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_ ,_ <br />APPLICATItiN FOR R:ONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 ! 259-8810 <br />❑ DEMOUTION jC7C COMBINATION fl BUILDING (� MECHANICAL I-1 PLUMBING rl SIGN <br />PROJECT ADDRESS , „ , e �. . �. C _ —1-�--- <br />o Homes L.L.C. 18913 Bot <br />Everett <br />ZIP rnvrvc <br />Hothel7. WA 98012 (206) 316-0261 <br />PMONE <br />ARCHITEGTOROEE�GhEF MAILADORESS <br />LITY 71P PNONE <br />GENERALCONTRACTOR MNLAUOFiE55 GITY 21P PIIONE STATELICENSEI <br />hnvP1 METCOC293i{7 <br />��ro tinmaa T i i (Same as � Pk10NE ;i�TEUCENSE� <br />MECH�NIC�LCONTRACTOq MPLAD�RES.� CITY Z�P <br />��n. Z�p PHONE STA7E1_ICENSE � <br />PLUMBINGCONTRACTOP MAlLA00RE55 <br />HEAfING SYSTEM: 7�j GAS I I ELEGIHII: i i <br />CONT�CT FERSON AND PHONE NO. <br />�.f'r�*'ar�v.-3J c n�c t c,.« 91 or _ <br />�Kike Miet2ner Ext. 32 <br />���� (1C+.�e' f"��_YYUu �-� <br />�Epµ pE ���NN OF PpOPERTY (SMOWN BELOW [�kl ATTACH <br />LOT' _� BLOCN OF P� a t <br />Creek �hase 4 "The Ridge" <br />pAqCELTA%IO.NUMBEP <br />Ss y�-o - O�o-oU�a-ooc <br />CONSTRUCTONLONILENUER.AOURE55.7ELEPMONENUMBEfl <br />NO. TYPE OF FIXTURE OR ITPM <br />WATER CLOSET (TOILEn <br />BATFiTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />� KITCHEN SINK 6 DISP <br />DISHWASHER <br />UUNDRY TRi.Y <br />CIOTHES WASHE.F <br />URINAL <br />DRINKING FOUNTA'N <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE - BAR, ETC.) <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK�� REA� <br />USE 20NE � v A LOT AREA <br />/ 3 <br />SUB TOTAL $ i <br />PERMIT S � <br />TOTALFEE S ' <br />� ' / �SET�CN <br />!J <br />/ <br />y�CANT SITE <br />f1YE5 fi NO <br />HEIGHTLIMI��ri / IUNI�DWEWNG <br />/1 <br />f$TONF$ OCGUPIINIWAU / <br />Z . f1VE5 IfNO <br />CITY OF EVEREtt <br />LOCALSALES <br />TAX CODE IS 3105 <br />1 HEREBY CERTIFY -�HAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND Kt�:iJJ THE SAME TO BE TRUE AND CORRFCT. ALL <br />PROVISIONS OF LAVrS AND ORDINANCES GOVERNING THIS T'fPE OF <br />WORK WILL BE COMPLIF.D WITH WiiETHER SPECIFIED HEREIN UR <br />NOT. THE GRANTING OF A PERMIT DOES NO'f 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 CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF THIS PROPEPTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COA1PLY WITH . THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />�,� �3 ��� - <br />SIGN URE Dr1TE <br />MET�O 43K7 <br />Cltt BUSINESS LICENSE NO. <br />NO. <br />FORCED Alfi SYSTEI <br />HEAT PUMP <br />UNIT HEATERS — B. <br />WATER HEATE <br />WOODSTOVE <br />GAS <br />P��N CHEGK NUMBER <br />BUIIDING <br />pLUMBING — <br />MECNnNICp�. <br />AODI110NAL PI.AN CIIF.CK <br />OTMER <br />�— <br />STATE BUILUIHC S�IfiGNPRGE <br />PUBI lf. WOPNS <br />�--- <br />ITOTAL <br />- B.T.U. M E.A. <br />�— <br />---•-- <br />i <br />i <br />� <br />� <br />SUB TOTAL S i <br />PERMIT S ' <br />TOTALFEE S ' <br />,13 <br />FEE � RECEIPT NO. <br />3�', � <br />VALUATION FEE <br />i <br />� <br />C�/ iU U <br />^a <br />