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*9*7;`. APPLICATION FOR CONSTRUCTION PERMIT <br /> f BIf'f TO BE CuMPLETED IN BLACK INK—PLEASE PRIIv 1 <br /> BUILDING DEPARTMENT HEATING SYSTEM: tGAS 0 ELECTRIC ❑ —� <br /> 259.8810 T /f. F a 5 <br /> ❑ DEMOLITION ❑ COMBINATION BUILDING ❑MECHANICAL ❑PLUMBING (.1 SIGN <br /> OWNER MAL ADDRESS CRY ZIP PHONE <br /> A Metco Homes, Inc. 18913 Bothell Everett Hwy. Bothell, WA 98012 Phone 481 -0665 <br /> TENANT MAIL ADLRESS CITY ZIP PHONE <br /> AMT TOR DESIGNER MAL RESS CI ZIP PHONE <br /> i so t��c //,Zacti� L� .S 7th <br /> GENERAL CONTRAC MAIL ADDRESS ✓CITY l ZIP P14ONE STATE LICENSE) <br /> Metco Homes, Inc. 18913 BF • '•gll Everett Hwv Bothell , WA 98012 Phone 481-0665 <br /> MECHANICALCONTRACTORMAIL ADDRESS CITY ZIP PHONE STATE LICENSE IT <br /> 19'Pfcac ;?Y3A 7 <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE SI ATE LICENSE) ' <br /> CONTRAC f` E OF WORN O a(go vi 74-?4`0 � L <br /> DESCRIBE WORK AND SOIIARE FOOTA EINVOLVED aw[a CONTACT PERSON AND PHONE d `/ _ � <br /> En a- �r C 1 z/1-/I elvv <br /> 70GES <br /> /,C)e)o e� "/`(7.117(9 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED 1L/BE OF BU0.0 p APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �p 5/ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOWOR ATTACH TWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT- BLOCK OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �( Merri 11 Creek - Phase 2 Wf s t 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 TM 10.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONST yCTION LOAN LENDER,ADDRESS,TELEPHONE NUMBER J <br /> � c L <br /> PROJ CT DD ES S MIME DATE <br /> /2 A V CITYEIISNEFBIKIMEIED <br /> PLUMBING MEC.IANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATER CLOSET(TOILET) A/C—AIHNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY WASHBASIN) . UNIT HEATERS—B.T.U. M i <br /> SHOWER ' CLOTHES nRYERS ! <br /> KITCHEN SINK 8 DISP i VENTILATION FAN i <br /> DISHWASHER ' RANGE HOOD ' <br /> 7� IAUNF,iiY TRAY WATER HEATER ' <br /> CLOTHES WASHER __ I WOOD STOVE I <br /> URINAL METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN I FIREPLACE INSERT i <br /> FLOOR DRAIN <br /> HEAT PUMP ' <br /> BACKFLOW PREVENTERS I GAS PIPING <br /> ROOF DRAINS—RAINLEADERS ' EXHAUST FAN ' <br /> SINK(SERVICE—BAR.ETC.) <br /> I <br /> I ' <br /> - I • <br /> SUB TOTAL $ SUB TOTAL $ ' <br /> PERMIT $ PERMIT $ <br /> TOTAL FEE $ 1 1JTAL FEE S ' <br /> FOR OFFICE USE ONLY: _ <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER TEE RECEIPT NO. <br /> L- <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> O YES O NO BUILDING �74 PZeW l <br /> TYPE DF CONS). NO.OF STORIES OCpIM.It' MNDMIIP.EaHE <br /> •TZ7 I 2 a SA /L PLUMBING <br /> SIZE OF BLDG. FIRE SPRINKLERS REO D BASEMENT ' <br /> 3g55' NU MECHANICAL <br /> 1 JJ ❑ YES l�NO <br /> OCCUPANCY LOAD FIRE ALARM REO'D IIEK1HT lIMITATKk! ADDITIONAL PIAN CHECK <br /> �� OTHER <br /> REASON <br /> iwvSTATE BUILDING SURCHARGE <br /> VRL� . <br /> INTAKE BY PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS <br /> �jN LOCAL SALES --� <br /> DATE 2. 9l> TAX CODE IS 3105 TOTAL 2� <br />