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APPLICATIC ` FOR CONSTRUCTi' lN <br />TO NE COMPLETED IN BLACK INK—PLEASE PRINT <br />PERM�T �✓?� <br />BUILDING DEPARTMENT � HEFi ING SYSTEM: p GAS ❑ ELECTRIC ❑_ps, A. —� <br />259-8810 <br />❑ DEMOLITION ❑ COh1BINATION IX BUILDING ❑ MECHANICAL C�L.UMBING Cl SIGN <br />OWNER MRiLA00RE55 PMONE <br />C:TY ZIP <br />Housing Authority of the City of Everett, 1407 Poplar, Everett, WA 98201 258-9222 <br />TENANi MFILADDRE55 <br />Same CIiV ZIP pHOtIE <br />ARCHRELTOiiDESIGNER UAILApORE55 f.iTV IIP PNONE <br />�yJJ Architects, 2722 Colb�, Suite �607, Everett, 1YA 98201 259-1560 601-291-;82 0 <br />GENERPLCONTflACTOR I.IAILAOOFESS CIN 21P PMOtIc SiAiEUGENSEt <br />A�ECHANICAICONTPACTOR At.\iLA0DRE55 CIiY ZIP PMONE STFiELICENSE� <br />PIUMBING GONTFACiOR MAIL AOORE55 QTV 21P PHONE STATE LICENSE t <br />CONTMCT'rqIGE OF WORK <br />DESCR18E WORK AND SCUFRE FOOTAGE INVOIVED <br />s.f. ) and exterior alterations� in public <br />� <br />accessibility. <br />PROPOSED USE OF BUILDING <br />I.ow-In�nmr Hm��ing <br />LEGAI �ESLRIPTION OF PROPERiY (SNOWN BELOYJ OR �TTpCH TWO COPIE51 <br />lOi BLOCN pF <br />PAqCELTA%I.D.NUMBEq <br />LONSTRUGTION LOFN LENOhR, <br />PLUMBING <br />N0. TYPE OF <br />WATEF CLOSET <br />BATHTUB <br />KITCHEN SI�K 8 DISP <br />UISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />ROOF <br />NUM�EF <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />{'RONTSETBACK REARSETBRCN <br />USEZONE �OTAq[p <br />ttPE OF �pNSi N0. GF STORIES <br />l; - '✓ <br />SIZEOF�LDG. FIPESPRINKLEPSflEO'D <br />' . S�.�r �Je <br />OCCUPAN:Y LOAO FIFE AIARM PEOD <br />6 2 N �. <br />FEASOY <br />14iAKL[3� PLANSAP POVEDBV <br />�� <br />oare �� I � .. <br />SIDE <br />VACPNT SITE <br />❑ ves ❑ No <br />acuveNcr xaoroxtuixcmin. <br />BASEMENT <br />❑ YES ❑ NO <br />CI7Y OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />COHTACT PERSON pND PHO4E NO <br />Mike Ni <br />Arch.) 259-1560 <br />I HEREBV CERTIFY THAT I HAVE RE�D AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, r1Ll <br />PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS NPE OF <br />WORK WILL BE COMPLETED 1YITH WFiE7HER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT COES NOT PflESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 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 COh1PLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296200 WAC. <br />NO. TYPE OF <br />A/C—NHNDLG UNf <br />FORCED AIR SYST! <br />UNIT HEATERS—B: <br />GAS PIPING <br />EXHAUSTFAN <br />PIANCNECKNUMBEq <br />DUILDING <br />PLUMBING <br />1dECHANICAL <br />ADDITIDNAL PLAN CHECK <br />OTHEIl <br />S7A7[ Bl1ILDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PMENT FEE <br />P. <br />�B.T.U. M E.A. <br />M <br />SUBTOTAL S <br />PERMIT $ � <br />TOTALFEE S <br />F[E RECEIPTNO <br />VALUATION FEE <br />/.I T <br />i <br />i <br />/i <br />