1209 MADRONA AVE 2016-01-01 MF Import

APisLICAT� �N FOR COIi1STRUC � IONI PERMIT CITY OF EVERETT • BUILDING DIVISION � 3200 CEDAR STREET • EVERETf, WA 98201 • 259-8810 U bEMOLITiON ❑ COMBINATION ❑ BUILDING �MECHANICAL ��+pLUMBING ❑ S{GN PROJECY ADDRESS:�� ,e�nl A f��T;�1T �!,o� � LOT BLOCK -U L (f LONSTRlIL710N LOAN LENDER, MIX1Q55. TELEPNONE NUMBER BATHTUB UVATORY £HOWER — BAR, f f FEE f FOR OFFICE USE ONLY: iRpJT SETBACN RE�R SETB�CN S:DE SETB�CK USE IONE NEIGHT UMIT�TION OLCUP�NCY ND 0�5 GRIXIP FIPE SPRINKLEP REO'A IOt�PEA NO OF DWELLING UN11S RE�SON FEE WC�Ni SILE ❑YES ❑ NO 512E OF BLOGR I B�SEMENT ❑YES ❑ NO CITY OF EVERtcTT LOCAL SALES TAX CODE I;, 3105 HEATING SYSTEM: ��GAS ❑ ELECTRIC ❑ CONT�CT P[R50N NIO PHONE NO. 1./ �� 1 _ I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF UWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPE�IFIED HEREIN Oq NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTIIORITY TO VIO'.ATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOC'AL LAW REGULATING CANSTRUCTION AR THE PERFORMANCE OF CONSTRUCTION. TNAT I AM AUTfiORIZED BY THE OWNER OF THIS PRrpERTY TO PERFORM 7HE WORK FOF WHICH APPLICATION IS E I�OMPLY WITH THE STATE CONTRACTORS 1 AN� 2 200 WAC. .i /U 3 i %G SIGNATUPE DAfE Cltt OUSINE55 LICENSE NO. NO. � TYPE OF EOUIPMENT I FEE A/C—AhiNDLG UNITS FORCED AIR SYSTEMS HEAT PUMP UNI�HEATERS HANGEHOOD WATER HEATEi WOODSTOVE MEfAL FIREPL YG5/1� TOTALFEE f t'I�NCpECKNUM9[R IFEF �PEf.FIPTNO BNICING PIUMBING MECN�NIC�L RDDIII�N�I 1`lAN CIIf.CN OiHER ST�IE OWIDINf. SUfiCMRif.E PIIBI If. WORNS TOTAL