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APPLICION FOR CONSTRG.TION <br />E PERMIT <br />� EYBr9FBen everett <br />CITY OF <br />everett <br />BUILDING DEPARTMENT ! 25e-8e10 TO BE COMPLETED IN INK — PLEASE PRINT <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE <br />amapt <br />3424 Federal <br />Everett <br />98201 <br />252-6584 <br />La Donna Caney <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />TENANT <br />W%mimk <br />MAILADDRESS <br />LITY <br />21P <br />PHONE <br />o• <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />homaowewr <br />me= <br />CIiY <br />ZIP <br />PHONE LICENSE• <br />MIOHAIMCALOONTMCTOR <br />(MIL ADDRESS <br />homeowner <br />same <br />CITY <br />ZIP <br />PHONE LICENSE• <br />PLUMBING CONTRACTOR <br />(MIL ADDRESS <br />homeowner <br />same <br />Cl/1760F WOA>Y <br />r-I <br />fl I .... T <br />n RUIIOINGRELOCATION <br />U NEW U ADDITIVN u nI.I CIInn.m <br />TENANT MAPROVETAENTOR NOEAIOR REMODEL ONLY <br />- -- - <br />CONTACT PERSON AND PHONE NO <br />O <br />COMIRACTpft"E WORK <br />WdIK AND SOUARE FOO INVOLVED <br />2+io S4 PT <br />EXAMINED THIS APPLICATION AND <br />taE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND <br />OF LAWS AND <br />kiteham and bathroom <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIED HEREIN ORNOTTHEGRANTING OFAPERMIT DOES NOT <br />LEGAL pEBDRIPfgN pF ppOPEpiYIS110NN BELOW OR ATTACH FOUR COPIES( <br />PRESUME TO GTE OR CANSTRUCTOCEL THE PROVISIONS <br />LOT 23.24 BLOCK 829 OFEverett DSv <br />H Val 4 <br />RLOCALL W EGUATINGATE <br />PER- <br />FORMANCE OF EORLOCALLAWREGULATINGCONSTRUCTIONCRTHEPER- <br />FORMANCE OF CONSTRUCTION. THAT( AM AUTHORIZED BY THE OWNER OF <br />Page 50 <br />THIS PROPERTY 7o PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br />296.200 WAC <br />Snohomish Co., WA <br />SIGNATURE OFCONTRACTOR OR AUTHJ IZE AGENT DATE <br />//✓/�-�P <br />X05- <br />3424 Federal <br />pRO.IEGTADDRESB <br />APPL N Y' BUSINE SLI ENS OANDB INESS NAME <br />PLUMBING <br />MECHANICAL <br />No. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C— AAHNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS— B.T.U. M EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — BTU. M <br />SHOWER <br />CLOTHES DRYERS <br />5 <br />KITCHEN SINK 6 DISP. <br />, <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />_ <br />SINK (SERVICE — BAR, ETC.) <br />Ar <br />SUBTOTAL <br />S <br />SUBTOTAL <br />5 <br />PERMIT <br />8 <br />PERMIT <br />TOTAL FEE <br />S <br />TOTALIFE <br />RECEIPT <br />$ <br />NO. <br />FRONT SETBACK <br />REAR SETBACK <br />SIOESETBALK <br />PLAN LNECK NUMBER <br />$8 d IRS %T <br />FEE <br />= <br />I 8 �i <br />USL <br />LOT AREA <br />VACANT SITE <br />FEES <br />ION <br />FEE <br />❑ YES t'MO <br />-WO <br />BUILDING <br />9G <br />ryPE OF CO7T1 <br />CUPANCYGROUP <br />OF DWELLING UNITS <br />ALLOWABLE i <br />1?-3 <br />PLUMBING <br />SIZE OF SLOG. <br />NO. OF STOWCG BSMT. <br />❑ <br />OCG LOAD <br />MECHANICAL <br />3 <br />OTHER <br />o�cj <br />33S SF <br />N <br />`�5 <br />HEIGHTLIMITAT[ON <br />STATE BUILDING SURCHARGE <br />FIRE SPRINKLERS REOUIRED ❑ YES ❑ <br />-_- <br />STATE ENERGY SURCHARGE <br />PUBLICWORKS <br />APPLICATIONA�OGAVBYY �LANSAPPR. BY <br />. <br />ToraL <br />— <br />L. <br />ad <br />