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APPLICAT�(..� FQ�R COMiSTRI)C'! .JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 9820 • 259-8810 <br /> i I DEMOLITION f I COMBINATION I I BUILDING Rl MECHANICAL I J PLUMBING �� SIGN <br /> PROJECT ADDRESS <br /> 626-40th Place, rverett <br /> OWNGA MAILAOURESS CRY ZIP Pl10t+E <br /> Dallv Homes 3420 Castlake Ave E 1t�nn c���rip qRln9 �2� ���n <br /> IFN�Ni ldAIL+�OPE55 CITY ZIP PIIOtlF <br /> / ARGIIITECTOR�ESIGNER N4ILAOOfiE55 CIIY Zi�' PNONE <br /> GGNERALGONTFIAGTOR MAILA�URE55 CI7Y ZIP PHONE SiATELICENSEx <br /> MECHANICALCONTR�CTOR M�ILP�ORE55 Cltt ZIP PHONE STATFIICENSEk <br /> Horizon Heating, Inc 3F01-121st ST SW Lvnnwood 98037 745-3930 HORIZkII137DU <br /> PWM�WGCON�RACTOR MAILAODRE55 CITY 21P PHONE SiATELILENSEM <br /> CONTRACTPRICE OF WORN HEATING SYSTEM: I�i GAS rl ELECTRIC ❑ <br /> $3655.00 — <br /> DESCRIDE YlqgK Aryq SOUAREfOQT�GF INVOLVED CONTACT PE�SON�flG PNONE NO. - <br /> 1nsLa a�ion oT iurnace, hot water tank Robert MacGregor 745-3930 <br /> and gas piping <br /> I HEFEBY CERTIFY THAT I HAVE r7EAD AtJD EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Pfi0PO5ED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVER�ING THIS T1'PE OF <br /> WORK WiLL BE COMPLIED WITH WHETHER SPEGIFIED HEREIN OR <br /> LLG4LOESGRIPTIONOFPROPERTYISHOWNBELOWOPATfACHTWOCUPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> icr 48 e�ocK _or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN'! <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> F�FFORMANCE OF CONSTRUCTIO�.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOR LAW 1827 RCW AND 296200 WAC. <br /> P/�.RrELTAXID.NUMBER `^� <br /> CONSTRUGTION LOAN LENDER.ADDRESS.1ElEPHONE NOMBE(i " ` '` � �<��n !�TE I� �� <br /> scNnru�Z09 71 <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM <br /> FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. <br /> � 1 FORCED AIR SYSTEMS—B.T.U. M E.A. i <br /> BATHTUB � <br /> LAVATORY(WASH BASIN) HEAT PUMP ' <br /> SHOWER UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS ' <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TFAY � RANGE HOOD ' <br /> CLOTHES WASHER � WATER HEATER ' <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD 6tJRNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> � <br /> BACKFLOW PREVENTERS � 1 GASFIREPLACE ' <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE � <br /> � 2 GAS PIPING , <br /> ' EXHAUSTFAN ' <br /> � � <br /> � <br /> � <br /> i ' <br /> � r <br /> SUB TOTAL S ; SUB TOTAL 5 80 ;00 <br /> � PERMIT S 15� <br /> — PERMIT S � <br /> TOTALFEE S ' TOTALFEE S 95 '00 <br /> FOR OFFICE USE ONLY: AEceiarNo. <br /> 3 FEE <br /> FRONT SETA�CK RFAR SETOACK SIOE SETOAf,K PIAN CHECH NUM�F.f,1 , <br /> 2 li <br /> FEES VALUATION FEE <br /> USE 20NE l0T AREA VACAM SI1E i <br /> i <br /> IIVEE n NO OUIL�ING � <br /> REIGHTLIMITATION NOOFDWEWNG SIZEOFFlLDGRI. � <br /> ❑NITS �LUMBING 1 <br /> i <br /> OCCUPANCY NO OFSi0PIE5 OCCl1PANTLOAD BASEMENT MECHANICAL � <br /> GROUP � <br /> ❑YES �l NO � <br /> � <br /> A�DITIONPL PLAN CHECK � <br /> FIREALARMiiEO'D REASON � <br /> i <br /> OTHHR � <br /> i <br /> FlRE SPPINY LER RED'0 REASON <br /> S7ATE BUILAING SURCf1AAGE � <br /> i <br /> TVPEOFG7NST. PLANSAPPROVE09Y CITYOFEVERETT �UBLICWORKS <br /> i <br /> LOCAL SALES I <br /> untE TAX CODE IS 3105 TOTAL __ <br /> :�.� <br /> - ___ _' _ _ ___ 51�, _ _—_ __— <br />