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APPLICATIOA FOR CONSTRUMON PERMIT * <br />CITY OF EVERETT • BUILDING DIVISION <br />C' C' 3200 CEDAR STREET •EVERETT, WA 98201 •259-8810 <br />J� II':' <br />rl �EMC.I1 ITInN n rnumwwrLnu ,--, .,•.•. ..•.•.. w ________ - . ' <br />---- -....... �•.•^••�^ " ovlwll.0 11-4 MtCRANICAL I I PLUMBING f-1 SIGN <br />PROJECT ADDRESS I Y Of= CVE <br />3422 Oakes Ave Everett, WA Public IA! <br />RETT <br />OWNER MAIL ADORE SS CITY nn <br />JK & Coleen Warness 8402 127th SE <br />Snohomish <br />98291 <br />487-2345 <br />TENANT <br />MML ADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITFCTOR DESIGNEH <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PNONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSER <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSER <br />Horizon Heating <br />3601 121st St SE <br />Lynnwood <br />98037 <br />745-3930 <br />HORIZHI137DU <br />PLUMBING f.ONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE <br />CONTRACT PRICE OF WORK <br />2755.00 <br />HEATING SYSTEM: D<GAS F]ELECTRIC ❑ <br />DESCRIBE WORK AND SQUARE FOUTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO <br />Installation nf furnace and gas piping <br />Chad Scott 745-3930 <br />and hot water tank <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROPOSED USE OF PIIILDING <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIESI <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BLOCK or <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 PROPERTY TO PERFORM THE WORK FOR WHICH <br />L)(� �/l <br />b I <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200cW.AG. <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE NUMBER <br />1 <br />SIGINA q I DATE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />Ii C—AIHNDLG UNITS — H.P. <br />I <br />BATHTUB <br />1 <br />FORCED P.R SYSTEMS — B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />, <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />I <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />; <br />DISHWASHER <br />VENTILATION FAN <br />I <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />1 <br />WATER HEATER <br />, <br />URINAL <br />WOOD STOVE <br />I <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />I <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR. ETC.) <br />GAS RANGE <br />, <br />GAS PIPING <br />— <br />i <br />EXHAUSTFAN <br />SUB TOTAL $ <br />SUB TOTAL $ <br />_ <br />PERMIT $ <br />, <br />PERMIT $ <br />, <br />TOTAL FEE $ <br />' <br />_ <br />T'. TAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECCKK tj MREEnn' <br />FFE <br />RECEIPT NO <br />(" V <br />USE ZONE <br />LOTARFA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />YES I NO <br />I <br />' <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLOOM <br />UNITS <br />PLUMBING <br />I <br />OCCUPANCY I NO OF STORIES <br />OCCUPANT LO AU <br />BASEMENT <br />GROUP <br />MECHANICAL <br />1 <br />❑YES fl NO <br />ADDITIONAL PLAN CHECK <br />1 <br />i <br />FIRE ALARM RED 'D <br />REASON <br />THEFT <br />i <br />FIRE SPRINKLER FEET <br />REASON <br />STATE BUILDING SURCHARGE <br />TYPE OF CONST <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />i <br />LOCAL SALES <br />TOTAL <br />DATE <br />TAX CODE IS 3105 <br />A <br />