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mC CA <br />R R I <br />to <br />LM <br />i` <br />>H <br />t" <br />pp�yy CA <br />Its to <br />C:) <br />UZ <br />! 1 1 <br />APPLICATION FOR CONSTRUCYION <br />PERMIT <br />E'VL'EL'IL <br />the EwIR,HPn <br />TO BE COMPLETED IN INK <br />—PLEASE PRINT <br />CITY OF <br />everett <br />I HEATING SYSTEM: ❑GAS ®ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-BB10 <br />I I DEMOLITION <br />I I COMBINATION A BUILDING <br />11 MECHANICAL <br />I I PLUMBING <br />I SIGN <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />James & Carolyn <br />Allendoerfer 5301 Ocean Ave <br />Everett 98203 <br />355-5570 <br />TENANT <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />N/A <br />ARCHPECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />Gary Parkinson <br />2812 Colby Ave. Everett <br />98201 <br />252-2153 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />LICENSEE <br />Solie Builders <br />7420 Juniper Dr Evere+r <br />98203 <br />353- 3 O. <br />F.-B -1 305 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />LICENSE IF <br />PLUMBINGCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />CLASS OF WORK <br />I I NEW I}I ADDITION II ALTERATION I I REPAIR ❑ DEMOLITION LI WOODSTOVE/FRPL INSERT LI BUILDING RELOCATION <br />,IZe- 6 � 5/LCC <br />CONIPALI PRICE GF WORK 140 , 000 <br />CONT1 T PERSON AND PHONE NO <br />_ - .jJ JC 1(3 �/�� S — f °� <br />OLSCRIBEWORKANDSOIPHEI-COIAGEINVOLVED <br />Garage = 728 S.F. New Livin <br />zr03 <br />= S. <br />3S}� a33 <br />PROPOSEDUSE OF BUILDING <br />Single Family Residence <br />/ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 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 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 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />ySIGNATUREOF ONTRACTOROR AUfHO DAGENT DATE <br />X 5 30 5 <br />LEGAL DESCRIPTIONOF PROPERTY(SHOWN BELOWORATTACH FWD COPIES) <br />LOT_ BLOCK OF <br />Lot 7, Plat of Bridle Park, Section 3, <br />TWP. 28N, R4E.W.M. , Recorded Volume 16 <br />Pages 16 & 17 Records of Snohomish Cou❑ <br />5301 Ocean Ave., Everett <br />PROJECT ADDRESS <br />JCT/ AA AVCAPPLICANTBCITYBISINESSI <br />_ <br />ENS NO AHD BUSINESS NAM <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I - <br />A/C-AMNOLG UNITS-H.P. <br />T— <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />; <br />LAVATORY (WASH BASI 4) <br />1 <br />UNIT HEATERS-B.T.U. M <br />i <br />SHOWER <br />�1 - <br />CLOTHES DRYERS <br />r— <br />KITCHEN SINK A DISP <br />- <br />VENTILATION FAN <br />I <br />DISHWASHER _ <br />! <br />RANGE HOOD _ <br />�— <br />TRAY <br />) <br />WATER HEATER <br />_ <br />_LAUNDRY <br />WAS_H_ER <br />—i— <br />OO STOVE _ <br />_CLOTHES <br />URINAL <br />—' <br />__ <br />_WD <br />METAL FIREPLACE A CHIMNEY <br />_ <br />DRINKING FOUNTAIN— <br />FIREPLACE INSERT <br />- — <br />— <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />I <br />GAS PIPING <br />I <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />�— <br />SINK (SERVICE -BAR, ETC.) <br />; <br />-- <br />1 <br />�T <br />1 <br />1 <br />1 <br />1 <br />I <br />SUB TOTAL $ <br />1561b') <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE E <br />1 <br />l i <br />PERMIT $ <br />TOTAL FEE $ <br />1 <br />: I - <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />DEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE' <br />RECEIPT NO. <br />27 ao <br />.� v S ; <br />7J <br />USE [ONE <br />ICE AREAC,�E <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />j ?% a'�Jn <br />��3— <br />f 7 4 1 Crr <br />L <br />IYNOFCONTS <br />AILOWABIE <br />- .i <br />TYPE OF CONSI. ACTUAL <br />�'-N <br />OccmvNCY <br />T'"°'P <br />• 3 <br />NO mmum as <br />1 <br />PLUMBING <br />, <br />' <br />' <br />SIZE OF BE DO <br />'sr• "Pit.Z <br />NO. OF STORIES <br />BASEMENT <br />MECHANICAL <br />1� 1 <br />No <br />ADDITIONAL PLAN CHECK 1 <br />�7 O- <br />/Srn .7/; <br />OCCUPANCY TOAD FIDE SPRNNIEDB RE00 HEIGHT IIMUAN0,1 <br />p <br />NO o' <br />OTHER <br />OTHER <br />, <br />- I <br />REASON FOR SPINNKI ENS <br />STATE BUILDING SURCHARGE <br />((( <br />INTAKE BY <br />PLANS APPROVED BY <br />' ` CITY OF EVERET T <br />PUBLIC WORKS <br />LOCAL SALES <br />7�IS <br />TAX CODE IS 3105 <br />TOTAL <br />�/�7 <br />lllS�ClLue-)7taja, (l)7 C!t /xe.2.Ed O J&7lg&r <br />