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APPLICAiI�..nl FOR CONSTFt�IlC?.ON PERMIT/ <br />CITY OF EVERETT • BUILDING DIVISION yC^�/ <br />3200 CEDAR STREET • EVERETT, WA 38201 • 259-8810 � <br />❑ DEMOLITION rl COMBINATION I-1 BUILDING Cl MECHANICAL f7 PLUMBING fl SIGN <br />PROJECT ADDRESS <br />7206 Lower Ridge Road <br />Oh:"9 MAILADDRE55 ��ry <br />David Hudson 4710 Harbor Lane Everett <br />iENANT MAILApDRE55 CITY <br />PHONE <br />��� PMONF <br />ARCMITEGTOROESIGNEH MRILApORESS CITY ZIP �NONE <br />GENERPLCONiRACiCR MAILAppRE55 CIIY ZIP PIIONE $TATELICENSE� <br />Scharbach Construction 15026 39th Avenue N.W. Stanwood 98292 652-5876 <br />MECNGNICALGONTRIIGTOR �IRILADDRESS LIN ZIP PMONE STATELILENSE� <br />PLUMBINGCONTRACiOR MAI�ADURE55 CITY ZIP PNONE STATELICENSE� <br />Robinson PlumbinR, Inc. 607 SE Ev Mall Wav �P26 Everett 98208 355-6171 ROBINP*272C2 <br />OESCRI6E WOFK AN� SOUARE FOOTAGE INVOLVEO <br />PROPOSEDUSE <br />Duplex <br />LOT' 6LOCK <br />CONSTPUCTONLOANLENOER,ADDPESS.TELEPHONENUMBER <br />NO. TYPE OF <br />WATER CLOSETi <br />BATHTUB <br />KITCHEN SINK & <br />DISHWASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKfLOW PREVENI <br />CINK lCFRVICF _ FA� <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN REARSETBACN <br />USEZONE <br />NEIGIIT LIMITATION <br />OCCUPANCY NO( <br />GROUP <br />FIPE ALAHM RE00 <br />FIRE SPRINNIEfi RE <br />1YPE OF �ONST <br />IOTAREA <br />ITEM <br />HEATING SYSTEM: f l GAS fl ELECTRIC I-1 <br />CONTACT PERSON AND PHONE NO. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Af PLICATION A�D KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN 011 <br />TWOCOPIES) NOT. THE GFANTING OF A PERI+IT 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 THE STATE <br />CONTRP.CTORS lAW 1827 RCW AND 296200 WAC. <br />SIGNRTU--� =y�L � /� ,N L <br />OFTE <br />CIiV BUSINE55 UCENSE NO. <br />PERMIT 5 <br />TOTAL FEE $ <br />SIDE SET6RCK <br />NO OFOWELUNG <br />UNI7$ <br />lOAO <br />;�• �• <br />FEE <br />rvli —rvnrvuLu urv11 J — n.Y. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />WATER HEATER <br />WOOD STOVE <br />M[TAL FIREPLACE <br />FIREPLACE INSER" <br />GAS FIREPLACE <br />� EXHAUSTFAN <br />. <br />� <br />; SUB TOTAL $ <br />� PERMIT $ <br />' TOTAL FEE $ <br />PLAN CIIECK NUMOER ,/ FEE RECEIPT N0. <br />�, nn — <br />VACANT SI1E <br />(IVES fl NO <br />SIZE OF BLOGRI <br />flYES Il NO <br />�WL�INC <br />PLUMOING <br />MECH�NiCAL <br />Ap01TI0NA1. P�qN CHECK <br />omen�3B Heads) <br />0 <br />STNE BUILDING SURCM�fiCE <br />CITY OF EVERETT runur, wanKs <br />LOCAL SALES <br />TAX CODE IS 3105 707a� <br />FEE <br />0 <br />