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,- - <br />APPLICATl�i.�l FOR CONSTRUC'� ■ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 ! 259-8810 <br />, SIGM <br />❑ DEMOLITION X�C COMBINATION fl BUILDING CI MECHANICAL fl PLUMBING f i <br />PAOJECT ADDRESS <br />I I 3 a'1 O 55 �� �'-L4� S l�3 � i x��4� _ <br />py/ryEp MiVL�CORE55 CITY 21P PHONE <br />Metco Homes L.L.C. 18913 Hothell-Everett Hwy. Boi:hell WA 98012 (206) 316-0261 <br />TENANi MPILAOORE55 CITY IIP PHONE <br />ARCMITECTOROESIGNER MAILAODRE55 Gltt IIP PNONE <br />GENEMLCONTflI.CTIXi MAILAODBESS GTY ZIP PIIJNE STATEUCENSEI <br />�tot�n Hnmec i._T._C�(,qi+ }+ A1 METCOC293K7 <br />MECHANIC/�L CONTfl4CiOq MAP. AD�HF55 CITV ZIP PHUNF STATE LICENSE i <br />PLUAIBING CONTRACTOR MpiL AODFESS CIN ZIP PHONE SiATE LICENSE � <br />WORKMJUSWAREFWTrGE <br />� � 1 �J'_l'J.� i� <br />LOT \) l V BLOCK OF r 1 a � <br />Creek Phase 4 "The Ridge" <br />P�ELTAX I.D. NUMBER <br />CONSiRUCiIONIO�NLENDER.�DORESS.TCIEPHON[NUMBER <br />NO. I TYPE OF fl%TURE OR <br />WATER <br />SNOWER <br />KITCHEN SINK 8 DISP <br />LAUNDRY TFIAY <br />CLOTIiES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />SUB TOTAL E <br />FEE <br />_, I TOTAL FEE $ � <br />FOR OFFICE USE ONLY: <br />FPONTSETBACN REAH SETBACN � SIDESETBACN <br />Zo ' �IS S <br />USE20NE — ��f'RE�� <br />� <br />HEIGMT LIMIT�710N �O_ �.' 01 ELLING <br />OCCUPANCY NO Of S10HIE5 OCCUPANT LO�D <br />GROU <br />Yt3 U-i 2 <br />FIRE �UFM REO'� REASON <br />FIRE SPRINKLER REO'0 NEs50N <br />TYPE OF f,ONSi ' PLANS APPR V� Y <br />V-��L narc 4�4�4 <br />HEATING SYSTEM: 7�j GAS fl ELECTRIC fl <br />CONT�CT PERSON AND PHONE NO. <br />Mike Mietzner Ext. 32 <br />I HEREBY CEHT!'Y THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORG:NANCES GOVERNING THIS TYPE OF <br />WORK WILL BE GOMPLIED WI"iH W.HETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEHMIT DOES NOT PPESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE � PROVISION OF ANY <br />O7HER STATE Ofi LOCAL LAW REOULATINa CONSTRUCTION OR THE <br />PERFORMANCE OF CQNSTRUCT�ON. 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 />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />X � <br />SIONA URc � D�TE <br />METCO 43K7 ��__����_i�CJ7 <br />CITY BU V NE551.ICENSE NO. <br />MECHANICAL <br />NO. 7YPE OF EOUIPMENT FEE __ <br />A/C — AMNDLG UYfTS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DHYERS �_ <br />VENTILATION FAN ' _ <br />RANGEHOOD � <br />WATER HEATER ' <br />WOOD STOVE i_ _ <br />METAL FIREPLACE (WOOD BURNING) i <br />FIREPLACE INSERT (WOOD BURNING) _ ; <br />GAS FIREPLACE � <br />GAS RANGE ' <br />GAS PIPING _ i <br />SUB TOTAL <br />$ <br />5 <br />PUNCIIECNNOMBER I FEE I RECHPTNO. <br />VFC�Nf SITE <br />ES f i NO BUILDMii <br />IlYES IN'NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />Pl11MBING <br />MELHANICpL <br />A��ITIONPL PLFN CHECK <br />OTHEF <br />$TATE BUItDINC SURCNNRGE <br />ruaur,won✓s _ <br />TOTAL <br />/ <br />'1 <br />V <br />