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` APPLICATI�..� FOR CONSTRUC7 _JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION �C�r��� <br /> I <br /> 3200 CEDAR STREET• EVERETT, WA 9420� • 259•8810 � <br /> I� DEMOUTION f 1 COMBINATION f � BUILDING I 1 MECHANICAL I 1 PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> EVEREI'I' EAGLES #13 �?�ti BROADWAY EVEREIT WA <br /> or+r+En Mnanooness cirv rir ri�o�+e 353-1960 <br /> EVQtETT AERIE NO 13 FRATIItNAL ORDER OF EAGLES 3726 BROADWAY EVEREIT, WA 98201 <br /> I IEN,ASNT�E MMIADORF55 CIIY _ ZIP PHONE <br /> f AFCHRCCTOFDESIGNGR MAILADDRE55 CIIY IIP PMO4E <br /> I <br />� GCNERALGONTRACTOR M1'AILAODRES$ CI1V 71P PIION� ST/dEIICGNSf:M — <br /> ASSOCIATED ROOFING, INC. P.O. BOX 82894 KENMORE, WR 9gp2g �Z06� 364-4445 ASSOCRI16206 <br /> MF.CHANICALCONTR�CTOti MAILADDAESS CITY LP PIIONE STATF�ICENSE� <br /> PLUMBINGCCNiRACTOP MAILAUDRESS GiY DP �NOHE STAIEUGENSE� <br /> CONTRACT PfiICE OF W R <br /> � �10,430.00 (f HEATING SYSTEM: I i GAS fl ELECTRIC Cl <br /> DESCHIBE WORK AN�SOUARE FOOTAGE INVOLVED f,ONTACT PGRSON ANO PIqNE NO <br /> INSTALLATION OF NEId 'PDRCHDOIJN ROOF BILL hEIS1NGER (206) 364-4445 <br /> SYSTFl1. 16,400 SQUARE FEEI'. <br /> I HEREBY C�RTIFY THAT I HAVE READ AND EXAMINED THIS <br /> raoPoseo use oF em�oiNc APPLICATION AND KNOW THE SAME TO BE 1"RUE AND CORRECL ALL <br /> COPR"IERCIAL BLDG. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK YJILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGRLUESf.RIPTIONOFPROPEfittISHOWN9ROWORATfACNT1Y000PIES� NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br /> tor o�ocK or AUTHORITY TO VIOLATE OR CANGEL THE PqOVISION OF ANY <br /> SEE ATTACHED OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS M�DE AND I COMPLY WITH THE STATE <br /> rna «rax i.o.ruuvaea C�TRACTORS LAW 1 . 7 RCW AND 296.200 WAC. <br /> �i373-925-000-0108 ��i � /'; <br /> CONS7PUCTION LORN LEND[R,ADDR[55,TELEPNONE NlIMOER ��� � r � �(`1 S <br /> 1(l�! � <br /> n/a SIGNAiUNE DATE <br /> CIiV OVSM[SS LICENS[NO. <br /> PLUMBING MECHANICAL � <br /> NO. TVPE OF FIXTURE OR I?EM� FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—AMIJDLG UNITS—H.P. � <br /> BATHTUB � FORCEDAIRSYSTEMS—�.T.U. M E.A. ; <br /> LAVATORY(WASH�ASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATEFiS—D.T.U. M <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS � <br /> �— <br /> DISHWASHER � V[NTILATION FAN � <br /> LAUNDRY TRAY � RANGE HnOD ; <br /> CLOTHES WASHER � WATEFl HEATER <br /> �— <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE IIJSERT(WOOD OURNING) ; <br /> BACKFIOW PREVENTERS ; GASFIREPLACE � <br /> 'T <br /> SINK(SERVICE—�AR, ETC.) � GAS RANGE <br /> GAS PIPING ' <br /> � EXHAUSTFAN � <br /> i � <br /> � � <br /> � � <br /> T <br /> I � <br /> SUB TOTAL $ � SUB 70TAL $ ; <br /> PERM17 5 i PERMIT $ � <br /> TOTAL FEE $ � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> PRONT SETBACN RF.AR SETOACK SIOE SGiB�CN PIAN CNECK NUMOEq fEE RECEIPT NO. <br /> usezoNe �ornnen vacnNrsire FEES VALUATION FEE �_ I <br /> flVES Il NO gUILDING � �� <br /> i <br /> HEIGHTUMITATION NO.OF�WELLIN. 5¢EUFBLDGRI. i <br /> VNITS PIUMBING � <br /> ROI/P�NCY NOOFSTDRIES OCCImqNT�UnD BASEMEN7 MECIIAIJICAL j <br /> ❑YES fl NO � <br /> ADOI710NAL PLAN CHECK i <br /> Flf1E ALARM REO'D REASON � <br /> OTH@fl � <br /> i <br /> FIRESPR:NKLERfiEOD REASON i <br /> FTATE BUILDING SURGHARGE �� <br /> TVPEOFCONST. PLANSAPPROVEDBY CITYOFEVERETT PUOI.ICWOtiKS i <br /> LOCAL SALES � <br /> ���� TAX CODE IS 3105 TOiAL � !� I �"7 ) <br />