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APPLICATI�`�1 FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> �l�lC1� �` 7 HEATING SYSTEM U GAS �.�ELECTRIC J ___ _ _I <br /> BUIIDWG DEPARTMENT ----- <br /> 259-8910 <br /> Dl:MOLITION COMBINATION ! i BUILDING ' 'MECHANICAL 'PLUMBING SIGN <br /> owncn ren¢nnoness cnv zm a��oue <br /> City of EverettA^ 3101,, Cedar Street Everett�_ 98201 (206)259-8849 <br /> -- cnv zir Fv�rn+e <br /> Fire Department 3002 lJetmore Everett 98201 • (206 259-8721 <br /> nlap�nEctonoCs�cNtn Lm�lnopnc.ss �py zp, r������ <br /> 6ary Parkinson, Architects 2812 Colbv Avenue Everett,. 98201 (206)252-2153 <br /> ccNennicor+rnncinn nmanonncss cirv zm cno�+e vnreucervse. <br /> To Be Bid <br /> MLCIIpNiGnLCONtOnC1pN MNtG]IHIfSti CIIv Z�P Rlpqf :t�t[LICENSE• <br /> N/A <br /> rion�nir+ncoNrnnc�rna unn.nnnnrss cnv zm ruonr vnieucer�se. <br /> N/A <br /> cur+tqncrvqicEonvonn � -- <br /> Est. $375,000 �i�� � � - <br /> �_ <br /> oe.rnmc wonK nNn srn nie roorn,e wvM vrn roNrncr rensor�n�io rnor�e uo <br /> �1ew wood �ramed buildinQ• approx John Noble <br /> _3,383 sq.ft. with 473 sq. ft. mezzanine (206)259-8849 <br /> �.i.� f /. : ' � _ � _;n. .,� <br /> i HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PPpPO5EpU5E O!PUilA:N6 APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECL ALL <br /> NeW 11 Ve 1[l f ire S C8 t 10[1 PqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCRIPtiONOFI'fiOf'ERIVISHOwNOfLOW011Ai14pITWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEPEIN OR <br /> ior BIOCH -- O� NOT. THE GRANTING OF A PERMIT DOES NO? PRESUME TO GIVE <br /> AUTHOR�TV TO VIOIATE OR CANCEL THL PROVISIONS OF ANY <br /> Sec. 19, TWi1Sp. ZBN, Range 5E OTHERSTA7EORLOCALLAWREGULAT!(JGCONSTRUCTIONORTHE <br /> PERFORAIANCE OF CONSTRUCTION. iHAT I AM AUTHORI2ED BV THE <br /> Refer BttgCIlECI dT8W1i1gS _ OWNER OF THIS PROPERTY TO PeRFORh1 THE WORK FOR WHICH <br /> ranceitnzi� r�u�eoen APPLICATION IS MADE AND I COIdPLV WITH THE STATE <br /> _ 192805-4-023-00 CONTRACTORSLAW18.27RCWAND296.200WAC. <br /> GONNI/�TION LOAN L[NOEH.ADORE55.iEIEPNON[NUAIBER <br /> �� ��� �, 4�s�� <br /> PROJECT ADDRESS X•ieruni� `�— �----- <br /> cn v nusnn a•:u�.�rrd nv ont <br /> 11221 Silver Lake Road Everett - <br /> PLUMBING � MECHANICAL <br /> N0. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATEfi CI.OSET(TOILET) i A/C—A/HNDLG UNI75—H.P. <br /> _ BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> _ LAVATORY�WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> __ SHOWEF CLOTHES DFYERS —T— <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASIiER � FANGE HOOD �— <br /> LAUNDRY TRAY INATER HEATER <br /> CLOTHES WASHER WOOD S?OVE ; <br /> URINAL METAL FIREPLACE�WOOD BURNING) —T- <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS —'— EXHAUST FAN ——T— <br /> SINK(SERVICE—BAH.ET0.) � <br /> ' � <br /> -- � — <br /> - �— — —�— <br /> SUO TOTAL $ ' SUB TOTAL $ <br /> __ __ P[RMIT $ —;— --� PERIdIT $ <br /> IOiALFEE $ TOTALFEE $ --�— <br /> FOR OFFICE USE ONLY: <br /> -- — — — ----- - -- _-- -- — <br /> n�oHr:nn k nrnnsrinnr.K sinesrinncK rinNr.mr.Kuurmm rn: nr.cnrriio <br /> -e2' S_ t�_�3'�` � � 2 <br /> ust zoNe �oi nia:n vncnN�sne FEES VALUATION FEE <br /> � ' I I YES I I NO OUIIDING /'� ,� <br /> � r '> <br /> ivr�mcnr�S� Noor�onies nrc,nxnr.. un�o-n�auucuxns 2� �S CC_ <br /> �,�jfry � _ �;_ �' rwrsoiNc � <br /> SAEnFDLUb fI0F5PNIJNI[RSItfO-0 FlASCMFNi p7GCIlANICAI. <br /> � � Y�$ _ . . _. --_--_____—_ ._'___'—.—_ —__'"_—�_ <br /> �3� �— ---- ND �No _ .— <br /> [x;r,imnnr,nonn inifninnrrn�nn � uEiclaliMnnnUN ADDIIIOIJALPLANCHECH �-�.� � �S <br /> � y�> o,���,� - — <br /> 111 ASON <br /> G�'I1VA/R11�'C� srnieuuaoiracsu�ci�nrvice ; F� •• <br /> — ---- - _ -— -- -- ----- --- - � <br /> n�mKo ar r�nusn;'�oveo or CITY OF EVERETT pupi iC wonks i <br /> d LOCALSALES ��' ` '� ` <br /> n,,�r Cj � �,7 TAX CODE IS 3105 rorn� ��� � ; �:— <br />