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APPLl�AT11�N FOR 1!CONSTRlJG1 �ON �ERMIT <br />CITY OF EVERETT • BUILDING DlVISiJN <br />3200 CEDAR STREET • EVERETT, WA 98201 ! 259-8810 <br />❑ DEMOLITION X7C COMBINATION fl BUILDING ❑ MECHANICAL f] PWMBING fl SIGN <br />ONMEP M�ILALI�RE55 CI7Y ziP rnvnt <br />Metco Homes L.L.C. 18913 Bothell-Everett Hwy. Botheli WA 98012 (206) 316-0261 <br />TEN�NT MAILAOURESS CITY IIP PHONE <br />�RCMITECTORDESIGNER M�IL�ODHE55 CITY IIP PMONE <br />GENERALCONTqACTOii MAILAO�RESS CITY 21P PHONE STATELICENSEI <br />MPtrn HemPe I T�` (yiam a� ahovel 1dETCOC243K7 <br />MECHANICALCONTRACTOq MAILADDRESS CITY ZIP PIIONE STATEUCENSE� <br />PWMBINGCONTRACTOR MA!LADDRESS CITY DP PHONE STATELICENSE� <br />PROPOSE' <br />LOT'�JS� BLOCK <br />INVOWED (� , <br />..Mn _ A'vvn� <br />- 1-a m� <br />n ISHovrta ee�ow or� �n <br />OF Pla <br />"The RidQe" <br />PMCEI TA% I.D. NUMBER <br />�: 4 -lo - OOo - C; �-� - �� n <br />CONSTRUC110N LOAN LE���FR. ADORESS. TELEPHONE N�.IMBEfl <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />1 BATHTUB <br />LAVATORY (WASH BASIN) <br />� SHOWER <br />� NITCHEN SINK 8 DISP _ <br />DISHWASHER _ <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKINQ FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />CIIJK/4FGVICP—RAR FTC] <br />HEATING SYSTEM: ��GAS r] ELECTRIC fl <br />CONTACTLEHSONANDPMONE��'. <br />�� <br />-� Mike Mietzner Ext. 32 <br />I HEREBY CERTIFY THAT I H4VE READ AND EXO.MINED THIS <br />— APPLICATION P.ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />vocoriesl NOT. THE 6RANTIN6 aF A PERMIT DOES NOT PRESUME TO GIVE <br />errill 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 />OWNEq OF THIS PRpPEFiTY TO PERFORM THE WORK FOfl WHICH <br />APPLICATION IS MADE AtJD I COMPIY WITH . THE STATE <br />CONTRACTORS LAW 1827 HCW AND').96200 WAC. <br />' 3 x W1 ti��'1/�/L.� ,cL1,uc 6113 � 9 �o <br />�41NATURE UAT <br />?+ETCOC 43K7 <br />C�'V BUSiN[?S LICENSE NO. <br />MECHANICAL <br />ll PERMIT $ ' 1 I <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONT SE7BACK REM SETBACK SIDE SETBnCN <br />� �. �' �/ <br />USEZONE r� LOT�REA VACANTSIiE <br />f1YE5 fl NO <br />HEIGMT LIMIT�TION / NO OF 9WLlLING SIZE OF OIOGRI <br />�z unirs �y�j' S•f. � G��/i�!C+ <br />f1YE5 `iN0 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />NO. TVPE OF EQUIPMENT FEE <br />A/C — AIHNDLQ UNRS — H.P. ! <br />FORCED AIR SYSTEMS — B.T.U. M E.A. � <br />T <br />HEAT PUMP � <br />� <br />UNIT HEATERS — B.T.U. M <br />CLOTHE: DRYERS <br />RANGEHOOD <br />WOOD STOVE <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ <br />PERMIT 3 <br />TOTALFEE S <br />PUN CIIELK NUlABER I FEE I AECEIPT NO. <br />B111L�ING <br />PlUM01NG _L� <br />1 <br />MECIIANICRL O i <br />i <br />�UDI:"'.�AL PLAN CNECN i <br />_ � <br />Olh7R � <br />_ � <br />STAIE BIIIIUINC SIIRLHRRGE ��L <br />_ _ *__ <br />i <br />PIIfltIC WORNS 2 � J <br />TOTAL it' /J �� <br />