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- � <br />APPLICATIbrI FOR CONSTRUC?.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION j{j{ COMBINATION f 1 BUILDING fl MECHANICAL t� PLUMBING fl SIGN <br />PROJECT ADDRESS 1 \ <br />�� c– cr �1- �� �j� r (a ` L YT <br />ONRIER MRIUOORESS LITY 21P PMONE <br />Metco Homes L.L.C. 18913 Bothell-Everett Nwy HothellPW�AE98012 (206) 316-0261 _ <br />TENANT M�ILAUORE55 ��TY Z�P <br />ARCHIiECT OR OESIGNER MAII ADDRE55 CITY IIP PMONE <br />GENERPLCONTRAC70R MRI�p0�l7E5S CIIV ZIP PIIONE $fFTE110EN5E� <br />Metco HomesiL.L.0 (Same as above) METCOC293K7 <br />MECHANICALCONTFACTOR� MAILADDRE55 CIN ZIP PIIONE STATEIICENSEa <br />PlUM81NG CONTRACTOR MAIL ADDRE55 Cltt 21P PNONE STATE LICENSE � <br />' PRICE OF WORK <br />WORK ANO SOUARE FOOTAGE INVOLVEO <br />i�kr-<<ct Q1nn 'r IG I <br />ne On 1c-,� ?�\ . 1� <br />� �i' = �o�"1�i1� <br />l USE OF BUILDIN6 <br />�p7 �_ BLOCK <br />PABCEL <br />�SMOWN BELOW Ofl ATT�CH <br />OF P1 �i <br />��m1.e Dirirtc�� <br />CONSTRUC fION IOIN LENOER. ADORESS. TELEPIIONE NUMBER <br />NO. TYPE OI <br />WATER CLOSET <br />`1 BATHTUB <br />CLOTHES <br />DRINKING FOl <br />FLOOR DRAIN <br />SINK <br />OR <br />FOR OFFICE USE ONIY: <br />FRONT SETPACK � RERR SETBACK <br />USE ZONE/� <br />HEIfiHT LIMITRTION . � <br />f SIOFIFS <br />2 <br />� <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE S <br />SIDE <br />IOTRREA <br />G" 7� <br />NO OF DWELLING <br />UNIfS I <br />OC6JPANTlOAO <br />N/.d <br />RFa504 <br />PEASON <br />PL�NSAPPROVEC <br />� <br />e <br />FEE <br />HEATING SYSTEM: 7�$GAS f l ELECTRIC fl <br />CONIACT PERSON PND PIIONF. NA <br />1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPUCATION AND KNOW THG S.4ME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED VlITH 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 REGULATIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUC110N. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEPTY 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� �_ ZZ �C.%�Cf,li/ I- 30 - <br />SIGNRTUflE / DRTE <br />f <br />ci e Gu s�f�Sc�3 0 — <br />NO. NPE OF EOUIPMENT � FEE <br />—W11rvuLV Vrvna—n.r. <br />'�CED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGE HOOl7 <br />WATER HEATF.R <br />WOOD STOVE <br />METAL FIREPLACE ( <br />F�REPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />FAN <br />SUBTOTAL $ <br />PERMIT S <br />TOTAL FEE S <br />PIA�JCIIECNNIIlApf(1 FEC- IRECEIPTNO <br />i <br />VALRNISrtE � �-- . <br />�5 I i NU ���Ilf11NG <br />ov oiocrt i <br />J�_3 F Ci4P.4GE riun�uwr. _ <br />BASEMENi � Mfl:11nNIC�I <br />I IIYES IWTJO --- <br />� nnW uar�ni ri nr� c��[CK <br />ou�en <br />SiAIE OUIIDIBf SUPGINRGC <br />CITY OF EVERETT rur�.ir,woees <br />LOCALSALES -- <br />TAX CODE IS 3105 T�7A� <br />�; ���� <br />�'_ <br />�7O ?�'�� <br />. <br />