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I <br />APPLICATION FOR CONSTRUCT,,JN PERMIT eYeFen <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />the Evergreen <br />CITY OF <br />everett I HEATING SYSTEM: IJ GAS ❑ ELECTRIC U <br />BUILDING DEPARTMENT <br />259.8810 <br />CI DEMOLITION I I COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />A m 8county�ala $b E ener3 -$eLV CeS CITY ZIP PHONE <br />2nd Floor Adm. Annex Everette, Washington 98201 206/388-3546 <br />jVtB T WeStMore AvennaR.ADDRESS CITY zip <br />PHONE <br />Snohomish County Courthouse 3001 Rockefeller Avenue Everett, WA 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS C17Y ZIP PHONE <br />Gary Parkinson 2812 Colby Avenue Everette, Washington 98201 206/742-8130 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Gordon Kruse Construction Company P. Q. Box 46411 Seattle 98126 206/932-6317 GO-RD-OK-C210MK <br />CITY zip PHONE A 7i-1 hnn LICENSE <br />TOTAL FEE $ I TOTAL FEE $ ' <br />Eno nICCU'r "Cr nWi V- <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NU In <br />I CIS <br />FEE <br />/ ?,P 5 G 7 <br />RECEIPT NO <br />v/ <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />R ES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />JV _ %.T.1C 1 <br />-I <br />+'f <br />TYPE OF CONTS ALLOWABLE <br />TYPE OF CONST. ACTUAL <br />n <br />R NNCY <br />QGROUP <br />NOMMUINGUNITS <br />MECHANICAL <br />— <br />- <br />SIZE OF SLOG <br />EXIST I � <br />NO OF STOnIFS <br />�itonllJ <br />BASEMENT <br />"ES <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'D HEIGHT LIMITATION <br />ND C�+4 SIG IS0 <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />�- <br />-' SL <br />' <br />--�-- <br />INTAKE BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />G' <br />