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\�v <br />APPLICATIC'1 FOR CONSTRUCT�'9N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: �,GAS ❑ ELECTRIC ❑ <br />259-8810 <br />❑ DEMOLITION LJ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAOORE55 CITY ZIP PHONE <br />C�NAR Ac�'X.vNn�ne c?�a� X.aV t� /�.�y CYc�+� -�r 9P.ao.3 3s3 -C �9� <br />TENRNT MFIL ADDRESS GITv Z�P PHONE <br />ARCHITECTORCE1iGNER MRILAUDflESS <br />MPIL A�DRE55 <br />CItY 21P <br />CITV 21P <br />PHONE <br />PHONE ST�TELIGENSE� <br />MEGM�NICA�LONTRACTOR M�IL�DDf1E55 CITY ZIP PHONE STRTELICENSEt <br />YeF�9L NE77Ti.✓6 /9'Jas ':/rn.A✓E Lc% .CvNNtUOL+G 9B0 a 'J7Si'�.3/S -r4r'74[/�Ao�7.T.�C <br />PWMBINGCONiRACTOR MAILAD�RE55 CITV 21P PMONE STATELICENSE� <br />^ANTRACT PRICE OF WORK <br />WORKANDSUUAREfOOTAGEINVOLVEU <br />PROPOSED USE OF BUILDING <br />LEG1LL DESCRIPTION OF FRC.'ERtt (SNOYM BELOW <br />LOT BLOCN OF <br />PARCELTA%I.O.NUMBER <br />3 9 a/i — <br />CLOSET <br />URINAL <br />- ciia - u <br />IESS. TELEPNONE Nl <br />.UIa�+ Ev� <br />STURE OR ITEM <br />8 DISP <br />FOR OFFICE USE ONLY: <br />FHONTSETBRCK REAR: <br />USE ZONE lOT AI <br />TYPE Of LONST NO. OI <br />SIZE GF BIOG. <br />LOAD <br />BY <br />FIRE SPRINNlERS riEO'D <br />FIRE ALRRM REO'0 <br />PLpNSRFFROVEDBY <br />DATE <br />CONTRGT <br />N0. <br />I HENEBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS�ONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />iWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTIN.. OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIDNS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />S <br />$ <br />� <br />❑ YES [^'� NO <br />T�CLUMN'Y NOqOhidbGUMi15 <br />GflWP I <br />❑ YES ❑ NO <br />TAX COOE IS 3105 <br />x /�S �in.Let.(� /�'�d�R3 <br />sqa+Na[ „ .. � _ � , onrE <br />HEAT <br />PLAN <br />) AIR SYSTEI <br />:ATERS—B.T <br />:S DRYERS <br />4TION FAN <br />HOOD <br />BUILDING <br />PLUMBING <br />MECH�NICAL <br />ADDITIONAL PLAN CHECK <br />OTH[R <br />STATE BUILDING SURCHARGE <br />PUBUG WOflKS <br />TOTAL <br />T.U. M <br />ITAL $ <br />f $ <br />FEE $ <br />RELEIPT NO. <br />X <br />� <br />n <br />F� <br />I�� <br />� ' CITY OF EVERETT <br />CONSTRUCTION <br />15s-ss�o PERMIT <br />A <br />P�rmit Numbwr: M42938 <br />BEPA Nnmbers <br />I��u� Dato: 12/09 93 <br />Job Addr���: 8227 VI6A ttY <br />own�r <br />11LSX11lIDEA CHARLSS <br />8227 X7IVIER ii7f <br />gygpg� WA 98203 <br />353-6692 <br />G�n�ral ConLractor <br />11DDRE9S FILS copy <br />Tenent <br />Plumbinq Contractor <br />Archit�ct/ue�iqner <br />M�chanical Contractor <br />IDEAL NEATIN6 G A/C <br />19721 64TH 11V6 N <br />LYNNWOOD W7► 98036 <br />774-8318---- <br />IDBALHA077J1f <br />Typ� of P�rmits l�CNl�HIGL Contact P�r�on <br />H�atinq Sy�t�m: NONB <br />MSSC Cod�= Contract Pric�s 2500 � <br />D��cription of Works CH11N680UT FURNI►CS/WATSR HSI�TBR <br />i.�qal D��cription/ 3941-003-013-0005 <br />Prop�rty ID: <br />Con�Eruction L�nd�rc <br />Propo��d U�� of Buildinqs SIN6L6 FAMILY RSBIDENCS <br />�������s�sa����s���s����s����s�����������aa�s���������iSCsHu'iZcC� �s�ss���a����s����s�s <br />PLUMBIN6 p yp� qu pm� <br />Qty Typ� of !'ixtur� g�� 1�FOACBD AIRfSYSTERB BTU F�� <br />2 CHB PIPIN6 <br />1 N11T6R H611T6R <br />NECHlWICAL E�IPM6NT F6E 50.00 <br />��{�ICAl, p MtIT !6S 15.00 <br />Sub Total Oub Total 565.00 <br />..............................:�.....................��....=..TYPE O! CdfBTRUCTION .. <br />8=T811CIC !'OOTA66 OCCUPANCY Vaean� Sit�? <br />front 0.0 Load No. Dw�llinq unit�e l�llowabl�� <br />R�ar 0.0 6roup sia� of Bldq: A tual� <br />Sid�l 0.0 f Stori�� Sis• of 6are U�� Zon�: <br />Sid�2 0.0 Ba��nt7 H�iqht Limit: Fir� Sprinkl�r A�q'd2 <br />ypt gt At��on For Fir� 8prinkl�r�t <br />fir� 111arm R�q'd? A�uon For Fir� Alarm:-------------------------------------' <br />---------------- <br />Plan• l�pproved By� <br />City of Sv�r�tt Local <br />S�l�s T�x Cod� i� 3105 <br />Plan Check Aecoipt Nos F�ef <br />!'6E TYPSS CONSTAUCTION VALUATION <br />Buildinq <br />Plumbinq <br />M8apchanic�l <br />Othickl�r <br />9t. Bldq . Surcharqe <br />Public Rork� <br />Addition�l Plan Ch��u <br />PRE <br />65.00 <br />565.00 <br />Permits expira if work not commencad within 180 day� or cea�a• more thsn 180 day�. <br />M 42938 <br />