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APPLICATIf `� FOR CONSTRUCT"7N PERMIT �� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS !J ELECTRIC ❑ �il <br />BUILDING DEPARTMENT — <br />259-8810 <br />i 1 DEMOLITION � I COMBINPTION xl BUILDING 1 MECHANICAL i i PLUMBING f I SIGN <br />OWNER n+nanooness 2o�p cm zir PHONE <br />Bob and Dorita Anderson -�3.-6fukilteo Blvd. Everett, �9A 98203 (206) 353-5753 <br />TENANT MNLAODREJS GTV 21P Pi'ONE <br />ARCHITECTOROESIGNER AIAILF�ORE55 CITV 21P PHONE <br />The Driftmier Architects, P.S. 720 1/2 Mz�-ket Street Kirklanc'. WA 98033 (206) 828-6196 <br />GENERALCONTR4CiOR MAtIL�ADDRE55 C��V ,I ZIP P�HOINE Si�TEUCENSE� <br />TO BE NAPfED LATER (�,�p� �Q�JI�� S IYI�� IUDY'I%fO�AVP/VF, RPlluue 9fiaa8 <br />M;6NAN„CALWNTRACTOR „ MAILAODRE� CIiY ZIP �y�_�'�E ����T�EL����'� <br />PLUM1IDiNGCONTRACTOR Ma1LADDRE3S CITY ZIP PHONE SnTELICENSE+ <br />u n n n <br />CONTRACT PRICE OF 1YORK <br />$18�0��.�� <br />�ESCRiBE 1YORK AND SOUARE FOOTAGE <br />210 S.F, <br />PiiOPOSED USE OF BUILDMG <br />Residential <br />L[GAL �ESCRIPTION OF PROPERtt ISMOWN BELOW OR AiTACH TWC GOPIES� <br />LOt �LOCI( OF <br />h1AP OP Q�F2LINGRN x++*�E IkZ'N, DE"�2IPI'I(S] <br />BFG SE Q7i2 ll7I` 3 BLK 6'IH N06*10 OOE H <br />& PLT S IN SD IC7P 226.18ET 'IH ANG R 10' <br />P�RCELTAXID.NUTAB�R <br />#4170-006-001-0908 <br />CONSTRUGTION LOAN lEND6R. ADOiiESS. TE�EPHONP H111A�EF <br />X <br />PROJECTADDRESS �I <br />Same asabove LQ�[) /�7/1 <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />LAVATORY�WASH BA: <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHEfl <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />� LOOR DRAIN <br />ROOF <br />SINK ( <br />FOR OFFICE USE ONLY: <br />FFONTSETpACK RE4HSEIDACN <br />25' 25' <br />❑SE20NE LOTAREA <br />Q-5 <br />iYPF Of C@ISi. NO.OF SiOHIES <br />SIZE OF BLOG. <br />INiAKE BY <br />FIPE SPRINNLERS REOD <br />�� <br />FIRE RLARM REO'0 <br />N� <br />PL�NS APPROV� BY <br />DATE @ �7� /d <br />_Cr� <br />S <br />S <br />j O.(� <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 WFiETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF .1 PERMIT DOES NOT PRESUAIE TO GIVE <br />AUTHORITY TO �'IOLATE OR CIINCEL 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 PflOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />,�,,1��7 �s.Qu.._. 4�- /i - 9 3 <br />Se;ta WR M1E <br />N0. TYPE OF E�UIPMENT <br />A�C—A�HNDLG UNITS—H.P. <br />�— �� FORCED AIR SYSTEMS—B.T.U. M E.A. <br />pviC <br />i UNIT HEATERS—B.T.U. M <br />� CLOTHES URYERS <br />� <br />i VENTILATION FAN <br />� RANGEHOOD <br />. WATER HEATER <br />0 <br />socscnroncCrc <br />/�J/ <br />VACANTSRE � <br />: ! YES �//NO <br />(2CuiA4CY :IOOfpXELLINuLtii15 <br />-�3 � <br />BASEMENT <br />�( YES `-'�. NO <br />HEIGH7 LISIITATICN <br />CITY OF EVERETT <br />LUCAL SALES <br />TAX CODE IS 3105 <br />NETAL FIREPLACE 1 <br />FIREPLACEINSEFT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />BUILDING <br />PWMBING _ <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OiHER <br />S7ATE BUILDING SURCHARGE <br />PUBLIC \NORKS <br />TOTAL <br />SUB TOTAL <br />rEE <br />S <br />3 <br />5 <br />1 E REGEIPT NO <br />i �' . 0 � � ��; :>/r / <br />