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. ''�` ,-, <br /> APPLICATION FOEt CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> C7 DEMOUTION Il COMBINATION I-1 BUILDING ❑ MECHANICAL �% PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> 11014 - 19th Ave. S.E. Everett (Silver Lake Village) <br /> OWNEfi MAILAOORE55 CITY ZIP PNONE - <br /> Skotdal, Art 2901 Colby Everett 98201 259-4354 <br /> 7EN�NT M�ILADCRE55 GITY ZIP GHONE <br /> QFC P.O. Box 3697 Bellevue 98009 622-9740 <br /> MCHI7ECTORDESIGNER MAILADDRE55 CITV IIP PHONE <br /> Lee Crowthers AIA c/o QFC (address above) <br /> GENEiULLONTMCTOR MRIL�DURESS CITI IIP P110NE SUTELICENSE� <br /> Woodman Const. 3 Lake Bellevue Dr. Bellevue 98005 459-3621 WOODMCI 16706 <br /> MECHANICALCONTRACTOR MRILADDRE55 Cltt ZIP PHONE STATEIICENSE� <br /> PLUMB'.r3CONTR�CTOR MALADDRE55 CI:Y 21P � PHONE 'iTATELICENSE� <br /> Wi].liams Mechanical, Inc. 3903 Smith Ave. Evere.tt 98201 303-0828 WILLIMI088PA <br /> GOhfMLTVRICEOFWORK /�� ,-^ <br /> W�'{'1 �- HEATING SYSTEM: p{l GAS rl ELECTRIC fl <br /> DESCRIdE WORK�ND SOUARE FOOTAGE INVOLVED CONT�CT PEFSONANU PHONE NO. <br /> Bradley Williams/Williams Mechanical, Inc <br /> 303-0828 (Fax:339-9244) <br /> I HEREBY CERTIFY THAT I HAVE fiEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORflECT.ALL � <br /> vaovoseo use oc euunn�c PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> Sll ermarket (@X1StlI1 ) — B2 WpqK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALpESCpIP11pNOfPROPERTY�SHOWNBELOWORATfACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 61VE <br /> ior� e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE W(:RK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> VMCELTA%I.D.NUMBER CANTRA AW 18.2 R A 296200 WAC. <br /> 192805-4029 & 4004 & 4003 r <br /> CANSTRUCTOY IOAN LEN�EP.�DOHE55,TEIEPHONE NUMBER X � i I�^/H��� <br /> None �TURE DATE <br /> 026656 <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBIN4 MECHANICAL <br /> NO. TYPE OF FlXTURE OH 11EM FEE NO. TYPE OF EOUIPMENT � FEE <br /> . --r-- <br /> WATERCLOSET(TOILEn � A/C—A/HNDLOUNfT3—H.P. —) ' <br /> BATHTUB ; FORCEDAIRSYSTEMS—'B.T.U. M E.A. ; <br /> 3 LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEPTERS—B.T.U. M ' <br /> KITCHEN SINK 3 DISP i CLOTh;_o DRVERS T� <br /> 1 DiSHWASHER � VENTIUITION FAN � <br /> UIUNDRY TRAV ; RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> �O FLOOR DRAIN � =1REPLACE INSERT(WOOD BURNING) � <br /> � BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> 1 Grease tra � 8 GAS PIPINCa ' <br /> 1 ES Z'ESSO � EXHAUST FAN �_ <br /> � <br /> 20 Case drains (Hub) ' ' <br /> il drains Hub ' � <br /> � � <br /> , � <br /> SUB TOTAL $ ' £UB TOTAL $ � <br /> PERMIT $ � PERMIT S � � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OPFICE USE ONLY: <br /> FRONT SETB�CN RFAR SETBACN SIDE SETBACK PUN CHE N NUMB�F FEE AECEIPT NO. <br /> � <br /> USEZONE LOTAREA V�C�NLSIIE FE VALUATION FEE _ <br /> f 1 YES f i NO BUILOING � <br /> i <br /> HEIGHTLIMITATION �dOOFDWELLiNG SIZEOFBLOGRI --- � <br /> UNITS P�UMBING � <br /> OCCUPANCY NO OFSfORIES OCCUPANTIO�D BASEMENT MECHRNICAL � <br /> Gf1JUP <br /> f1vE5 fl NO � <br /> FIREAWiMREO'D AE�SON AUDI710NAlPLAM1f.NECK � <br /> . ; <br /> OTHER i <br /> FIRE SPRINKLER REO'D AEASON � <br /> STAIE BUIL�ING SURLMARGE � <br /> 7YPEOFf,ONST PL�NSAPPROVEDBY �' CITYOFEVERETT �UAIICWORKS � <br /> LOCAL SALES � <br /> DRTE I TAX CODE 6S 3105 TOTAL � <br /> i <br />