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APPLICATION FOR CONSTRUCT01"'I PERMIT <br /> B�a9 f TO BE CL.MPLETED IN BLACK INK—PLEASE PRIM I <br /> HEATING SYSTEM: / GAS ELECTRIC Ll <br /> DEPARTMENT - <br /> 259-8810 T 'f' r145 <br /> ❑ DEMOLITION CI COMBINATION A BUILDING ❑MECHANICAL ❑ PLUMBING LI SIGN <br /> OWNER MAIL ADDRESS CITY 71P TH:.NF <br /> ,� Metco Homes, Inc. 18913 Bothell Everett Ilwy. Bothell, WA 98012 Phone 981 -0665 <br /> TENANT MAIL ADL HESS CITY ZIP PHONE <br /> Ah Bi CT OR DESIGNER MAIL DDRESS <br /> :�r.G/1.(G'.• 7 (�PI1NE <br /> � <br /> S � S <br /> . 02 � 1"�C ��i�YG'rCczip .i �'�/'��. <br /> GENERALCONTRACI bilMAIL ADDRESS CITY I ZIP PHONE FTATE LICENSEE <br /> �(_ tco Holes. Inc. 18913 Both981 -0665 <br /> MECHANICAL CONTRA'TOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE) <br /> _ lVe/c a<_ .2E/36 7 <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP P ZONE STATE LICENSEE <br /> CONTRACT Qp,1'LE OF WORKIbi, u 74?/ �'J 4 Ij�I <br /> DESCRIBE WORK AND SOOARE FOOTAGE INVOLVED FQ. � ( CONTACT PERSON AND PHONE N lt <br /> it <br /> J� , <br /> )6)(PI 1 'r(Z //I()d) - I HEREBY CERTIFY' TF'AT I HAVE READ AND EXAMINED THIJ <br /> PROPOSED UyE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> J : ? -1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPENTY)SHOWN 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 GIVE <br /> LOT BLOCK OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> 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 PEP'7ORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I .;OMPLY WITH THE STATE <br /> PARCEL TAX I D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> COIN I CTIONLOAN LENDER.ADDRESS.TELEPHONE NUMBER \ !�! . ---- - <br /> —/\�.-L c C�. L L <br /> PROJECT OD ES <br /> 3 �7�>7v-� V LITY B115Wf551ICEN5E EH1 — <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-A(HNDLG UNITS-H.R <br /> LL BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A — <br /> (�� LAVATORY(WASH BAS'N) - UNIT HEATERS-B.T.U. M <br /> SHOWER CLOTHES DRYERS --� <br /> KITCHEN SINK&DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD �- <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE —y--�-_ <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> —� — <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.) <br /> SUB TOTAL $ SUB TOTAL $ <br /> PERMIT S PERMIT $ <br /> TOTAL FEE $ TOTAL FEE S T- <br /> FOR OFFICE USE ONLY: <br /> TRONTSETBACA REAR SEILACK SIDE SETDA'K PLAIN LRELK HUMBER TC[ HECEIPT NO <br /> UBE 2alE LOT AREA VACANT SHE FEES VALUATION FEE <br /> � <br /> ❑ YES ❑ NO BUILDING <br /> TYPE of CONSL NO.OF STONES occu..., eo a wumNtuN`s / I <br /> 1T1 I s9 °I 2 PLUMBING (/ <br /> SIZE OF BLDG FIRE SPRINKLERS REO'0 BASEMELT MECHANICAL /z( _ <br /> _ 3 <br /> q92- Am El YES .P_4 NO <br /> OCCUPANCY LUAU FIRE AURyrM��REVD HEIGHT LIMITATION ADDITIONAL PLAN CHECK <br /> �D•� OTHER <br /> REASON <br /> MI k L�eFwC1 STATE BUILDING SURCHARGE I <br /> INTAKE BY PUNS APPROVE DY CITY OF EVERETT PUBUCWDRKS ; <br /> im LOCAL SALES --� <br /> RATE 2 ��� TAAGOOE IS 3105 1OTaL ;� ) <br />