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APPLICATII .� FOR CONSTRUCI DN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-B810 <br />f-I DEMOLITION <br />f I COMBINATIOTI <br />I I BUILDING <br />OWNER <br />�B9 MECHANICAL n oi numun �-, .. <br />Everett Golf & Country Club P.O. Sox 2300 Everett, WA 98203 (206) 259-8141 <br />TENANT Mr11LADORE55 CITV IIP PMONE <br />Everett Golf b Country Club 1500 52nd St. Everett, WA <br />ARCNITECTORDESIGNER MAILAODRE55 CITV IIP PMONE <br />John Abel 4932 W. Interurban Blvd. Bothell, WA 98012 (206) 48i-7669 <br />GENERALCONTpRCTOR MAILADORE55 CITV IIP PHONE <br />ST�.iE UCENSE � <br />MMi Services, Inc. 1653 3 NE 80th St. Redmond, WA 98052 (206) 582-3034 <br />MECHANICALCONTRACTOq MAILADDpESS CIN I�P PH�Nq ZO6 4 4�� <br />John J. Abel Fire Protection Co., In:. 4932 W. Interurban Blvd. BothelI, W� ��p�� EN <br />PLUMBING CONTRACiOq MAILAO�PE55 CITY ZIP PMONE STATE UCENSE � FP 1�. <br />Unknown <br />WN�HN[:iPq�CEOFWORR � <br />$ 1,400.00 <br />OESCRIBE WORK A�D SOUARE FODTAGE INVOLVED <br />OF <br />�w�� uca Imruun ur rMUPtH1Y �SHOWN BELOW OR ATfACH <br />LOT BLOCN OF <br />C� �-�' - �c . � l.�.l�'�C <br />TA%I.D. NUMBEq �� 2 805� /� <br />UCTION�OAN LENOER, ADORE55. TELEPHONE NIIMBER <br />nu. 7YPE OF FIXTURE OR <br />. WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW pREVENTERS <br />SINK (SERVICE — ena Frr. i <br />� <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONTFCT PERSONAND PMONE NO. <br />Carey Manning (206) 481-7669 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI: <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL AL�. <br />PAOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE O: <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oi <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV� <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN'. <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THI <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 9Y TH� <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICi <br />�ON IS MADE AND I COMPLY WITH THE STAT� <br />C ORS LAW 1827 RCW AND 296200 WAC. <br />� ' F <br />x <br />SIGNATUflE �ATE <br />CITV BUSINESS LICENSE NO. 2 <br />MECNANICAL <br />FEE N0. TVPE OF FIl(TURE OR ITEM FEE <br />� AIC—A/HNDLGUNITS—H.P. <br />; FORCED AIR SYSTEMS — B.T.U. M E.A. <br />� HEAT PUMP <br />' UNIT HEATERS — B.T.U. M <br />i CLOTHES DRYERS <br />' VENTILATION FAN <br />� RANGEHOOD <br />� WATER HEATER <br />� SUB TOTAL $ <br />PERMIT S <br />TOTAL FEE � <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN REAR SETBACK SIDE SETBACK <br />USE20NE LOTAREA VACFNTSITE <br />fl YES C1 NO <br />HEIGHT LIMITATION NO UF OWELLIN � SIZE OF BLDG/CI. <br />UNIiS <br />dASEMENi <br />❑ YES !] NU <br />B� CITY OF EVERETT <br />LOCALSALES <br />r�'!' TAX CODE IS 3105 <br />METAL FIREPLACE ( <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPINU <br />EXHAUSTFAN <br />PLAN CHECK NUM9ER <br />BUILDING <br />PUIMBING <br />MECIIANICAL <br />AD�ITIONAL PLAN <br />OTHER <br />STATE BUILDING 5 <br />Pl1BUC WOHKS <br />TOTAL <br />SUBTOTAL § <br />PERMIT S <br />TOTALFEE $ <br />FEE n /,, � RECEIPT NO. <br />