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APPLICATIV�1 FOR CONSTRUCI rON PERMIT <br />CITY OF EVERETT � BUILDING DIVISiON <br />3200 CEDAR STREET • EVERETT, WA 98201 ! 259•8810 <br />❑ DEMOLITION �j{ COMBINATION fl BUILDING L7 MECHANICAL f] PLUMBING f� SIGN <br />PROJECT ADDRESS � <br />13� i�/ -r`—' �7�, Sr,�J �v��.� ��A � <br />M�IL�CDRESS CIT1' ZIP PHONE <br />Metao Homes L.L.C. 18913 Bothell-Everett Hwy. Bothell WA 98012 (206? 316-0261 <br />'i�' MqLADDRE55 CITY 1�p PMONE <br />�.�/�UCa klll2.Ll�4� 7'd�YC-rf.�.pD �'i� �io:�=CU'✓.(.e Gil� 9375'� ��(039?-��T <br />LEGIIL <br />�or_ <br />ADDRESS <br />FWT�E I <br />�_ <br />A � <br />BLOCN <br />e 4 <br />m <br />!% <br />LENDEq, AODRE55, TELEPNpNE NUMBER <br />NO. 7YPE OF� <br />WATER CLOSET ( <br />BATHTUB <br />LAVATORY(WASH <br />SHOWER <br />KITCHEN SINK & I <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHE <br />URINAL <br />DRINKING FOUNT <br />FLOOR DRAIN <br />BACKFLOW PREV <br />SINK fSERVICE — <br />COPIES� <br />Op ITEM I FEE <br />CIIY IIP <br />L �� <br />1��o�LaS/ C <br />STATE LICENSE � <br />�• <br />STATE LICENSE � <br />PHONE STATE LICENSE r <br />r <br />.eZ.iC–� � i..Air<� <br />HEATING SYSTEM: ��GAS rl ELECTRI� fl <br />CONTACT PERSON ANO PHONE NO. �� �• �[ p H'I I O � N t%/� <br />Mike Mietzner Ext. 32 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GJVL•RNING THIS TYPE OF <br />WORK WILL BE COMPL'':D WITH WHETHER SPEC(FIcD HEREIN OR <br />NOT. THE GRANTING uF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL iHE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW qEGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. 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 />CONTfi•�.^TORS LA 1827 RCW AND 2962U0 WAC. <br />x���j� -�j� �_ <br />'' �l ���/ ���' �"�jl`-`�`� <br />SIGN�TURE ' j UATE <br />METCOC24'�K7 <br />CITV BUSINE55 LICENSE NO. <br />TYPE <br />i FORCED AIR SYSTEMS — B.T.U. M E.A. � <br />� <br />iIN) � i HEAT PUMP � <br />' UNIT HEATERS — B.T.U. M � <br />� i CLOTHES ORYERS ' <br />' � VENTILATION FAN —r— <br />_ i RANGEHOOD � � <br />� � WATER HEATER —� �— <br />� <br />' WOODSTOVE � <br />i METAL FIREPLACE (WOOD BURNING) ' <br />i <br />' FIREPLACE INSERT (WOOD BURNING) � <br />ERS . ; GAS FIREPLACE — ; <br />i, ETC.) � GAS qANGE , <br />' GAS PIPING /// � <br />_ i EXHAUST FAN / !// , <br />SUB TOTAL $ / ' <br />� <br />PERMIT $ , <br />I TOTAL FEE E I— � <br />FOR OFFICE USE ONLY: 7 j <br />FfiONT SETBACK� REAR SETB�CK i SIDE SETB�CR/ PUN CNECN <br />�ir .-,,. y — <br />USE20NE J� LOTAREA v�c�Nrsire � FEES <br />fIYES fl NO pUIIDING <br />HEIGMT ��MITATION � NO OF DWEtLING SRE OF BLIX'Jil <br />UNIiS � ?' S F� L Vly4 } p�l)MBING <br />_ } S' F �s+kA <br />OCCUPANCY NO Of510NE5 OCCUPANTLOAD BASEMENT <br />GRW IAEGMnNICNL <br />2 3 U•I 2 fIYES � <br />FIR ALANM HEO'0 REASON pDDI110NRL PUN GHF.CK <br />FIRESPPINI(IEHREO'0 �pER30N I0711ER <br />STAiE BIIIIDMG SURCIIMGE <br />TYPEOFf,ONST P�ANSAPPPqVEqBY CITYOFEVERETT runiir.wonKs <br />� � �� LOCAL SALES <br />o�Te f5�7_Ji�3/.� TAX CODE IS 3105 TOTAL <br />—T-'— <br />SUB TOTAL $ � <br />PERMIT $ i <br />TOiAL FEE S �— <br />FGE RECEIPTFt: <br />�5-�a�,/� - - <br />