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h LICAO I A FOR CONSTRUCT- 3N P PERMIT <br />Y^� QI 1v HLETED IN BLACK INK —PLEASE PRIT <br />EAl ING SYSTEM: ❑ GAS M ELECTRIC <br />BUILDING p 1 MENT 259-8810 <br />XYDEMOLITION COMBINATION BUILDING MECHANICAL <br />PLUMBING SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />_-, --_ _4; ,.J Aclmmrk Tnr111s1-rieS. Inc. 505 Cedar Ave B-1,Maryville <br />TENANT MAIL ADDPESS <br />Same <br />CITY <br />ZIP 653-3634PHONE <br />WA imz /U <br />---1 <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />CITY <br />21P PHONE <br />QFFMtAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />653-3634 <br />STATE LICENSE , <br />BELMACI093C6 `I <br />Belmark Construction Inc <br />505 Cedar Ave. <br />B-1, Marysville <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />CITY <br />Zip PHONE <br />STATE LICENSE <br />PLULIBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE IT <br />CLASS OF WORK 1.,., WfNVTCTr)I'FIFRPI wSFRT BUILDING RELOCATION <br />NEW AUUI IIVIN I I Hu IZMM11v14 .�..... �,,..--...__.._.- <br />CONTACT PERSON AND PHONE NO. <br />Gary Petershagen c/o Belmark Industriee r Inc. <br />CONTRACT PRICE OF WORK ± $3, 500. <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Demolition of existing house <br />653-3634 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PROPOSED USE OF BUILDING <br />APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br />Cleanup Of Site <br />Cle <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />OF <br />NOT. THE GRANTING OF A PERMIT DOES NC- PRESUME TO GIVE <br />LOT BLOCK <br />AUTHORITY TO VIOLATE OR CANCEL THE 10VISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING C F'TRUCTION OR THE <br />See Attached <br />PERFORMANCE OF CONSTRUCTION. THAT I At 'HORIZED BY THE <br />-- <br />OWNER OF THIS PROPERTY TO PERFORM TF VORK FOR WHICH <br />Tax ID #202805-2-018-0005 <br />APPLICATION IS MAD AND I COMPLY WITH THE STATE <br />TRACTORS L,JY 27 RC AND 296.200 WAC. <br />X <br />•: TUNE r� DATE <br />PAWECT ADDRESS <br />/_ ��.g C2 <br />eO <br />CITY BUSINESS LICENSE NO <br />10117 19th A,;;e. S.E. Everett WA 98208 <br />PLUMBING <br />MECHANICAL <br />FEE <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT <br />_ <br />WATER CLOSET. (TOILET) <br />NC-NHNDLG UNITS-H.P. <br />' <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />BATHTUB <br />UNIT HEATERS-B.T.U. M <br />LAVATORY (WASH BASIN) <br />CLOTHES DRYERS <br />SHOWER <br />VENTILATION FAN <br />KITCHEN SINK 8 DISP <br />CISHWASHER <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />WATER HEATER <br />' <br />_ <br />CLOTHES WASHER <br />, <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />URINAL <br />I <br />FIREPLACE INSERT <br />DRINK114G FOUNTAIN <br />FLOOR DRAIN <br />HEAT PUMP <br />- <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE -BAR. ETC.) <br />I <br />SUB TOTAL $ <br />; <br />SUB TOTAL $ <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE 5 <br />' <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK REAR SETBACK <br />TYPE OF CONTS. ALLOWAOLF <br />SIZE OF ROD <br />OCCUPANCY LOAD <br />REASON FOR SPRINKLERS <br />LOT <br />NO. OF STORIES <br />SIDE SETBACK <br />VACANT SITE <br />FEES <br />BUILDING <br />IAL <br />OCCUPANCY <br />GNOUP <br />110 OF DWELLING GNIIS <br />PLUMBING <br />MECHANICAL <br />EASEMENT <br />ADDITIONAL PLAN CHECK <br />REDD HEIGHT LIMITATION <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />INTAKE BY PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CCa'!F IS 3105 TOTAL <br />FEE RECEIPT <br />ypO <br />M <br />