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APPLICATIO►. FOR CONSTRUCTL A PERMIT BVLFP.i[ <br />the Evergreen TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY OF <br />everett HEATING SN STEM: S ❑ ELECTRIC <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION ❑ COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />MORSE 5416 So. 1st Avenue Everett 98203 258-2731 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />WJA, P.S. 1218 Third Avenue, #306 Seattle 98101 623-0331 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Morse Construction 5416 So. 1st Avenue Everett 98203 258-2731 MORSECGO99CF <br />MECHAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE UuribL• <br />MCAN1 <br />PL MBING CONTRACTOR MAIL ADDRESS CITY [Ir <br />V rco.NnnKl oFoelR nFAA(TI ITI(1N WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO <br />CONTRACT PRICE OF WORK$5000 <br />Jack H. Whiteley - (206) 623-0331 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Add Interior Partitions <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Office and (1) Residential Apt. <br />(Exist) <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />_ <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />See Attached Description <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />— <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAD, <br />SIGNATURE OF CONTRACTOR OR AUTHO DAGENT DATE J "F y, <br />x �'7 <br />9142 14hiteeyJaoCo and Associates <br />PPLICANTS CITY BUSINESS LICENSE NO USMESS NAME <br />PROJECT ADDRESS <br />r <br />PLU BING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A%HNDLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />' <br />WATER HEATER <br />i <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />LIETAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />NEAT FUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR. ETC.) <br />_— <br />SUB TOTAL <br />$ <br />SUB TOTAL S <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />r <br />cnln ncc,nc "cc ^IAn V• <br />FRONTSETBACK <br />REAR SETBACK <br />rST7� <br />SIDE SETBACK <br />— <br />PLAN CHECK NUMBER <br />FEE <br />�/ �D <br />RECEIPTNO. <br />S 1 ,f0 <br />use ZONE <br />en , <br />LOT AREA <br />VACANT SITE <br />NED <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF COATS ALLOWABLE <br />J <br />TYPE OF COAST. ACTUAL <br />MCU>ANCr <br />GBH <br />I N0IYNNDINGUW.S <br />PLUMBING <br />SIZE OF BLDG.&b7 <br />NO. OF STORIES <br />B SE7M NT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />Yv� <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />7PLANSAPPROVEDDY <br />I^ <br />I �n 1 <br />CITY OF EVE RETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />7 <br />J/ <br />