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APPLII.ATION FOR CONSTI�.JCTION <br /> PERMIT <br /> rne evero�een <br /> CITV OF ���r���� <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•Beto TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNEP MRILAOORE55 GrtV 21P PNONE <br /> HOUSING HOPE P.O. B ()X7823 EVERETT, WA 98201 (206) 285-2214 <br /> TENRNT MAILPDOFESS CITY ZIP PHONE <br /> N/A <br /> ARCHITECTORDESIGNER MRILADOPESS CIiY ZIP PMONE <br /> IMPRESSION DESIGN 2229 JACK�N AVE, EVERETT, WA 98203 (206) 355-3200 <br /> GENERRLCONTRFCTOR MAILRDDRC55 CITV ZiP PNONE 4GF.NSE• <br /> Housing Hope <br /> MEGwH��NIC�LCONTR�GTOR MRILADORF55 CITY Z�P PNONE LICENSE• <br /> pLUMBI�GONTfl�CTOR MRILAOOflESS GITY ZiP PHONE LIGENSE <br /> N/A <br /> CLISS OF WONIc <br /> ❑ NEW ❑ AODITION � ALTERATION ❑ FEPAIR ❑ DEMOLI710N ❑ WOODSTOVFJFRPLINSERT ❑ BUILDINGRELOCATION <br /> TEN�NT IMPFOVEMENT OR INTERIOP REMOOEI ONLY CONTACT PERSON RND PMONE NO. <br /> CONTRACTPRICEOFWORK $55�000 A8t BOntje 258-2214 <br /> OESCNIBEWORK�NOSOUAREFOOT�GEINVOLVED ove garage an <br /> remodel,-converting to 2-3BR duplex apartments invalving18p0 sq. ft. <br /> PROPOSED USE OF BU�LDING I HEREBY CERTIFY THAT I HAVE READ AND E7(AMINED THIS APPLICATION AND <br /> KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> LE(iNLDESCRIPTIONOFPROPEN1Y15NOWNEELOWORATT�CNFOURCOPIES� ORDINANCESGOVERNINGTHISTVPEOFWORKWILLBECOMPLE7EDWITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OFA PEFMIT DOES NOT <br /> �oT 19-20 e�ocK 772 oF Sections H Of EV2f8YY _ qNYOTHERSATEORLOCOAL AWREGULATINGCONSTRUCTIONORTHEPERF <br /> FORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION�5 MADE <br /> - AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 296.200 WAC. <br /> S�G::RTL'fiCOFCONTRACiORORAUTMOF2EDAGENT DRTE <br /> 3228 1/2 Norton Everett, WA �( X ��6%�% �.L/� <br /> PROJEGT�ODRE55 �PP4CRN G INESSLICENSENO.�NOBUSINESSN�ME <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> 2 WATERCLOSEi�TOILET) NC—A/HMDLC�UNITS—H.P. <br /> '2 BATHTUB 2 FORCED AIR SYSTEMS—B.T.U. M EA <br /> Z LAVATORY(WASHBASIN) UNITHEATERS—fiT.U. M <br /> SHOWER CLOTHESDRYERS _ <br /> '2 KITCHEN SINKB DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY 2 WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACEINSERT <br /> � FLOORDRAIN HEATPUMP <br /> � BACKFLOW PREVENTERS B5 GAS PIPING <br /> 2 ROOFDRAINS—RAINLEADERS 2 EXHAUSTFAN <br /> SINK(SERVICE—BAR,ETC) <br /> SUBTOTAL S SUBTOTAL 5 " <br /> PERMIT $ PERMIT 5 <br /> TOTAL FEE E TOTAL FEE S � <br /> FRONiSEtB�CK NFARSEfBI�GK SIDESETBRG� �^_ fUNCNECKMUMBEP FEE �C 11ELEIRNO. <br /> Zo� Z�� �-Ic� Z � <br /> uselor+e IOTAP.EA VRC�NTSIT EEg VALUATION FEE <br /> 2_� � /OQ OYES �NO <br /> BUILDING ��I O <br /> ttPEOFfANST. OCCUPANCYGROUP NO.OFDWELLINGUNITS <br /> �LIOW�BLE/ALTUAL � PLUMBING � ^ <br /> �-3 � <br /> SIZEOFBL�G. NO.OFSTORIES &SMT. OGGLOAO _ <br /> 17�� Sr f n v MECHANICAL <br /> .Z �N � ,� <br /> HEIGNTIIMITRT10N , OTHER <br /> FIRESPPINKLERSHEOUIRED ❑YES NO � �� STATE B ILDING SURCHARGE <br /> � <br /> � STATE ENERGY SURCHARGE <br /> �PPLIGRIONACG6V PUNS�FV0.8Y , PUBLICWORKS <br /> l�� 9� ,� <br /> TOTAL <br /> Co(� �� <br />