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APPLICATIOK FOR CONSTRUCT"N <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />f EMOLITION ❑ COMBINATION �{1 BUILDING ❑ MECHANICAL <br />PROJECTADDRESS: Way, Everett, WA <br />/� OWNER MAIL ADDRESS m/ryJ zip PI/ONE <br />PERMIT <br />OL <br />❑ PLUMBING ❑ SIGN <br />Housing Hope. PO <br />Box 7823, <br />Everett, WA 98201 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />_ <br />ZIP <br />PHONE <br />StickneYY & MurgE <br />011 <br />Wac ern Ave 1k 2QQ,__ S@at±le, WA <br />206-623-1104 <br />ARCNITECTOROESIGNER <br />MAiI ADDRESS <br />City <br />ZIP <br />PHONE <br />S'r Clark rnncfriii-inn <br />rn_ 408 Aurora Ave.N., <br />Seattle, <br />WA WGCCLAC 3700NO <br />GENERAL CONTRACTOR <br />MAILAODRESS <br />CITY <br />ZIP 98109 <br />PHONE STATE LICENSE <br />T.B.D. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE STATE LICENSE <br />T.B.D. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE STATE LICENSE , <br />I.650.000 For eL. <br />M._F. F. <br />Civil <br />CONTRACT PRICE OF woRK B-2/ of 4: Remodel struct. <br />r 0 <br />EATING SYS : Q GAS ).Cl Er(Eaf 1w L'1 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />- care w/bsmt stor <br />� <br />CON CT PER ONAND PNOI NO. <br />I HEREBY <br />APPLICATIOI <br />PROVISIONS � � <br />eNORK WILL Sfick �y <br />NOT. THE G �/nli ✓w <br />AUTHORITY FRANK G.S CKNEY simumh 'I <br />OTHER STAI ARCH E L�977tUY M Y <br />PERFORMAI <br />OWNER OF <br />APPLICATIO 911 WESTERN • SEATTLE,98104 • (2061623.1104 <br />CONTRACT( <br />n <br />x �j <br />9730, SF, construct 13 low inc. res. uni. <br />?r <br />6004 SF, Covered Parking 7702 SF <br />PROPOSED USE OF BUILDING c - <br />Multifamily & Duplex Res, <br />LE DE IPTIONOF PETRYISHOWNBELOWOF1ATTAC TWO COPI 51 <br />LC BLOCK 5 OF- Beverly HillS <br />Division 4 City of Everett <br />Z y <br />Lots 1,2,3 1nc1. - D- - <br />Lot 4 3932--005-000-0105 <br />PARCEL TAX I.D. NUMBER <br />Multiple lending pcL,:=s - names avail -up <br />CONSTRUCTION LOAN LF.NOER, ADDRESS. TEI L.-HONE NUMBER^r <br />SIGNATURE DATE <br />&-U� <br />_ <br />CITY B NESS LICENSE NO, <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />_ <br />A/C-AIHNDLG UNITS <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS <br />; <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS <br />' <br />KITCHEN SINK!, DISP <br />; <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE HOOD <br />- <br />LAUNDRY TRAY <br />; <br />WATER HEATER <br />; <br />CLOTHES WASHER <br />WOOD STOVE <br />I <br />URINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />; <br />_ <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR D AIN <br />OAS FIREPLACE <br />—•— <br />' <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />; <br />SINK (SERVICE — BAR, ETC.): <br />I <br />GAS PIPING <br />-E <br />I <br />EXHAUST FAN <br />I <br />I <br />I <br />� <br />I <br />' <br />SUB TOTAL S <br />SUB TOTAL S <br />' <br />PERMIT $ <br />'I <br />PERMIT $ <br />I <br />TOTAL FEE S <br />' <br />TOTAL FEE E <br />' <br />FOR OFFICE USE ONLY: �72Af2 <br />FRONT SETBACK I REAR S'cTBACK SIDE SETBACK I PUN CHECK NUMBER <br />USEZONE <br />�j <br />LOTAnEA <br />VACANT SITE <br />YES O NO <br />OIALOINR <br />HEIGHT LIMITATIQQQNNN <br />NO. OF DWELLING <br />UNITS <br />SIZE OF BLDGR.1 <br />/J /JQA <br />PLIIMBINr <br />OCCUPANCY <br />ORONP� <br />NO O SIOREE <br />OCCUMNT LLO�A/p <br />I!/A- <br />BASEMENT <br />OYES rND <br />MECHANICAL <br />I ADDITIONAL PLAN CHECK I <br />Vl I OTHER <br />STATE BUILDING SHRCHATTOE <br />TYPE OF P,UGST "LANs BY CITYOFEVERETT Pum.IcwonK.9 <br />�7I VM LOCAL SALES <br />�Gi/9G TAX CODE IS 3105 TOTAL <br />RECEIPT NO. <br />