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APPLICATJ&' FOR COINSTRUCYrNN pERkWIT <br />�W <br />CITY OF ERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 88201 0259.8810 <br />❑ DEMOLITION ❑ COMBINATION O.BUILDING ® MECHANICAL <br />_ ❑PLUMBING ❑SIGN <br />PROJECT ADDRESS: 5730 Evergreen Way, E` rett WAMr <br />�P <br />Hope Village Limited Partnership,P,O. Box 7823, Everett, WA 98201 PIIOHE v <br />TENANT MAIL ADDRESS (206) 258-2214 <br />- - _ mTY JIP PITON( . <br />INVOLVED <br />as <br />LOT 3 BLOCK 5 <br />P <br />' fONSTfl11CTKNI LOAN LENDER. ADDRESS. TELEPHONE JNILABEfl <br />-- JIIPIKNIS <br />200,-Seattle, WA 98103 (206) 623-1104 <br />nip - PIKINE SIATELICENSE7 <br />WA 98109 (206) 624-5244 WGCLAC370NO <br />Id. PRONE STATE LICENSE F <br />WA 98409 - (206) 572-9484 AIRSYE229KN <br />lII- PICK STATE LICENSEE <br />HEATING SYSTEM: O GAS ❑ ELECTRIC X$ N/A <br />CONTACT PEIISIN/ AND PHONE NO <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 />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <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 "!'HE STATE <br />CONTRACTORS LAW I8.27 RCW AND 296.200 WAC. <br />'LM DATE <br />n��810 <br />PLUMBING �# <br />NO. TYPE OF FIXTURE OR ITEM FEEfL. <br />MECIIANICAL <br />NO. TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />FEE <br />NC —NC UNITS, <br />BATHTUB ' <br />FOnCEDAIR SYSTEMS , <br />LAVATORY (WASH BASIN) , <br />HEAT PUMP <br />SHOWER <br />' <br />HEATERS <br />KITCHEN SINK 8 DISP <br />_UNIT , <br />2 CLOTHES DRYERS <br />DISHWASHER <br />2 <br />•RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER � <br />I <br />WOOD STOVE <br />, <br />URINAL R <br />MIIAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />' <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />, <br />BACKFLOW PREVENTERS g, ' <br />GAS RANGE <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />, <br />4 <br />EXHAUST FAN <br />, <br />, <br />atl <br />SUB TOTAL f <br />' <br />SUB TOTAL f <br />' <br />■� <br />PERMIT al S <br />, <br />PERMIT f <br />, <br />TOTAL FEED S <br />' <br />TOTAL FEE f <br />PON OFFICE USE ONLY: <br />F" <br />FRONT SETBACK <br />REM SETBACK <br />SIDE SETBACK <br />PIANCIIECKNIIWIFR <br />FEF <br />RECEIPT NO <br />USE LONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />_ <br />DYES D NO <br />DUIIOWG <br />I <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SREOFBLOwI <br />— <br />UNITS <br />PIIIMBIHFi <br />' <br />OCCUPANCY <br />NO OF 510R*S <br />OCCUPANT LOAD BASEMENT <br />—i— <br />MECUMICA <br />DYES D NO <br />REASON AODI I IONAI. PI M CI II CK <br />' <br />, <br />FIRE SPRINKLER REO'O <br />' <br />OUIEn <br />REASON <br />FIRE ALARM REQ'O <br />STATE OIUU1urti S11111MAWE <br />, <br />TYPE OF f,ONST <br />LANSAPPROVEOOY CITY OF EVERETT PRDIIC WOIIKS <br />— <br />i <br />LOCAL SALES -- -- <br />-- — <br />; <br />riATE TAX CODE IS 3105 TOTAL <br />