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4 APPLICAMM FOR CONSTRUCTPION PLIRMIT 9 <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRIN 1 �n <br /> BUILDING DEPARTMENT HEATING SYSTEM: XGAS O ELECTRIC ❑ <br /> 259.8810 T y} rlof5 <br /> ❑ DEMOLITION ❑ COMBINATION BUILDING ❑MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAL ADDRESS CITY ZIP PHONE <br /> X Metco Homes, Inc. 18913 Bothell Everett Hwy. Bothell, WA 98012 Phone 481 -0665 <br /> %NANT MAIL <br /> ADD'L'9/E�S-Sn. N CITY/ ZIP /J�PHONE <br /> ARIT�,CT OR <br /> /i�(.L•1/L�I�'1R /AI/.? 'l C/ ���^- / " C I�(.�(�.L� I IP _QIa�U,'HONE <br /> GENERAL CONTRAC MAIL ADDRESS CITY ZIP PHONE {{C STATE LICENSE I <br /> f( Metco Homes, Inc. 18913 Bothell Everett Ilwy. Bothell, WA 98012 Phone 481 -0665 <br /> MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSE <br /> efc oc ?`13A' 7 <br /> PLUMBING CONTRACTOR .ADDRESS CITY ZIP PHONE STATE LICENSE( <br /> CONTRACT,;E OF WORK U= 74.?4T 'Mal <br /> 1 'i l <br /> DESCRIBE WORK AND SWARF FOOTAGE INVOLVED T �•'E CONTACT PERSON AND PHONIENO{^ �• /l,[ 4/ 1���_�j 7� <br /> X�T) CL.14Q el , ' <br /> l/ c,l 7hen 1�'�' Gds <br /> e"o C'� ' I`a IJJ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED U�E DF BULDWO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> _) " ��/2 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF ' <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT BLOCK OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> X Merrill Creek - Phase 2 West 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 /> PARCEL TAX 1.0.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONST lJCT1ON LOAN LENDER,ADDRESS,TELEPHONE NUMBER <br /> 'ROJE DDRE JJ �YV <br /> i � iG �. Nau+e L� �' �� l• nA�— ,^ g�' <br /> CITY IU9WF99lK:ENSE NO <br /> PLUMBING MECHANICAL <br /> NO. (YPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) I A/C-A/HNDLG LINITS-H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) I UNIT HEATERS-B.T.U. M <br /> SHOWER ' CLOTHES DRYERS <br /> 2 KITCHEN SINK 8 DISP VENTILATION FAN ; <br /> 2 DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER <br /> �j CLOTHES WASHER WOOD STOVE <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN I FIREPLACE INSERT ; <br /> FLOOR DRAIN HEAT PUMP vI <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS-RAINLEADERS I EXHAUST FAN I <br /> SINK(SERVICE—BAR,ETC.) ' <br /> I <br /> I I <br /> SUB TOTAL $ SUBTOTAL $ ' <br /> PERMIT S PERMIT $ <br /> TOTAL FEE $ TOTAL FEE $ <br /> ------------- <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PUN CHECK NUMBER FEE RECEIPT NO. <br /> V,g <br /> USE ZONE LOTAREA VACANT SITE FEES VALUATION FEE <br /> ❑ YES ❑ NO BUILDING Q� <br /> TYPE OF CONST. NO.OF STORIES DcclwuKE MIM OMHME.'IS i <br /> ' c, Im i 2 PLUMBING <br /> SIZE OF BLDG. FIRE SPRINKLERS REDD BASEMENT MECHANICAL I <br /> AfV ❑ YES A NO — <br /> I <br /> OCCUPANCY LOAD FIRE ALARM <br /> �RED D HEIGHT LIMITATION ADDITIONAL PLAN HECK � <br /> C7 <br /> OTHER1 - <br /> REASON <br /> Chl�.'NA�1<L' STATE BUILDING SURCHARGE <br /> INTAKE BY PUNS APPROVED BYCITY OF EVERETT PUBLIC WORKS ' <br /> �H) LOCAL SALES <br /> DATE 9 TAX CODE IS 3105 TOTAL I— <br />