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APPLICATIC- 1 FOR CONSTRUCTInN PERMIT y <br /> 9 J9�4yf TO BE COMPLETED IN BLACK INK—PL EASE PRIN I <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS � ELECTRIC ❑ ______� <br /> 259-8810 <br /> 71 DEMOLITION Ll COMBINATION BUILDING ❑ MECHANICAL EIPLUMBING 1.7 SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> ,� Metco Homes, Inc. 18913 Bothell Everett Fiwy. Bothell, WA 98012 Phone 481 -0665 <br /> TENANT MMAJL AD[DESSn. CITY ZIP PHONE // <br /> DGSS <br /> A7 DESIGNER <br /> /AL/ R�C` �CC.(�. I//(vt <br /> LIQ/C C.L f �7 71PICLU,NONE " <br /> GENERAL CONTRAC MAIL ADDRESS CITY I" ZIP PHONE STATE LICENSE IF <br /> u Metco homes, Inc. 18913 Bothell Everett Hwv, Bothell , WA 98012 Phone 481 -0665 <br /> MECHANICAL CONTRACTOR N... .ADDRESS CITY ZIP PHONE STATELICENSE# <br /> /Yelc oe_ _x"61, 7 <br /> PLUMOINGCONiRACTOR MAIL ADDRESS CITY ZIP PHONE STATELIC NSE) I <br /> CONTRACT�/BICE OF WOR1 <br /> _f_�%(�L(, yn OCA() 74�1a5' l� <br /> yDESCTRIBBEyE <br /> WORK AND SQUARE FOOTA INVOLVED CONTACT PERSON AND PHONE N.,, /`/ .?L <br /> 12 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED UBEOF"82wG/2/.(--�- p AMPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> }/ r�irl' PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN DELOWOR 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 /> 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 .TATE <br /> PARCEL TAX I D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTIR CTION LOAN LENDER,ADDRESS,TELEPHONE NUMBER L // / <br /> PROJ U <br /> DRE 1� /�Ar s HAr DE <br /> / /I\))' CITY SUSMESS LKENSC HJ <br /> I\ PLUM G MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C–A/HNDLG UNITS–H.P. <br /> BATHTUB FORCED AIR SYSTEMS–B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEAFERS–B.TU. M <br /> SHOWER CLOTHES DRYERS �- <br /> 2 KITCHEN SINK 8 DISP VENTILATION FAN _ <br /> 'L DISHWASHER _ RANCE HOOD �– <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER WOOD STOVE _ <br /> URINALMETAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> _ ROOF DRAINS–RAINLEADERS EXHAUST FAN _ <br /> SINK(SERVICE–BAR,ETC.) <br /> - - T <br /> SUB TOTAL $ SUB TOTAL $ _ <br /> PERMIT $ PERMIT $ _ <br /> TOTAL FEE $ TOTAL FEE .$ <br /> FOR OFFICE USE ONLY: _ <br /> FRONT SETBACK REARSETOACK SIDE SETBACK PIAN CHECK NUMBER IEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑ YES ❑ NO BUILDING .70 — <br /> IYPEOFCBNST NO.OF STORIES mc..NCV WUNIUNG015 <br /> " ° PLUM31NG <br /> V 2 32 �I _ <br /> SIZE OF BLDG FIRE SPRINKLERS REO'D EASEMENT MECIIA141CAL <br /> J J�fO ❑ YES XNO <br /> OCCUPANC/LOAD F:REA RMHBOD HEIGHT LIMITATION ADDITIONAL PLAN CHECK <br /> ���" <br /> OTHER G <br /> REASON <br /> wvm)7�ry^IM ��r <br /> I.�i STATE BUILDING SURCHARGE l(' <br /> INTAKE BY PLANS APPROVED By CITY OF EVERETT PUBLIC WORKS ' <br /> JIJI LOCAL SALES T <br /> TAX CODE IS 3105 TOTAL <br />