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APPLICATIC 1 FOR CONSTRUCT'IN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> 96ILDING DEPARTMENT HEATING SYSTEM: 7j] AS ❑ELECTRIC U _ <br /> - -- <br /> 259.8810 <br /> ! DEMOLITION 1 COMRINATION I)t BUILDING MECHANICAL ❑PLUMBING 11 SIGN <br /> OWNER MAK.ADDRESS CITY al PHONE ,,- <br /> VRNIRST KANANOTO IM 108 Ith SR RVRRRTT 98208_ / -�1 47 F <br /> TENANT MAIL ADDRESS CITY ZIP <br /> ARCHITECT OR DESIGNER MAIL ADDRESR CITY ZIP PHONE <br /> TNPRRSSTON ORRTRN 2418 CATFORNTA EVERETT 98201 252-9200 <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> afflM WAHL CONSTRUCTION 9502 19 th SR #B 98208 388-5643 WAHL C** 249 CP <br /> MWHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEE <br /> EVERGREEN STATE SHEET METAL 3411 HAYES EVERETT 252-3114 <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> D&D PLUMBING 12707 THREE LANES RD SNOHOMISH 56. 8-7823 <br /> CONTRACT PRICE OF WORK <br /> 283,/y0 - <br /> DESCRIEE WORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO <br /> NEN RESIDENCE JAMES WAHL 388-5643 <br /> 4356 SF.HODSE 966 SF.GARAGE I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVFRNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPER"(SHOWN BELOW OR ATTACH TWO COPIES, WORK WILL PE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> 37 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK a AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> POWf1ILLJIIMANDS OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> STRATON HILLS DIVISION 2 OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAXI D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC, <br /> CONSTRUCTION LOAN LENDER.ADDRESS.TELEPHONE NUMBER �Q J ee��.& <br /> PROJECT ADDRESS sgHAni DATE <br /> a�� s '� � sl.J ERT I 'F9914fM9ENO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 4 WATER CLOSET(TOILET) AC-NHNDLG UNITS-H.P. I <br /> BATHTUB ' ' FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) !y;. '' I UNIT HEATERS-B.T.U. M i <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> 1 DISHWASHER _ RANGEHOOD <br /> LAUNDRY TRAY WATER HEATER ' <br /> I CLOTHES WASHER _ I WOOD STOVE <br /> URINAL ' METAL FIREPLACE(WOOD BURNING, ' <br /> DRINKING FOUNTAIN , FIREPLACE INSERT i <br /> _ FLOOR DRAIN ' HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS-RAINLEADERS ' EXHAUST FAN / <br /> SINK(SERVICE-BAR.ETC.) ' <br /> I <br /> I I <br /> I , <br /> I , <br /> SUB TOTAL $ ; SUB TOTAL $ <br /> PERMIT $ , PERMIT $ <br /> TOTALFEE $ TOTAL FEE $ I) ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBAC REAR SETBACK SIDE SETBACK I PLAN CHECK NUMBER FEE I:'CEIPTtko <br /> z 10"At-AR 7 2 <br /> U <br /> oNE� LOT AREA 9� VACANT SITE FEES VA UATION FEE <br /> X _n1 VES Ft NO BUILDING 5S( I j39 Sr7 <br /> TYPE M CONST NO OF6TORIES Xlll>AW W DIDATIIIHDIAI,L I <br /> 2 PLUMBING <br /> SIjj��''��FF LDGCf_ FIRE S'PR'N LEflS REOD DASEMENT / MECHANICAL <br /> "*somas G r- YES NO I <br /> MCUPANCY LOAD FIRE ALA'�Ryy REOD HEIGHT LIMITATIOy ADDITIONAL PLAN CHECK <br /> PIA _ N� / OTHER <br /> o ' <br /> REASON -- <br /> STATE BUILDING SURCHARGE <br /> INTAKE BY PLANSAPP,WDBY CITY OF EVERETT PUBLIC WORKS IOD <br /> J LOCAL SALES <br /> DATE I Z�1IZV TAX CODE IS 3105 TOTAL /�p/ <br />