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#2335 ') <br />APPLICiti-ION FOR CONSTRUZ: ( (J UV <br />PERMIT <br />LfO the Evergreen SEP 1 'i 1989 <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />j <br />259.8810 TO BE COMPLETED IN INK— PLEASE PRINT <br />OWNER MAIL ADDRLQ �, 1� <'Y CIT ZIP. <br />R.A. SETTING o2�09 I y` .�i <br />. TENANT MAIL ADOREw CRY ZIP <br />I <br />D <br />CITY OF EVERET <br />Puuiic Works 000. <br />4 <br />I <br />everett <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PIIONE LICENSE A <br />NORTH PARK 1ITC., INC. 19204 Ballinger Rd NE Seattle 98155 365-1414 NORTHPI1348LF' <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />GLASS OF WORK <br />L79 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FnPL INSERT I] BUILDING RELOCATION <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />CONTRACT PRICE OF WORK <br />CONTACT PERSON AND PHONE NO <br />DWAIN WORK AND BOUARE FOOTAGE INVOLVED r- <br />9;hs Z FuRn. d' G gj Pi PS - IOLi-rLETS <br />_ <br />OBE OF BULLDINO— ---- <br />NMI£sue <br />i <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AN <br />KNOWTHE SAMETO BE TRUE AND CORRECT. ALL PROVISIONSOF LAWSAND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER. <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br />296.200 WAG <br />SIGNATURE OFCONTRACIOR OR gUTPOOZEDAGENr DATE <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT— BLOCK— of <br />.PR CT ADDRESS.��I <br />,EN€ <br />APPLICANTS CITY BUSINESS LICENSE NO AND BUSINESS NAME <br />'P MBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EOUIPMENT <br />FEE <br />R CLOSET (TOILET) <br />_WC — A/HNOLG UNITS —H.P. <br />_ <br />ATHT <br />_ <br />1 <br />FORCED AIR SYSTEMS—B.T.U. MEA <br />00AVATORY <br />rBASH BASIN) <br />UNIT HEATERS— B.T.U. M <br />HOWER <br />CLOTHES DRYERS <br />KITCHEN SINKS P. <br />VENTILATION PAN <br />_ <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL x <br />_ <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLOW PREVE TERS <br />% <br />GAS PIPING <br />25 <br />ROOF DRAINS — AINLEADERS <br />EXHAUSTFAN <br />SINK(SERVI—BAR,ETC.) <br />_ <br />SUB TOTAL <br />5 <br />SUB TOTAL $ <br />1425 <br />PERMIT <br />$ <br />PERMIT $ <br />_ 15 <br />00 <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PUN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />O YES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF CONST. <br />ALLOWABLE/ACTUAI. <br />OCCUPANCYGROUP <br />Nn OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDO. <br />NO.OF STORIES <br />USMi. <br />n Y <br />E1 N <br />O^CLOAD <br />MECHANICAL <br />OTHER <br />FIRE SPRINKLEBSREOUIRED U YES ❑ NO <br />HEIGHT LIMITATION <br />STATE BUILDING SURCHARGE <br />APPLICATION ACC. BY PLANS APPR. BY <br />• <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />