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pppi.ICATION F' ��R CONST�iUC�'ION PERMIT <br />CITY OF EVERETT • �UILDING DIVISION �. <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ dEMOLITION fl COMBINATION (� BUILDING 11 MECHANICAL $1 PLUMBING rl SIGN <br />�PROJECT ADDRESS <br />OWNER-' _ -- _'--' ��MAILADOAESS CIIV 21P PH�kE <br />Do11-Fin Daycare 7207 Evergreen Way Everett / <br />' f.A�A/I� �C,//� NLA�DRF.��IZ l'77i /�� ^�iG�� �GL / �/�l!/ ONE ��� �I�/ <br />J � nr PHONE <br />GENERALCONTRACiOR MAIIADDRE55 C' . ZIP PHONE STATELICENSEM <br />KMO Bui1ders, Inc. 20113 32nd N.E. Seatt1e 98�55 362-859� <br />..__ .......... ................, unn ennaccS CIN ZIP PtIONF STATE UCENSE M <br />PLUMBINGCONTRACTOR MPIL�DORE55 CI1Y ZIP PHONE STA75LICENSE� <br />Robinson P1bg.,Inc. 607 SE Everett Ma1l�day �26, Everett 982�8 355-6'171 ROBINPjF272C2 <br />CONTRACTPFlICEOF WORN HEATING SYSTEM: �� GAS (-7 ELECTP.IC ❑ <br />�ESCRIOE \YOfiK PND SOUARE FOOTAGE INVOLVED <br />Daycare Center - p1umbing <br />PIIOPOSED USE �F OUILOING <br />Davcare Center <br />IEGAL DESCPIPTIJN OF PPOPERTY ISHOWN BGLOY! OR ATfPCH TWO <br />LOT 9LOCK �F <br />PARCELTAXI.D.NUTABER <br />CONSTflUCT10N LOFN LENDER, ADORE55. TELEPHONE NUMDER <br />ND. TYPE OF FIXTURE OR <br />5 6VATER CLOSET (TOILET) <br />BATHTL'B <br />LAVATORY (WASH BASIN) <br />SHOWEa <br />1 KITCHEIJ SINK & DISP <br />1 DISHWASHER <br />LAUNDRYTRAY <br />1 CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />SINK fSERVICE — BAR. <br />SUBTOTAL 5 <br />PERMIT S <br />TOTALFEE 5 <br />CO"IT�C7 PERSON AND PHONE Y0. <br />FEE <br />FOR OFFICE USE ONLY: <br />FFONTSETBACK REAR SETBACK SIOESETBACK <br />USE ZONE <br />HEIGHT LJ611TATION <br />OCCIIPANCV NO ( <br />�pTAqEA <br />NO OF O1YELLING <br />U`��TS <br />VACANT SITE <br />I]YES ❑ NO <br />SIZE OF 9LOGRI. <br />❑YES C7 NO <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />I HEREBY CERTIFY THAT I HAVE READ ' l?XAMINED THIS <br />APPLICATION AND KNOW THE SAI�AE TO BE TR� ���SRTYPE OF <br />PROVISIONS OF LAWS AND ORDINANCES GOVEfi� � <br />WORK WILL BE COUPL�ED WITH WHETHER SPECI� 'RFIN OE <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRES. <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIU:. <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION � <br />PEFIFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY i, c <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />AP?LICATION IS MAOE AND I COMPLY WITH THE STATE <br />CCNTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />�� � (�;1� ,/�% �7 l 3/�l �' <br />SIIiNPTURE I �ATE <br />CIN BUSINE55 LICENSE N0. <br />IJO. TYPE OF FIXTURE OR ITEM <br />q/C — IV7i'JDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—O.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />9 WATER HEATER _ <br />WOOD STOVE <br />METAL FIREPLACE ( <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />pLl�N CNECK NUM�ER <br />NUILOING <br />_� <br />PLNAOING <br />�� <br />ldEG��ANICAL <br />p�DIT10NAL PLAN CHECH <br />O7MEP <br />STATE OUILDRIG SURCHARGE <br />PU��IC YlORHS <br />TOTAL <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE 5 <br />FEE RECEIPTNO. <br />FEE <br />