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APPLlCATIC''1 FOR �ONSTRUCT' lN PERNlIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT r HEATING SYSTEM: ❑ GAS ❑ ELEC7RIC ❑ N. A. <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION I�C BUILDING ❑ IdECHANICAL ❑ PLUMBING ❑ SIGN <br />py.q�Eq MAILA�DRESS CITY ZIP PHDNE <br />Housing Authority of the City of Everett, 1401 Poplar, Everett, WA 98207 258-9222 <br />TENANT MFI�ADORE55 LITY ZIP PHONE <br />Same <br />ARCHITEGTORDESIG��ER IAAILAD�RES$ CIN ZIP PMONE <br />CNJJ Architects, 2722 Colby, Suite #607, Everett, WA 96201 259-1560 601-291-582 0 <br />f.:ENEFAI LONTRACiOR MAIL AD�RE55 Cltt ZIP PHOhE STATE LIGENSE � <br />MECHANILALCONTRACTOR MAILADORE55 C�TV 2iF PNGNE STRTEIICENSE• <br />PLUMBINGGONiRAGTOfl MAIL <br />CONTFALT PRIGE OF WOR!( <br />DESCRIBE WORK AND SOUAflE FW iaGE In� <br />Miscellaneuus interioi <br />s.f.1 an�J exterior a <br />CITY ZIP PHONE STATE LICENSE • <br />sting <br />accessit,ility. <br />PROPOSED USE Of BUILDING <br />1 ow-In_�mr Ho��cing <br />LEGAL DESCRIPTION OF PROPEHN (SMOWN BELOW OR ARpCH T90 CAPIES� <br />LOT B�OCN OF — <br />PARGELTA%ID.NUMOER <br />CORP�:GtlJiiON <br />PROJECTADDRE55 <br />811 Linden <br />PLUMBING <br />N0. TYPEOF <br />WATER CLOSET <br />KITCHEN SINK E <br />DISH`NASHER <br />LAUNDRYTRAY <br />TELEPHONENUMBER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF �RAINS—RAINLEAC <br />SINK (SERVIGE—BAR, ET( <br />OR ITEM <br />FOR OFFICE USE ONLY: <br />FROtlTSET6ACN REARSETBAGK <br />iYPC Of CON^Si/ <br />V v <br />512E OF BLOG. <br />1�'��% Jq.�> <br />OCCUPANCYLOAD <br />ti� <br />REASON <br />INTAKE BV <br />LOT APEF <br />RS ' <br />� <br />—i <br />SUBTOTAL $ �� <br />PERMIT 5 <br />TOTAL FEE i <br />SI�E SETBACK <br />� <br />FIRE SPRINKLERS flE0'D <br />tiIJ <br />FIRE ALAFM REOD <br />S��•n� �E�r���h� <br />DATE 7�iC� . � <br />VACANT SITE <br />C YES ❑ NO <br />occuv.wx r�oamrc�uvcuzirs <br />GaWo <br />�-� � <br />❑ YES �0 <br />HEIGHT LIMITATION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />CONTACT PERSON ANp PNONE N0� <br />Mike <br />JJ Arch. ) 25 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KNpW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CA�'�EL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THFT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORI.1 THE N'ORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.Z/ RCW AND 296200 WAC. <br />X 6-17-93 <br />SiGryANRE OZ 7 S Z � DeiE <br />urr nusivess ucexs[ r+o _ <br />NO. TYPE OF EQU�PMENT <br />AIC—A/HNDLG UNITS—H.P. <br />rORCED AIR SYS7EMS—B.T.U. M E.A. <br />UN�T HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OTHEFi <br />STATE BUILDING SUACHARGE <br />PUBLIG WORKS <br />TOTAL <br />0 <br />SUBTOTAI $ <br />PERMIT $ � <br />TOTALFEE 5 <br />FEE RECEIPTNO. <br />VALUATION FEE <br />l i.� <br />�G 7 . �l <br />i <br />� � —� <br />� �� <br />i <br />