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#PPLICATION FOR CONSTRUCTION, PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259.8810 <br />❑ DEMOLITION ❑ COMBINATION MBUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 7502 EVERGREEN 14AY EVEREIT, WA <br />OWNER MAILADDRESS CITY ZIP PHONE <br />[BELLS FARGO BAN (1ST INTERSTATE) P.O. BOX 3131 PORTLAND, OR 97208 / <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />1ST INTERSTATE BANE: 7502 EVERGREEN WAY EVERETT, W A <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY 71P PHONE <br />GENERAL CONTRACTOR MAIL ADDRFSS <br />CITY <br />21P <br />PHONE <br />STATE LICENSE - <br />ASSOCIATED ROOFING, INC. <br />P.O. BOX 82894 <br />KENMORE, WA <br />98028 64-4445 <br />ASSOCRI16206 <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSEE <br />N/A <br />PLUMBING CONTRACTOR MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSEE <br />N/A <br />CONTRACT PRICE OF WORK <br />$ 12, 850.00 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC Cl — <br />D�sLthT�%v7'6rr MIM"MET ROOF AND <br />INSTALLATION <br />coNT69TWIllf"T BILL NEISINGER 364-4445 <br />OF NE14 COhIPOSITION SHINGLES. <br />I HEREBY CERTIFY THAT I HAVE READ 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 />PROPOSED USE OF BUILDING <br />SANK BUILDING <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT .DES NOT PRESUME TO GIVE <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT- BLOCK of <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER. STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />SEE ATTACHED <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 1 COMPLY WITH THE STATE <br />CON RACTCRS LAW 18.27 RCW AND 295.2,10 WAG. <br />PARCEL TAX I.O. NUMBER <br />3937-002-008-0109 <br />X �� `t,�j % <br />CONSTRUCI:ON LOAN LENDER. ADDRESS, TELEPHONE NUMBER <br />N/A <br />SIGNATURE. .� DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <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 />' <br />A/C —AlHNDLG UNITS <br />' <br />BATHTUB <br />; <br />_ _ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />' <br />HBAT PUMP <br />' <br />SHOWER <br />' <br />UNIT HEATERS <br />' <br />KITCHEN SINK d DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />' <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />; - <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />' <br />URINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />; <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />GAS FIREPLACE <br />' <br />BACKFLOW PREVENTERS <br />; <br />GASRANGE <br />_ T <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />' <br />EXHAUST FAN <br />I <br />; <br />— <br />I <br />I <br />— <br />—T <br />, <br />SUB TOTAL $ <br />; <br />SUB TOTAL $ <br />PERMIT S <br />I <br />PFRMIT S <br />TOTAL FEE $ <br />' <br />TOTALFEE S <br />ono nrclnC "cc nKil V• <br />FRONT SETBACK REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK Nun nER <br />TEF <br />RECEIPT NO <br />USEZONE 'LOTAREA <br />\'ACA1N[1TE <br />FEES <br />VALUATInN <br />FEE <br />BUILDING <br />ZI J <br />Ons ❑ ND <br />HEIGHT LIMITATION <br />NO. CF OWEI LING <br />SIZE OF BLUOC.I <br />UNITS <br />PLUMBING <br />i <br />CU "•'RAORI <br />CY NOOFSIES <br />OCCUPANTLOAD BASEMENT <br />MEMECHANICALOC <br />' <br />GROUP <br />DYES ❑ NO <br />AUDIIIONAL I'LAI' GIIf.CK <br />' <br />FIRE SPF II:LER REU'D <br />REASON <br />OTHER <br />-- <br />' STATE BUILDIG SIInCIIAnCE— <br />FIFE ALARM RED <br />REASON <br />TYPE OF C,ONST <br />PLAITS APPROVED BY CITY OF-EVERFTC <br />PI1flUC WDRI: <br />— — <br />' <br />--`— <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />2 <br />DATE _ <br />