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APPLICAYIO' FOR COW: TRUCTI'N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET R EVERETT, WA 98201 R259.8810 e5L <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: 5730 Evergreen Way, Everett WA 5-60/:s /ae�n..c, <br />OWNER MAL AL DRESS CITY iuI' PHONE <br />Hope Village Limited P:Irtnership,P.O. Box 7823, Everett, WA 98201 (206) 258-2214 <br />1ENMT MAAADMRSS C11Y !IP PHONE ' <br />ARCWTECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />JIP <br />PHONE <br />. <br />Stickney & Murphy <br />Architects, 911 Western <br />Ave., Ste__200,. Seattle, <br />_.. <br />WA 98103 (206) 623-1104 <br />GENERALM CONTCTOR <br />MAILADDRESS <br />' CITY <br />JK' <br />PI KNNE <br />STATE LICENSER - <br />W G Clark <br />408 Aurora Ave. N <br />.Seattle, <br />WA81 909 <br />-- <br />(206) <br />624-5244 WGCLAC370NO <br />MECNANICALCONTRACIOR <br />M"ADDRESS <br />CITY <br />Ia. <br />PHONE <br />STATE LICENSER <br />Air Systems Engineering, <br />909 S 28th St. <br />Tacoma, <br />WA 98409 <br />---- <br />(206) <br />572-9484 AIRSYE229KN <br />PLUMBING CONTPACTON <br />MAN ADORE SS <br />CIIY <br />111' <br />PIKTNE <br />STATE LICENSER <br />:CNTRACT PWOE OF WORK S1 200 00 I HEATING SYSTEM: G GAS ❑ ELECTRIC n x/A <br />7ESCWBE VVf WL AND SOUAf1E FOOTAGE INVOLVED CONIAI:f PEIISON ANTI PHONE NO <br />.nn�. no na <br />iaan a.a ii ua ul cnuaun <br />dryer vents as required for 2.000 <br />sauare foot <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 />rROPo�oFBGILmNa <br />Residential <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL DESCWPTIDN OF PROPERLY ISNDWN BELOW OR AnACNTWO COPIESI <br />1 5 Beverly <br />Hills <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT BLOCK <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />Division <br />- <br />#4 <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 I COMPLY WITH THE STATE <br />CONTRACTORS LAW W.27 RCW AND 296.2DO WAC. <br />PARCEL TAX I.D. NUMBER <br />3932-005-000-0105 <br />y <br />CONSTNATION LOAN LENDER. ADDRESS. TELEPHONE NUTANin <br />QWA� DATE <br />n��a1a <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECIIANICAL ' <br />NO. TYPE OF FIl(TURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT 14L FEE <br />AJC—MINDLG UNITS <br />WATER CLOSET (TOILET) <br />I <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP ' <br />SHOWER T. <br />'j �UNIT HEATERS ' <br />I <br />KITCHEN SINK & DISP# <br />' <br />I CLOTHES DRYERS ' <br />Al RANGE HOOD ' <br />, <br />DISHWASHER <br />LAUNDRY TRAY <br />, <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE ' <br />' <br />MEJAL FIREPLACE (WOOD BURNING) <br />URINAL <br />' <br />, <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />' <br />GAS FIREPLACE <br />FLOOR DRAIN <br />' <br />GASRANGE <br />BACKFLOW PREVENTERS <br />' <br />SINK (SERVICE — BAR. ETC.) <br />I <br />GAS PIPING - � <br />I <br />EXHAUST FAN <br />, <br />I <br />, <br />, <br />' <br />SUB TOTAL S ' <br />SUB TOTAL <br />S <br />/ I <br />PERMIT SPERMIT <br />$ <br />TOTAL FEE S ' <br />TOTAL FEE <br />S <br />' <br />FOR OFFICE USE ONLY. <br />FNONT SETBACK REAL SETBACK <br />use ZONE LOT AREA <br />HEIGHT LIMITATION NO OF OWEWNG <br />UNITS <br />TTI-T9 <br />SIDE SETBACK <br />VACANT SITE <br />OYES ONO <br />SUE OF BLDGR.I <br />OYES ❑ NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />CI NECK NUM11fR w <br />PLUMBING <br />MECIIANICAL <br />AQUA IONAI. PI AN Chl CK <br />OTIIEn <br />STATE BIIIIUINn SIIN(:IIARGE <br />Pllnl Jr. WOIIKS <br />