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�' •?` <br />PPLICATION FOB, <br />Everett <br />the Evergreen <br />CITY Of <br />CONSTRUCTION <br />z5 <br />�. <br />e <br />everett <br />PERMIT <br />� <br />BUILDING DEPARTMENT <br />259.8745 <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />pp <br />G�x AIS <br />�OK VI <br />❑ DEMOLITION ❑ COMBINATION <br />` <br />04UILDING ❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL AODRESS CRY ZIP <br />PHONE <br />X Dennis & Linda Irvincg <br />P.O. Box 1045 Everett 98206 <br />568-5285 0.2,52-432 <br />ARCHITECT QR DESIGNER <br />MAIL ADDRESS <br />cUY <br />ZIP <br />IvHUNE <br />---� <br />In Design <br />P.O. Box 734 <br />Westport, WA <br />98959 <br />268-9676 <br />GENERAL CONTRACTOR <br />- MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />NP�IanA ('�Yn Lz 1-r�rti <br />On P o Box 958 <br />Everett <br />98206 <br />259-9191 <br />NE WL6L34340 <br />MECHANICAL CONTMCTOq <br />MAIL ADOPESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE • <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />ICl NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOO DSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VALUATION OF WORK (COST OF MATERIALS PLUS LABOR) <br />X $153,364.00 <br />DESCRIBE WORK <br />Construction of new building <br />USE OFBUILDING <br />I Automotive repair & service <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATIONAND KNOWTHESAMETO BE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Or <br />ANYOTHER STATE OR LOCAL LAWREGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOi_BLOCKOf <br />copies attached <br />PR%EFT AGBESS <br />4-T Everett Mall Way Everett, WA 98204 <br />APPLICANTS CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL" <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS-M. P. EA. <br />BATHTUB <br />REFRIGERATION UNITS-H.P. EA. <br />LAVATORY WASH BASIN) <br />DOILERS-H.P. EA, <br />_ <br />SHOWER <br />GAS FIRED A.C. UNITS-TONNAO <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS-B.T.U. A. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. <br />CLOTHES WASHER <br />EVAPORATIVE COOLER <br />WATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL IIJ 27 N7 <br />VENTILATION FAN <br />DRINKING FOLINTAIbL IV <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLIN <br />VACUUM BREA5W <br />STOVE <br />ROOF DRAT LEADERS <br />METAL <br />SINK SE E BAR, ETC. <br />WOODSY FIREP INSERT <br />SUBTOTAL <br />SUBTOTAL S <br />PERMIT $I <br />PERMIT f <br />TOTALFEE $ <br />TOTAL FEE & <br />THIS PORTION TO BE COMPLETED <br />BY BUILDING DEPT. PERSONNEL <br />FRONT SETBACK <br />REAR SETBACK SIDE SETBACK <br />PLAN CHECK SUMbER PLAN CHECK FEE <br />O <br />O O <br />^ YCP/7 FEE ['341"!S RECEIPT NO.�a//� <br />Y ✓ <br />((� <br />USEZONE <br />LOT AREA VACANT SITE <br />TEES VALUATION FEE <br />' <br />C <br />OYES ONO <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. OF DWELLING UNITS <br />so <br />Y Al <br />//'¢ -L9- <br />ewLmNG & i5 <br />SO <br />SIZE OF BLDO. <br />NO OF STORIES MAX. OCC. <br />8v(f <br />sLOAD <br />/ ZO <br />PLUMBING <br />MECHANICAL <br />FIRE SPRINKLERS <br />REQUIRED DYES ANO <br />OTHER <br />PENALTY <br />APPLICATION ACC. BY <br />PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />- <br />rI <br />TOTAL <br />� aV <br />�'o� Cam, <br />►��� � <br />-�,�. <br />.•^.-•-•-I ^.nR!<c�•' <br />TCI?"�"-NY_l'.n; v:._. ..... .,.LwMRM:T]i:•M1a•.TT ]::^+' -YL59 T!J.:C3SlWliQlalTA+�1TS L.--'^�X .r.:�T"i-• •. T'T"-'-"•-`m��r <br />- — <br />