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APPLICATIO.. FOR CONSTRUCT6...rN PERMIT 'I <br />the Evergreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />TO BE COMPLETED IN INK -PLEASE PRINT Le <br />HEATING SYSTEM: ❑ GAS M ELECTRIC ❑ <br />DEMOLITION <br />❑ COMBINATION <br />M BUILDING <br />a MECHANICAL <br />❑ PLUMBING SIG <br />OWNER <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />342 INC. <br />3403 16th At. <br />Everett, <br />WA. 98201 <br />(206) <br />7747854 <br />TENANT <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />SAME <br />SAME <br />SAME <br />ARCHITECT OR DESIGNER <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />_ <br />N.A. <br />ENERALCONTRACTOR <br />f <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE# <br />N./A. <br />O6L,,/,,G .e- <br />MECHANICALCONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE# <br />N./A. <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />Same <br />CLASS OF WORK <br />I-' NEW ❑ ADDITION t--1 ALTERATION IX REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL INSERT ❑ BUILDING RELOCATIC,. <br />CONTRACT PRICE OF WORK $9,500.00 <br />CONTACT PERSON AND PHONE NO. <br />Dave Seaman 774-7854 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Repair/Remodle 900 sq. ft. <br />BLDG, <br />PROPOSED USE OF BUILDING <br />1 C <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />OT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR R LAW 18.27 R D 296.200 WAC. <br />SIGN RE OF CO RACTOR OR ORIZED A T DATE <br />/ <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LDT 18-19-2QL-,Il 31$ (,�Lur�' Dig c.E ACIDORK <br />PROJEQ(!TPpTAJQpES$ <br />JYVJ 16th .ST., Everett, WA. <br />98201 <br />AP ICANTS CITY BUSINESS LICENSE NO. AND BUSINESS NAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />_ <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) v(,l( <br />A/ A/HNDLG UNITS—H.P. <br />i <br />BATHTUB N eta <br />FOR FAIR SYSTEMS—B.T.U. M E.A. <br />' <br />1 <br />LAVATORY (WASH BASIN) <br />f I— <br />UNIT H TERS—B.T.U. M <br />1 <br />SHOWER <br />' <br />CLOTHES YERS <br />KITCHEN SINK & DISP <br />; <br />VENTILATION N <br />I ' <br />DISHWASHER <br />I <br />RANGE HOOD / <br />LAUNDRY TRAY <br />; <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHI EY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />' <br />HEATPUMP / <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />; <br />ROOF DRAINS—RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />' <br />I <br />I <br />1 <br />I <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT $ <br />/o <br />PERMIT $ <br />; <br />_ <br />TOTAL FEE $ <br />h <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETS K <br />REAR SETBACK <br />FDA <br />SIDE SETBA K <br />PLAN CHECK NUMBER <br />y/ ?79/6 <br />FEE <br />74.0 S' <br />RECEIPT NO. <br />S- G f6 <br />USE ZONE 1 <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />��00 <br />// 7 ;Oo <br />TYPE OF CDNTS. ALLOWABLE <br />V — N <br />TYPE OF CONSi. ACTUAL <br />✓ -A/ <br />aavNxv rroagttLUNGUNITS <br />an -- <br />PLUMBING <br />F <br />SIZE OBLDG. <br />1780 Sq.�• <br />NO. STORIES <br />I <br />B <br />ES <br />MECHANICAL <br />i <br />ADDITIONAL PLAN CHECK <br />I <br />OCCUPANCYLOAD FIRE SPRINKLERS REGO HEIGHT LIMITATION <br />16 ND <br />REASON FOR SPRINKLERS <br />OTHER <br />' ' <br />STATE BUILDI NG SURCHARGE <br />i <br />INTAKE BY <br />PLANS PPROVED BY <br />!1 <br />�h <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />' <br />TOTA <br />