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APPLICATIO" FOR CONSTRUCT6n19N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200. CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />4{ eMOLITION ❑ COMBINATION] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: '^ "^^-3 n—Way(, Everett, WA <br />OWNER MAILADpIlE53 `�18/3 ��/^—+�� C�93 <br />ZIP PHONE <br />11 <br />40 <br />N. <br />T.B.D. a ZIP 98109 PHONE STATE LICENSEE <br />IAECHA IUALCONIRACTOn MAIL ADDRESS CITY ZIP <br />T • B . D • PHONE STATE LICENSE E <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE STATE LICENSE E <br />1 "pan nnn Ta..,.l AA ., . ,.___-' <br />,. -E ,rmctuf-WOIIK B-2/fot 4: <br />Remodel struct.1 <br />UEBCRIB SOUAREF <br />HEA M: <br />On <br />"QGAS IE I&RI(: il <br />TIDEINvoLveD <br />- care <br />w/bsmt storag <br />"TACT PERSON AND PHONE <br />9730,SF, construct 13 low <br />�r <br />inc. res. uni <br />/Z -n--- <br />6004 SF, Covered Parking <br />7702 SF <br />I HEREBY <br />PgoPoseO USE of 5WLO1NG <br />Multifamily <br />11 Duplex Res, <br />APPLICATIOI <br />"�=-V �'aZ'PE <br />PROVISION: <br />n <br />art ltrty a4-nra <br />owner u.r, t♦_ <br />-..-.`...a....•-,.....vrr,wxenlTlSINwN BELOWOR ATTACK TWO C0"' 1 <br />Lc ., BLOCK -, IIeverl Hills <br />--_.... •••••• `/ }'C�„ <br />NOT. THE G u b1La <br />DF <br />' <br />Division 4, City Of Everett <br />AUTHORITY FRANKO.S CKNEY 71� <br />OTHER STAI ARCH E M r1� <br />PERFORMAI `'��j�wa <br />OWNER OF <br />Lots _ _ <br />1nC �- <br />3932 .005-000-0105 <br />APPLICATIO 911 WESTERN • 8EATILE, 98106 • (2061843-1104 <br />CONTRACT( <br />n <br />PARCEL iAK I.D. NUMBEq <br />N,ultiple lending pcY,;rs - names avail. up <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELCPrIONE NUMBER <br />x <br />SIGNATURE DATE <br />DLN'MA <br />CITY 54INESS LICENSE NO. <br />MECHANICAL --- <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />FEE <br />-- <br />BATHTUB <br />' <br />A/C—A/HNDLGUNITS �— <br />, <br />; <br />FORCED AIR SYSTEMS I <br />LAVATORY (WASH BASIN) <br />, <br />HEAT PUMP <br />SHOWER' <br />UNITHEATERS <br />KITCHEN SINK 6 DISP <br />; <br />CLOTHES DRYERS r <br />DISHWASHER <br />' <br />RA-- <br />NGE HOOD <br />—'�- <br />LAUNDRY TRAY <br />; <br />WATER HEATER <br />---' <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />1 <br />T <br />URINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />) <br />FLOOR D AIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />; <br />GAS RANGE <br />, <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />— <br />' <br />EXHAUSTFAN <br />I <br />I <br />1 <br />SUBTOTAL S <br />SUBTOTAL $ <br />' <br />_ <br />PERMIT S <br />'I <br />PERMIT S <br />, <br />TOTAL FEE S <br />' <br />TOTAL FEE $ <br />I <br />FOR OFFICE USE ONLY: ­r 5,474 <br />FRONT SETBACK - <br />-RPA I SETBACK <br />SIUE SF:TBACCK <br />PLAN CIIECK NUMBER F '3 <br />RECEIPT NO <br />7L <br />uSE TONE <br />LounEA <br />vACANT SITE <br />FEES <br />VALUATION <br />F E <br />-� <br />❑YES ❑NO <br />DIVIDING <br />7T <br />i i <br />' <br />HEIGHT LIMITATION,� /f <br />NO. OF DWELLING <br />SIZE OF BLDOR.I <br />J6 <br />UNITS <br />l <br />PLUMBING <br />I <br />OCCUPA77NCY NO O�f/51ORE5 <br />O <br />OCCUPANT L,{A�D <br />BASEMENT <br />2 <br />�i1' <br />MECHANICAL. <br />7 <br />❑YES NO <br />FIRE BPIIINIO °D REO'D <br />REASON -- <br />ADDITIONAL PLAN CHECK <br />OTHERMREO'O <br />, <br />FlREMM <br />REASON <br />STATE BUILDING SIInCIIAnGE <br />I <br />TYPE OF f,ONST <br />PLANS APPROVED BY -- <br />A1 AI CITY OF EVERETT <br />rustic wOnKs <br />-- <br />_ <br />��� <br />I <br />LOCAL SALES <br />TOTAL - <br />-_ <br />3 , 0 <br />DATE ((C/ TAX CODE IS 3105 <br />