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,4kY. APPLICATIV4 FOR CONSTRUCTION PERMIT _ <br /> 9 8/4�rf TO BE COMPLETED IN BLACK INK—PLEASE PRIN 1 err <br /> BUILDING DEPARTMENT HEATING SYSTEM: I GAS P ELECTRIC <br /> 259.8810 T /r. r/,(i5 <br /> ❑ DEMOLITION ❑ COMBINATION BUILDING ❑MECHANICAL ❑ PLUMBING CI SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> X Metco Homes, Inc. 18913 Bothell Everett Hwy. Bothell, WA 98012 Phone 481 -0665 <br /> TENANT yy MAIL AOOL4EESSS ). CITY <br /> ZIP PHONE <br /> AA <br /> T,MR /A�J ZIP PHONE �. <br /> GENERAL CONTPAC MAL ADDRESS CITY N PHONE STATE LICENSE <br /> Metco Hcmes Inc 18913 Bothell Everett Hwy. Bothell , WA 98012 Phone 481 -0665 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEP L/ <br /> �I�'f[ 47 ,��IJi1� 7 <br /> PLUMBING CONTRAr TOR MALL ADDRESS CITY ZIP PHONE STATE LICENSE ' <br /> CONTRAC�P OI:WORN/^ O 7476 ' — <br /> DESCRIBE WORK AIA SOUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE ^ <br /> /J �•- , c l 7-q �!� • GES' <br /> L �I\G��IJP� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED IE OF BUILD IG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> .� -;j tZ�rd �P PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI%E <br /> LOT BLOCK OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO14S OF ANY <br /> �( Merrill Creek - Phase 2 West OTHER STATE OR LOCAL LAW LA <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMP-Y WITH THE STATE <br /> PARCEL TAX I.D.NUMBER CONTRACTORS LAW 18.27 RC W AND 296.200 WAC. <br /> 09NLOAN LENDER,ADDRCSS,TELEPHONE NUMBER <br /> 77 (OZ Lam'!•' l� _ /D_31 - 4¢ <br /> PROJE DD Ste, s T E DATE <br /> 14 <br /> J CM BUSNESS tCENM NO <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEIJ FEE NO. TYPE OF EQUIPMENT FEE <br /> Z WATER CLOSET(TOILET) AIC--AIHNDLG UNITS—H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) I UNIT HEATERS—B.T.U. M i <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK 6 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD F <br /> LAUNDRY TRAY WATER HEATER ' <br /> �j CLOTHES WASHER WOOD STOVE i <br /> URINAL METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN FIREPLACE INSERT i <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFI.OW PREVENTERS GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS ' EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) <br /> i <br /> I <br /> F <br /> T <br /> T <br /> SUB TOTAL $ SUB TOTAL $ ' <br /> PERMIT $ PERMIT S <br /> TOTALFEE $ TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PIANCHECKNUMBER ' <br /> /nry/ FIX RECEIPTNO. <br /> (W <br /> USEZONE LOT AREA VACANT SITE FEES I VALUATION FEE <br /> ❑ YES ❑ NO BUILDING ITUd,,70 ) <br /> TYPE OF CONST NO.OF STEARES uCNNNCY I III 010MLLNG IA•IS TI <br /> mi PLUMBING i <br /> SIZE OF BLDG FIRE SPRINKLERS READ MENT MECHANICAL Z �.T <br /> 39403 /vb O YES �NO +�'� <br /> OCCUPANCY LOAD FIRE ALARM RED'D HEKIRTLWITATgN ADDITIONAL PLAN CHECK F <br /> OTHER I — <br /> REASON <br /> /1CA'1II IRI(/Ii STATE BUILDING SURCHARGE ' <br /> f li L'50 <br /> INTAKE BY PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS ' <br /> IN LOCAL SALES <br /> DATE TAX TAX CODE IS 9105 TOTAL lZ�i <br /> T <br />