLANSAPPROVEDBV CITYOFEVERETT
<br /> everett PUBLiC WORKS DEPpRTMENT I WORY .;UTHORIZED BY THIS PEqM1T MUST BE STARTED WITHIN I\�I �/ BUILDING — �n ' � LOCAL SALES PUeLiC WOPKS
<br /> � 180 DAYS OF D4TE PER�41T �S ISSUED AND THFREAFTER IS �TO - - —�- _ � JH TAX CODE IS TOTAL
<br /> 3200CedarStreet 7VPEOFCONfSRILOWABIF IYPff111:ONSiRCIIIAI thtUrnin:r unn�nm�nn:�•r�c _:t� 760 0
<br /> Everett,WA 98201 BE DILIGf'•�7LY PURSUED TO COIdPLETION. THIS PERMIT MAY BE 1 ' ';"""'• � PLUMflING ' � 3105
<br /> CANCeLL_D BY THE CITY UPON ANV STOPPAGF.OF WORK ON THIS v � V ��`I
<br /> Phona:259-eSto � ' WHEN PROPERLY VALIDATED THIS IS YOUR PERMI
<br /> PAOJECTOVER90DAVSDURATION. s2eoFe�oa. No.oFsroaies BASEMENT /y i
<br /> � 3 -� NB� pZ. � MECFIANICAL— rj �.f�,`
<br /> L.K-L11L-
<br /> � OCCUPANCY LO�O- fIfIF SPIINNI l fi511F0'U ntir,ut U�nnnunru �ODI�ION4L fL1N CIIECN �
<br /> V
<br /> _ "—.{!'_ I�-D Z � OiHER ___-_.___-_ ' i
<br /> REASON FOp SPPINNLERS ------�- •— '
<br /> � /
<br /> STATE BUILi71NG SI IRCHARGE � /
<br /> MTANEBV PIANSAPPf1OVCOflY CITY OF EVERETT AUALIC WORHS ��� V
<br /> LOCAL SALES 2 6 2 7 9
<br /> � �� TAX COOE IS 3105 TOTAL "'7 6 � � PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE
<br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS.
<br />
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