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APPL�CATIO.�. FOR CONSTRUCTL �N <br />CITY OF EVEREiT • BUILDING DIVISION <br />3200 CEOAR STRE�T • EVERETT, WA 98201 • 259-8810 <br />L� UEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL <br />PROJECT ADDP.ESS: 3918 HOYT AVENUE, EVERETT, WA <br />PERMfT <br />� <br />❑ PLUMBING ❑ SIGN <br />OWNER M�RADDqE55 Cltt IIP <br />PHONE <br />DR. ROGER A. NIVA 3930 HOYT AVE EVERETT WA (206) 259-2020 <br />TFNANT II�IIADDPE55 ���Y <br />Z�P CIIONE <br />AR. ROGER A. NIVA 3930 HOY�1' AVENUE, EVERETT, WA (206) 259-2020 <br />ARCHITECTORpESIGNEH M�IL�DORE55 CITV IIP <br />nHONE <br />ARCHITECTURpL WERK.g, INC. 11335 NE 122ND WAY, STE 140, KIRKLAND, WA 98034 (206) 823-2294 <br />GENEfiAICONiRe�Tdi MAI��ODf1E55 �ItY z�p <br />PiIONE SUiEIILENSE� <br />KIRTLEY—COLE A�SOCIATES, INC. Pp BpX 1179, SNOHOMIS[3, WA 98290 (360) 568-3175 KIRTLCA272RF <br />MELMANICALCONTNRCTOR MAIL�DURE55 Clry Z�� <br />PIIONE STQE UCENSE i <br />PLUMBINGCONTPACTOR MAIL�OORES$ CItY 21P PNONE <br />STAiE ULENSE � <br />WORK <br />DESGRIBE WORN AND SOUARi FOpTAGE INVOLVEU <br />12 STALL PARKING LOT. <br />10POSE0 USE Of BUIL <br />PARKING LOT <br />�naw� utsGwPTION OF PRppEp7y ($�pym yELOW OR ATTACH TNq COPIfS) <br />�oT 23 1/2 24 eiocK 5 oF CLIMAX LAND <br />COMPANY'S FIRST ADDITION TG EVERETT ACCORDING <br />TO T�E PLAT RECORDEDIN VOLUME 4 OF PLATS, PAGE <br />9l nc.�.�.n..n r ... ............�,... __ <br />Cp15TqU0T10N LON! LENDER, AODRE55, TELEPHONE NVMBER <br />N��NE <br />PLUMBING <br />NO. TYPE OF fl%TURE OR ITEM FEE <br />WP.TEq CLOSET (TOILF <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />k17CHEN SINK 3 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BACKFLOW PREVENTERS <br />SINKISERVICE—Ana Frr.� <br />SUB TOTAL $ <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONTSETB�CK REAR SETB�CR 519ESETBeCN <br />USE20NE 101�pE� VACANt51iE <br />C�ES ❑ NO <br />HEIGM7 LIMIT�iION NO OF DWELLING SIZE OF HIDGRI <br />UNIiC <br />no a s�on�cs <br />FIRE PL1RM REO'0 <br />❑YES ❑ NO <br />HEATING SYSTEM: ❑ GAS ❑ ELECTAIC ❑ <br />CONTACT PEti50H AN� PNONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORpECT qLL <br />PROVISION5 OF LAWS AND ORDINANCES GOVEH!JIIJG TH�S TYPE OF <br />WORK WILL BE COMPL�ED WITH WHETHER SPECIFIED HEREIN OR <br />NUT. THE GRANTING OF A PERMIT 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 PROPERN TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THF: STATE <br />CONTRACTORS LAW 1827 RCLy/r.AND 296.200 WAC. <br />x ��d�J `-�dl_ 6/26/96 <br />SIG•...onc \ u DRE <br />#012622 <br />CITY BUSIHESS IiCENSE NO <br />Ne• TYPE OF EQUIPMENT <br />A/C —lVHNDLG UNRS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOO� STOVE <br />MEfAL FIREPLACC (VJOOD BURNI <br />FIREPLACE INSERT (WOOD BURN <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUS7FAN <br />PUN CIIECN NUMBER <br />,� <br />� �' �5 <br />OUR�MG <br />rwuowc <br />MEGI�NIL�I <br />FDD�fIONA� PUN �IIF.CN <br />Oi11ER <br />SIR7E BUIl01NG SIInC11nOGE <br />PlAHSMFROVEDBY CITYOFEVERE7T �IIBI�f.WOt1N3 <br />LOCALSALES <br />o�re TAX CODE IS 3105 707AL <br />SUOTOTAL S <br />PERMIT E <br />TOTALFEE E <br />FEF � REf.E1Pi NO <br />