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,„,E�.,,,.�� �-- /�PPLICAT�ON FI�R R eV�,.„ <br /> °�^'°F CONSTR�ICTION <br /> everett pE R M I�� � <br /> TO BE COMPLETED IN BLACK INK— PLEASE PR�NT <br /> BUILDING DEPT. <br /> 259-8?45 ❑ COMBINATION � BUIL.DING ❑ MGCHANICl�L 0 PLUMBING ❑ SIGN <br /> OWNEH IAAIL�DDNE33 CITY bP . PNONE <br /> Ron Spelhaug ,3116 113th Place SW BvereL-t, WA 48204 353-0356 <br /> ARGNIIECTOR�ESIGNEN MRILAOORE45 CITY ZIP FNONE <br /> Impression llesiQn Everett. WA 355-3200 <br /> GENENALGONIRACTOR � MRRAOD8C35 Cltt ZIP i'NONE LICENSE• <br /> r�tein Construcl-ion 3116 113th Place 3�d Gverett, WA 98204 775-0451 �fA-RT-IC 27444 <br /> MECN�NICAI CONTR�GTOq MAILAOUqE33 • Cltt 21p PNONE LICENSE/ <br /> U�decided <br /> FLUMBINOCON1R0.Ci011 MRIlA0DRE53 CITY 21P PHONE LICENSc• <br /> Undec'Ided <br /> GL�59 OF WOp!'. <br /> �(I NEW ❑ ADDITION ❑ ALTERATION - ❑ REPAIR ❑ DEtAOLITION , ❑ WOOf1STOVE/FRPL.INSLRT ❑ AUIIDING RELOCATION <br /> VALUAi�IO�N�O�FpN�OfiN OSiOFMATERIPLSPLUSLABOF� <br /> '�'1 f VOU��''� ��v �� � • -- . �. <br /> OESCHIOE WI�FN � . <br /> i . i <br /> New construction. Duplex � ' " � <br /> use or euaoiNa ' <br /> Residence I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION kND KNOW THE SAA�IETO BE?RUEANDCORRECT.ALl <br /> LEGAl�ESCRIPiIONOFPROPENiY�SHOWNBELOWONATfACHFOURCOPIES7 pqOVISIONS6FLA'NSANDDRDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLF.TED WITH WHETHER SPECIFIED HERE- <br /> �ot_e�oc�or — INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS O� <br /> Lots 17, 16 � South 1/2 15, Block 183 ANYOTHERSTATEORLOCALLA'�'/REGULATINGCONSTRUCTION <br /> — OR TfiE PERFORMr.NCE GF CUNSTRUCTION. <br /> Ylat cf Evere_t T _ _ SIONANREOFCO TRACTOPORAUTHORIZEDAGENT DNtE I <br /> � � 11-24-� '� , � `y�z Q�- <br /> .. <br /> PROJECi�DDPESS nPPUCYVi CITYBUSINES NSENO. <br /> 2q o6s l o T�-� 5-�- <br /> PLUMBIWG MECHANICAL <br /> Nn. TVPE OF FIXTURE _ FEG 1{O. TYPE OF EOUIPMENT' FEE <br /> WATE9 CLOSET(TOILEn AIR CON�. tlN1T5—N.P.EA <br /> 2 BATHTUB f�� REFRIGERATION UNITS—H.P.EA. <br /> 4 I.4VATORY�WASHBASIN) OD 601LER5—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA ' <br /> KITCHEN SI1JH8 f.ISP. FORCED AIR SYSTEMS—B.i.U. M E0. � � � <br /> DISHWASHER OC' WALLHEATERS—B.T.U. M <br /> LAUNDRVTRAY UNITHEATERS—B.T.U. hf <br /> 2 CLOTHES WASHER EVAPORATIVE COOLERS <br /> Z WATER HEATER CLOTHES DRYERS U'O <br /> URINAL VENTILATION FAN W <br /> DRINKINO FOUNTAIN qANGE HOOD � <br /> FIOOR DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKEf1S ��' STOVE <br /> FOOF Di7AINS—RAINLEADERS ME7AL FIREPUCE 8 CHIMNEI' <br /> SINK SEPVICE—BAF,ETC. WOODS70VJFIREPLACEINSER7 <br /> _ SUBTOTAL SUB70TAL S � V <br /> PEFlMIT S PERMIT S <br /> _ TOTALFEE S TOTALFEE S C9 U <br /> TH18 PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iFONiSETBA�CrK� PERRSEt6RCK SICESETBACK PLANCHECNN MP�N PLANCMELKGEE <br /> �fJ' � �°�� , FFE �� PEf. P D <br /> � � s �� J,rh��-� 9/-- ��'ysr� <br /> USEZONE LOiAtiEA \rqCANi51iE <br /> R—Z ]5QQ , F��ES ONO fEE9 VALUATION FEE <br /> ttPEO�CONSC OCGUPPNCYGROUP NO.OfOWELLINOUNITS <br /> .�Frame�^IJ n .,,a,.....�/Z•� 2 ! i , <br /> a�i�oiNo C.r U��Xn.eo . 3� ' d o <br /> 5¢E or e�i'oa. n r;o.of SromEs rnnz occ�ono . / <br /> ��G(Q r,'�� G("L�J•� � ""' • � PLUMBING �CO ,� � <br /> MECHANICAL ' O� <br /> FIRE SPRINKLERS REOUIRED ❑YES O^,�h <br /> OTHER <br /> PENALTV ��J <br /> APPLIGq110NACC.BY PLANSCHELNEOBV APPR.FORISSUANGEBY <br /> TOTAL <br /> � � J� � •�� <br />