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APPLICATI�"1 FOR CONSTRUCT"�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: U GAS ❑ELECTRIC �I�E .S�rL/7eCI�/ <br /> BUILDING DEPARTMENT - <br /> 259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION I� BUILDING I�MECHANICAL [1PLUMBING ❑ SIGN <br /> OWNER A1AIL�DDRE55 CITY ZIP PHONE <br /> LOR�N DORAH 19215 51ST AVE. S.E. BOTHELL WA 98012 481-8620 <br /> TENANT MAILADDFESS CITV ZIP PHONE <br /> EVERETT DUPLEX 5635 GLENWOOD AVE. E1IERETT WA <br /> ARCHITECT OR DESIGNEP MAIL AD�RESS CITY 21P PHONE <br /> CASCADE SPRINKLER DESIGN P 0 BOX 1319 AUBURN. WA Q8071-131Q 880-4101 <br /> GENERALCONTRRCTOP MAILADDRE55 CITY 21P PH�QN.�SS STATELICENSEII • <br /> ENERGY ELECTRIC P 0 BOX 503G LYNNWOOOD WA 98046 778�11 ELECTEC160JE <br /> MECHRNICALCONTRRCTOR MRILADDRESS CITY 21P PHONE STRTELICENSE� ��ABEFP157K� <br /> JOHN J ABEL fIRE PROTECTION CO INC 4932 W INTERURBAN BLD BOTHELL WA 481-7669 <br /> PLUMDING CONTRACTOR MAIL AODRF.SS CITV ZIP PHONE STATE LICENSE 11 <br /> CONTRACT PRICE OF WORK <br /> $ 3,200.00 <br /> OESCRIBE WORK AND SOUARE FOOTAGE INVOLVED CONTACT PERSON AND PMONF NO. <br /> FIRE SPRINKLER INSTALLATI N CAREY MANNING 481-7669 <br /> Q �"� � � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PP.OPOSEDUSE O BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> RESIDENTIAL--- NEW DUPLEX PROVIS�ONS OF LAWS AND ORDINANCES GOVERNING T41S TYPE OF <br /> LEGALDESCRIPTIONOFPROPERTV�SMOWNBELOWORATTACHTWOCOPIES� WORK WILL DE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior e�ocK oF AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �A�HF� PERFO MANCE�OF�ONSTRUCT ON.TH TG AM AUTHORI ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE A;JD I COMPLY WITH THE STATE <br /> PARCEL TA%I.O.NUMBER CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br /> HAS NOT BEEN ISSUED AS OF THIS DATE. � / /( <br /> CONSTRUCTIONLOANLENDEA.ADDRESS,TELEPHONENUMBER <br /> 10 26 94 <br /> PROJECT ADDRESS sau,ruac o�*E <br /> 5635 GLENWOOD AVE. EVERETT WA ��r�a�s���s ���E�SE�o � <br /> PLUMBING MECNANICAI <br /> NO. TYPE OF FlXTURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � AIC—AIHNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK 8 DISP � � VENTILATION FAN I <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRY TRAY ; WATER HEATER ` <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � � EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) � <br /> I <br /> � � <br /> � <br /> � <br /> SUB TOTAL 6 ' SUB TOTAL S . <br /> PERMIT 5 � PERMIT $ <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REARSETBACK S��ESETBACK PLANCHE �UMOER� FEE�'` PECE�NO�� � <br /> n�y^ v G <br /> USE ZONE LO�APEA VACANT SITE FEES VALUATION FE_�_ <br /> ❑ YES ❑ NO BUILDING <br /> 7YPEOfCONSi. NOAFSTORiES acur�sr.r xoovox¢wrcu•ns � <br /> f°�"° PLUMBING � <br /> SREOFBLDG. FIRESPFINHLERSREO'D BASEM[NT MECHANICAL <br /> G YES ❑ NO — � <br /> OCCUPANCV LOAD FIF[ALARM REO-� HEIGHT IIMITATION <br /> ADDITIONAL PLAN CHECK � <br /> �� �� . / � i �� <br /> OTNER � ��J <br /> nEnsor+ ; <br /> STATE�UILDI G SURCHARGE <br /> irnrKc ov r�nr+s nrrnoveoov CITY OF EVERETT PU�LIC WORNS � <br /> 1M LOCALSALES � <br /> unt[ �I ! o) '• <br /> TAX COOEIS 3105 TOTAL <br />