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APPLICATIC� l FOR CONSTRUCT"lN PERMIT � <br /> TO BE COMPLETED IN BLACK :NK—PLEASE PRINT <br /> HEATING SYSTEM: �G6S J ELECTRIC J <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINAT�QN BUILDING MECHANICAL PLUdABING � SIGN <br /> USNEF tAAILFDGRE55 GiV ZIP PHONE <br /> Pearl h Pat Nardone 505 244th SW Bothell, 98021 483-1395 <br /> TENANT IAAILADU9E55 C�TY TIP PHONE <br /> J�nathan Sloan 3041 Kromer Ave Everett, 98201 258-3379 <br /> ARCHITECTOADESiGNEP NARADORE55 CiiY ZiP PHO�JE <br /> Baylis Brand Wagner 1750 112th Ave NE, Suite D 154 Believue 98004 454-0566 <br /> GENERALGONTRACTOR 6iAiLI+DDRE55 CiTV 2iP PHONE STATEUCENSEa <br /> Nardone Mechanical Contractors, Inc.P 0 Box 848, 21431 72nd Ave West NARDOMC 15282 <br /> f.!eCNAHICALCONTRACiOR I.IAILADORESS CIiYE(]7nO11dS Z�P 98�2� PHONE ]](�—[�ZOI3T!TEL�CENSEa <br /> same <br /> FW1dBING CONTRACTOR MRiL AODFE55 CITY 21P PHONE STATE IiCENS[�f <br /> same <br /> G�NTRACi PRICE OF WOPK <br /> $SOO.00 <br /> �l�oodenasign��i�fzTAY�$���high on 2 ' legs coruTncTpearNlpNNardorie 483-1395 <br /> I HEREBY CERTI�Y THAT I HAVE READ AND ExAtAINED THIS <br /> PROGOSED USE OF BUItDING APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT.ALL <br /> Occupied tr'_-plex PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �ecn�oescnianoNOFaaovearv�sHovmeE�owoaar�acNrwoeoaiesi WORK WILL BE COMPLETED WITH WH°THER SPEC!FIED HEREIN OR <br /> �oT 14 & IS Bi�K 724 6 72�F __ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUTAE TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PHOVISIONS OF ANV <br /> LVeIEtt D1V H Replat Blk 725 Blk 724 D-00 OTHER STATE OR LOCAL LAW REGULATING CONSTRUC�ION OR THE <br /> -PTNS-L�QT�1-k-&�Y�IIAF"=BEG-3t""NEL�C6R-SD�--— PERFORA1ANCE OP CONSTHUCTION.THAT I Atvi AUTHORIZED BY THE <br /> k7dt 1S Th S Alg E LR SD LOt 1S D3St H3.35 Ft T p OWNER OF THIS PROPERTV TO PEPFORM THE WORK FOR WHICH <br /> v��i�n SYiu. -a 0 • • • • • • • • • • • APP�.ICAT�ON IS MADE AND I COMPLV WITH THE STATE <br /> 4376-725-014-0004 CONTR TORS LAW 18.27 RCW ANC 296.200 WAC <br /> CONSTRUGT:ONLOANLENDER.A�DRESS.iE�EPHONENUM9EF <br /> Self �/,.�./( ��_ <br /> PROJECT ADDRESS s��r ruac o.+rz <br /> 3041 Kromer Avenue, Everett 98201 �,va,s,,,Ess�,�,,,;E,,, — <br /> PLUtd81NG MECHANICAL <br /> NO. TYPE OF FIXTUFE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C-A'HNDLG UNITS-H.P. � i <br /> 4 BATHTUB 4 FORCED AIR SYSTEMS-B.2U. IA E.A. <br /> 4 LAVATORV( SN BASIN� UNIT HEATERS-P.T.U. M <br /> SHOWER 3 CLOTHESDFYERS <br /> 3 K�TCHEN SINK&DISP ����, 4 VENTILATION FAN <br /> 3 UISHWASHER � � 3 RANGE HOOD <br /> LfUNDRYIRAY 3. � WATERHEATER _�_ <br /> 3 CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING� <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> 1 FLCOR DRAIN " HEAT PUMP <br /> ' �ACKFLOW PREVEN?ERS 4 3AS PIPING <br /> 4 ROOF DRAIiJS-RAINLEADERS AUST FAN <br /> SINK(SERVICE-BAR,ETC.) <br /> — - � <br /> 1 <br /> SUB TOTAL $ SUB TOTAL 5 <br /> PERMIT $ PERMIT S <br /> TOTALFEE S ' TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REA4�SF�CN SIpESETp�/,G PLAHCNE NIJ�.��R FEE � �EC[i�NO <br /> / r � 3/i � • f� C �" .� <br /> usezoNe LOiAFEA VACA4T51 FEES VALUATION FEF <br /> �. � '� YES �. . IJO BUILDING <br /> �rPE lCON51 NO-OFSTUFIES acurR�'. ,�orn:��ir.��::u•.-is --- -- <br /> 19p"� PLUMBING <br /> S17EOPBLDG FlRESPRINKLERSREO'D BASEMENT MECHANICA� ' <br /> i <br /> '-. YES ' ' NO , <br /> OGCUPANGYLDAO FlqEALARMRFO'L HFIGMTLIMITATION ADDITIONALPLANCHECK _— i _ <br /> OTHER <br /> fi£ASpN --� <br /> STATE BUILDING SURCHARGE <br /> iNi�Kf BY PL�NSA %ROVE�B� CITY OF EVERETT PUBLIC WORKS � <br /> n, LOCAL SALES "--� <br /> I oA„� ,� ,8,�,�, TAX CODE IS 3105 TOTAL — <br />