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APPLICATI�.�1 FOR CO�NSTRUCZ .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION �C���� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> rl DEMOLITION f 1 COMBINATION I � BUILDING i 1 MECHANtCAL f l PLUMBING I-1 SIGN <br /> PROJECT ADDRESS <br /> 5404 Seahurst Avenue <br /> OWNER MRILAD�RESS Clrv i�P PHONE <br /> David Hudson 4710 Harbor Lane Everett 98208 <br /> TEN�NT MR!LBODRE55 ❑iv ]tP PIIONE <br /> �RCNITEGTORUESIGN[R MRILRDORE55 ❑iV DP PHONE <br /> GENER/LWNTRRCTOR MRILPOfJn[55 CITv ]IP PIION[ SI�TELICENSE� <br /> Scharbach Construction 15026 39th Ave. N.W., Stanwood, WA 98292 <br /> MECMRNICALGONTRRCTOR MRILAOD�ESS Cltt ZIP PHONE STATELICENSE� <br /> FLUMBINGCONTA�CiOP MMIAC^RE55 CItY ZIP PNONE STATELICENSE� <br /> Robiilson P1b . Inc. 60 SE � Ma11 Wa 26 Everett WA 8208 -6171 HOHINP*272C2 <br /> LONTR�CTGRICEOFWORN HEATINGSYSTEM: ❑GAS ❑ELECTRIC f7 <br /> $2640.00 <br /> pESCRIBE WJRK�ND SOIIARE FOOTRGE INVOLVED CONiACT PERSON RND PNONE N0. <br /> SPRINKLER SYSTEM DIIPLEX <br /> i HEREFiY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSEU USE OF BWIDMG PpOVI510NS OF LAWS AND UFlDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IEGALDESCBIPTIONOFPROPERttISIIDWNBELOWOFAITACNTYOCOPIE51 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior e�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGU.ATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THI$ PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS I.AW 18.27 RCW AND 296.200 WAC. <br /> P�RCELTA%ID.NIIMBER s�-� <br /> /�//^' / � <br /> CONSTRUI:TON LO�N LENDER,�DDRESS.TELEPMONE NVMBER x��I�I I {J J/ I� / l C <br /> SIGNRTURE ��T � <br /> Cltt 9U9NE 55 LIGENSE N0. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF FlXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. ' <br /> BATHTUB ; FORCEDAIRSVSTEMS—B.T.U. M E.A. __� <br /> IAVATORV(WASH BASIN) � HEAT PUMP ' <br /> SHOWER UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CIOTHES DRYERS � <br /> D!SHWASHER � VENTILATION FAN ' <br /> LAUNDRYTFAV ' RANGEHOOD i <br /> CIOTHES WASHEF WATER:IEATER ' _ <br /> URINAL WOOD STOVE ' _ � <br /> D�iiVKING FOUNTAIN METAL FIFEPLACE(WOOD BURMING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � (iAS RANGE _ <br /> � GAS PIPING <br /> ; EXNAUSTFAN ' <br /> � ' <br /> SUBTOTAL 5 � SUBTOTAL $ i <br /> PERMIT S � PERMIT $ � <br /> TOTALFEE $ ' TOTALFFE $ ' <br /> FGR OFFICE USE ONLY: <br /> PRONT SETBACK REAR SETBRCK SIOE SFT9RCN PLAN LI�Ef,N NUMAE� FEE AECEIPT N0. <br /> use ior+e tot naen vacnr+r site FEES VALUATION FEE <br /> i <br /> f1YES fl NO BUILDING i <br /> HEIGMT LIMITRTION NO.Of DWELJNG SIZE OF BlIX'iRl i <br /> UNITS PI.UMPING � <br /> i <br /> OGCUPANCY NO OG SiOBI[5 OCCUI'ANi LOAD BRSEMENi MECN4NILAL i <br /> GROUP ❑VES !"] NO i <br /> R�O�nONRL PLAN CMECK � <br /> FIREAURMREO'D REASON h <br /> O7MEA (26 Aeads) 20 ✓O <br /> i <br /> FIRE SPRINNLER REOD AEASON � <br /> STATE DUILDING SURCHARGE � ' <br /> � <br /> � i <br /> TYPEOFCONST. PLANSAPPROVEDBY CITY OF EVERE7T ruour,wonKs � __ <br /> �M LOCAL SALES z0 � 00 <br /> onre 7 / �1p TAX CODE IS 3105 TOTAL <br />