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APPLICAT11.rN FOR CONSTRUCI �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVI;iION <br />3200 CEDAR STREET • EVERETT, WA 98201 e 259-8810 <br />❑ DEMOUTION � COMBINATION C: BUILDINC ❑ MECHANICAL f7 PLUMBING fl SIGN <br />PROJECT ADDRESS <br />1'�,c�U �,�,�� �-, ,,,.-�- �� ,1 �. ,,. _�-�. <br />co Homes L.L.C. 18913 Bothell-Everett Hw� <br />cin <br />ZIP PMONE <br />_ Bothell WA 98012 ( 206 ) 316-0261 <br />nMI;MITECTORUE5IGNEP MAILAOORESS CITY IIP PHONF <br />CaENERALCONTR�CTOR MAILADORE55 qJy Z�p PHONE STATELICENSE� <br />Ma*rn HnmPs T T r (came ac ahove) METCOC243K7 <br />MECHANICALCONTRACTO{j MAIUDDRESS CITY Zlp PHONE STATE LICENSE 1 <br />PLUMBING CONTPA�TOR MAIL ADDRE55 CIT1' ZIP PHONE STA�E LICENSE � <br />o� w� 9E WORKANO Sou,�qe F <br />l n(l ,�-(�\ \ �C i— <br />Cl��l� � <br />o. nAsuti <br />PROPOSED USE OF BUILDINO <br />� Q <br />LE6AL DE1SCR,IPiIIXJ pF PROPEq <br />LOT'. " �" �_ BLOCK _ <br />�GE INYOLVEp _' -� <br />�nl,�n�� <br />�7LeL.lVi: <br />, , i> � �- <br />��— <br />�� <br />HOYM BELOW Cp ATfA� <br />�C'r Plat <br />he Ridae" <br />GONSTRUCTION LOAN LENDER, �DDRESS. TELfPHONE NUMBER <br />PLUMBIN6 �— <br />NO. . TYPE OF FUfTUHE OR ITEM <br />WATER CLOSET (TOILE� <br />BATHTUB W ,� <br />LAVATORY (WASH BASIN) <br />SHOWEF <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRY TRAY . <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOA DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR FTr. l <br />SUB TOTAL $ <br />PERMIT $ <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONTSETB�CK REAR SET6ACK <br />Z`� Zp " <br />115EZONE IOTAREAq <br />_ ��� V --y <br />HEIGMTLIMITATION NO.OFDWELLING I <br />_ � UN175 <br />SIDE SET6/CK <br />s' <br />V4CRN�� SITE <br />YIYES fl NO <br />mcni Y�3y/ <br />flVES ANp <br />HEATING SYSTEM: �{j�GAS fl ELECTRIC I-1 <br />CONTFCT PERSON AND P{IONE NO. <br />Mike Mietzner. Ext. 32 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWPIER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH . THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />x �2- �-C <br />SIGNATUflE / DATE <br />METCOC 3K7 � <br />CITY BUSINE55 LICENSE NO. <br />N0. I TYPE OF EQUIPMENT FEE <br />FORGED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT FUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 1 <br />PIREPLACE INSERT (WOOD BURNING) � i <br />GAS FIREPLACE � <br />GAS RANGE � , <br />GAS PIPING i "— <br />EXHAUSTFAN . <br />PI.AN (:f1ECK NUMBER <br />BIpIDING �` <br />•� P111M81NG <br />MEGMANICAL <br />AOOITIONAL PUN CNF.CK <br />O7HEfl <br />STATE BUILDWG SUBCIInAGE <br />SUB TOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />FEE I RECEIPTNO. <br />CITY OF EVERETT rueur, wonns <br />� � LOCALSALES _ �?O <br />oare Z�2t�9(e TAX CODE IS 3105 TOTAL n0.. <br />L'O <br />