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�r..}.L �C.;�L ..... . �ni !. .. . � . . • _ . .. <br /> . . �. . . . . .. . . .. . . . . . . . . �._ . . . . . . .. . �...� �.��. ,A <br /> I <br /> ' APPLICATION FOR CONSTR�CTION ; <br /> PERMIT <br /> fhe Everyreen � <br /> CITY OF � <br /> everett ��e`e« ' ' <br /> BUILDING DEPARTMENT � , � <br /> 259•eet0 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNE MFILAODfl[55 CITY ZIP PNONE � <br /> aFTHANY oF THF NORTHWEST. 3322 Broadwav, Everett, WA 98201 259-5508 <br /> TENANT MAllRD0AES5 CITY ?IP FMONE ' <br /> MCHITECTORDESIGNEP M�IL�OORE55 CITY T�o <br /> PHONE <br /> OENERALCONTF�CTOP MPLL�C�RESS CITY IIP PNONE LIGENSE� <br /> C-MARTTN TRUCKING, INC. ?.0610 48th Ava W. , Lynnwood, WA 98036 778-3106 CM-AR-TT-*376NOj� <br /> MECHANICALCONTRACTOH M41Lr1DORE55 CITY ZIP PNONE LICENSEs � <br /> � <br /> PLUMBINOGONTMCTOR M�ILADORESS CITY ZIP FHONE UCENSE• � <br /> (. <br /> � CUSSOFYqNN — r� <br /> n' <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPA�RX� DEIAOLITION ❑ W(iOnSTOVE/FHPL INSERT ❑ BUILDING FELOCATION �� <br /> TEN�NTIMPRWEMENTONINTERIORPEMOOELONLY CONTALTPER:✓JNANDPNONENO -- � <br /> CANiRACT PflICE OF WORIC <br /> DE9CRIBE V/pRN AND SOU�RE FOOT�OE INVOLVED <br /> �i <br /> . PROP09EDUSCOFBUILOINU ���� <br /> IHEFEdYCERTIFYTHATIHAVEREADANDEXANINEDTHISAPFLICATIONAND � <br /> , KNOW?HESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWSAND 'yr. <br /> � �E6AlDE5CRIPrIONOFPROPEHTY(SHOWNBELOWORATUCNFOURCOPIES� ORD�NANCESGOVF.RNINOTHISNPEOFWORKWILLBECCMPLETEDWITH � <br /> WHETHERSPECIFIEOHEREINORNOLTHEGRAI�TINGOFAPERMROOESNOT � � <br /> LOT BLocK or PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION£OF <br /> ANY OTHER STATE OR 4 OCAI LAW REGl1LATING CONSTFUCTION OR THE PEF• <br /> FORMANCE Of CONSTFUCTION.THAT I AM AUTHORIZED BY THE OWNER Oi P; <br /> Se0 attaChed THISPROPERTYTOPERFORMTHEWORKFORWHICHAPPLICATIONISMADE S <br /> -'— AND I COMPLY WITH THE STATE CONT9ACTORS LAW 1827 RCW AND <br /> � 296200 WAC. '(� <br /> SIGNATOREOFCONTR�GTORORAUTHOPIZED�GENf pRTE (.� <br /> 1•• <br /> � PROJECTADDFlESS � V (V A` <br /> APP IC�N CITYBUS LI � O.RNOBOSINESSNAME ��. <br /> , 1167.5 Bothell Way #3, Everett, WA 9820H <br /> PLUMBINO MECHANICAL . <br /> NO. TyPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE i` � <br /> � WATERCLOSET�TOILE7 _ A/C-A/HNDLGUNITS-H.R � <br /> BATHTUB FORCEDAIRSYSTEMS-flT.U. MEA ��� � <br /> _ �,. <br /> LAVATORYIWASHBASIN) UNI7"HEATERS-B.T.U. M �;. <br /> SHOWER CLOTHES DRYERS �� <br /> <+ <br /> KITCHEN SINK6 UISP. VENTILATION FAN 1� <br /> �` <br /> . �ISHWASHER _ RANGEHOOD „f <br /> _ LAUNDRYTRAY WATERHEATEfi �� <br /> CLOTHES WASHEii WOOD STOVE i'' <br /> URINAL METAL FIREPLACE 8 CHIMNEY ��� <br /> DflINKING FOUN7AIN FIFEPLACEINSERT ('. <br /> FLOOR DRAIN HEAT PUMP I i <br /> BACKFLOW PREVENTERS GAS PIPING �� <br /> ROOF DRAINS—pAINLEA�ERS E%HAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ;� <br /> — - I. <br /> — — �. <br /> — _ � <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT S PEFMIT 5 �'� � <br /> TOTAL FEE S TOTAL FEE 5 4 . .� <br /> FRONTSEfB�CK qEr1R5ETBACK SIOESEiORCK PUkCHECKNUMBEH FEE pECEIPiNO. '�._ �. <br /> 1 <br /> USezoNE IOTRPEA VAC�NTSRE FEES VALUATION FEE <br /> ❑YES u r�o �� <br /> TYPEOFCANST. OCGUPANCYGROIIV NO.OFDWELLINGUNiTS �UILDING t . <br /> � AILOWABLE/�CTU�L <br /> PLUMBING ` <br /> s: � <br /> SIZEOFBL00. NOAFSTOFIES BSMC OCC�OnD �' <br /> ❑Y MECHANICAL �� <br /> ❑u �., <br /> HEIGMTLIMITRTION OTHER s <br /> ' FlHESPPINRLERS FEOIIIRE� O Y'_S O HO STATE BUILDING SUFCHARGE C. <br /> i, <br /> STATE ENERGY SURCHARGE � <br /> r <br /> APPL:CFTON FCG 8Y pLANS APPR.BV i <br /> PUBLIC WORKS <br /> �. <br /> TOTAL I r <br /> i- <br /> � <br />