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APPLIC ION FOR CONSTR..TION <br />PERMIT <br />the Ewrgmn <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />TO BE COMPLETED IN INK -PLEASE PRINT <br />BLDG. # (1) <br />PERMIT# (21088) <br />OWNER <br />MAILAODRESS <br />CITY <br />21P <br />PHONE <br />MIKE MASTRO SR. <br />510 RAINIER AVE. <br />S. SEATTLE 98144 <br />323-5393 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />10710 EVERGREEN <br />WAY, EVE TIT, WA. <br />MN754 <br />ARCHITECT OR DESIGNER <br />MAILADDRESS <br />CITY <br />21P <br />PHONE — <br />WILLIAM S. TSAO&CO. P.S. 2201 - 6TH <br />AVE. #1008, <br />SEATTLE <br />98121 441-6688 <br />GENERAL CONTRACTOR <br />MAIL ADORERS <br />CITY <br />21P <br />PHONE OCEN_S <br />G&M INVESTMENTS <br />510 RAINIER AVE. <br />S. SEATTLE <br />98144 <br />441-6688 GMIMV**275C1 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE+ <br />PLUMBING CONTRACAR MAILADDRESS CITY ZIP PHONE LICENSE• <br />TRI-STATE PLUMBING INC. 13420 NE 16TH ST BELLEVUE 98005 643-3830 TRISTI*245NZ <br />CLASS OF WORK <br />C& NEW 1! ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPI. INRFAT rl <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />CONTRACT PRICE OF WORK <br />CONTACT PERSON AND PHONE NO --- <br />PAUL CANON 643-3830 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />PROPOSED USE Of BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RFSULATING CONSTRUCTION OR THE PER- <br />FORMANCE OF CONSTRUCTION, TI AT 1 AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THT NORK FOR WHICH APPLICATION 15 MADE <br />AND I COMPLY WITH THE STAIE CONTRACTORS LAW 16.27 RCW AND <br />296.200 r <br />SIGNATUR CONTRACTORONAUTH , IZE A ENT DATE <br />LEGAL DESCRIPTION qF PROPERTY IRHOWN BELOW OR ARACH FOUR COPIESI <br />LOT— BLOCK — OF <br />— <br />PROJECTADDRESS <br />APPLICANTS CITYBINESS LICENSE NO.AND BUSINESS <br /># 10302 TRI-STATE PLUMBING, INC. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />21 <br />WATER CLOSET (TOILET) <br />1.05.00 <br />A/C—A/HNDLG UNITS —H.P. <br />21 <br />BATHTUB <br />lOS.00 <br />FORCED AIR SYSTEMS--flT.U. MEA <br />21 <br />LAVATORY(WASHBASIN) <br />105. OQ <br />UNIT HEATERS —BTU. M <br />SHOWER <br />CLOTHES DRYERS <br />21 <br />KITCHEN SIN( S DISP. <br />105.00 <br />VENTILATION FAN <br />21 <br />DISHWASHER <br />105.00 <br />RANGE HOOD <br />21 <br />LAUNDRY TRA'/ <br />CLOTHES WASHER <br />105.00 <br />_ <br />22 <br />WATER HEATER__ <br />WOOD STOVE <br />� <br />_� <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN — <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEAOERS <br />_ <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC.) <br />_ <br />SUBTOTAL_ $ <br />SUBTOTAL_— $ <br />630.00 <br />PERMIT _ _ <br />$ <br />_ <br />$ <br />15. <br />0 <br />TOTAL FEE <br />$ <br />640.00 <br />_PERMIT _ _ <br />TOTAL FEE S <br />158. <br />_ <br />0 <br />fRONT SETBACK <br />HEAR SETBACK <br />SIDE SETBACK <br />MAN CKECK NUMBER <br />_ <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />SITE <br />0 YES <br />YES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF CONST. <br />KLOWABLE/ACTUAL <br />OCCUPAVCYGROUP <br />NOUFDWELLINGUNITS <br />PLUMBING <br />— --- <br />---- <br />SIZE OF BLDG <br />NO. OF STORIES <br />BSMT. <br />0 Y <br />OCC LOAD <br />---- <br />MECHANICAL <br />--- <br />FIRE SPRINKLERS REQUIRED C YES ONO <br />— <br />HEIGHTLIMITA i'&N -- <br />OTHER <br />STATE BUILDING SURCHARGE <br />-- <br />---- <br />APPLICATION ACC. BY PLANS APPR. By ---I <br />____-----"—___ <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />