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APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259.8010 <br /> (1 DEMOLITION FXl COMBINATION IR BUILDING ki MECHANICAL kI PLUMBING Il SIGN <br /> PROJECT ADDRESS <br /> /c/o SB-' pl. S.W . GLferr y <br /> OWNER MAIL ADDRESS Cliv <br /> ZIP PIIONE <br /> TENANT `1' 77t+ro¢ rn T X81 7 9 M AVP W kA 201 EyerPrF <br /> TENANT MAILAfMX1E55 CITY Il6_ <br /> nr rIIGNE <br /> AflCrnr¢cr OR DESGNEn MAIL A0011ESS cnr <br /> rrr rNONE <br /> nENERAL JONiMCTOTI MAIL ADDIIESS CITY <br /> ZIP PIGNF. STATE LICENSEI <br /> e .L'C-! 1irnle¢, Tnr 1 Rll Al-h AV W 6A- Ol Eyeta h WA 2R nd 9 <br /> MECIUML .COMMCTOTI MAILADDnES$ CITY A21 6517 9006 SFTFl InKN <br /> Plf WE SIAtE LICEN6E• <br /> PLUMBIN000N111,1., MAILADDnESS CITY ZIP <br /> MGfR: STATE LICENSE F <br /> CONTnACI PNCE Or WORK <br /> ago HEATING SYSTEM: N OAS n ELECTRIC fl <br /> SCR E WOAM SOUAITE FOOTAGE INVOLVER CONTACT rFnSON n,lO rIK1NE NO <br /> 990 isimlp-�=idgnce _RdWY Clark 206/513-2006 <br /> Beverly King 201,/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEOUSE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Single family duAellin2 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPIKUN OPPROPERTY aSIGWN BELOW M ATTACH RVCOPIES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> BLOCKor— AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW THE <br /> Merrill Creek Gardens Div. 1 PERFORMANCE OF CONSTRUCTION.REGULATING C II 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 TAX I.D.NUMBER CONT ACTORS LAV!18.27 RCW AND 298.200 WAC. <br /> Selec lomeB, Inc. <br /> CONBTRLK:RONLOAN LENDER.ADDRESS,hi EPIIONE NUMBER,,, < iJ/�r� <br /> IVOVIP X C - v 5 -22-SS <br /> — 61GNAtU1TE DALE <br /> _ <br /> City BUSINESS LICENSE No. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> 3 WATER CLOSET(TOILET) 11AIC—AMNDLO UNITS—H.P. <br /> 1 BATHTUB ' FORCED AIR SYSTEMS —B.T.U. M E.A. <br /> 3 LAVATORY(WASH BASIN) , NEAT PUMP <br /> 1 SHOWER <br /> ' UNIT HEATERS—B.T.U. M , <br /> 1 KITCHEN SINK 8 DISP i CLOTHES DRYERS <br /> TF DISHWASHER ' <br /> I VENTILATION FAN , <br /> LAUNDRY TRAY I RANGE HOOD , <br /> CLOTHES WASHER ' <br /> IA ATER HEATER <br /> URINAL ' 'GOD STOVE , <br /> DRINKING FOUNTAIN , N--TAL FIREPLACE(WOOD BURNING) , <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) T <br /> BACKFLOW PREVENTERS ) i GAS FIREPLACE I <br /> SINK(SERVICE—BAR, ETC.) ' <br /> ' GAS RANGE , <br /> ' Yes "GAS PIPING , <br /> EXHAUST FAN , <br /> , <br /> , <br /> , <br /> , <br /> SUB TOTAL S ' SUB TOTAL $ ' -- <br /> PERMIT $ , PERMIT $ I <br /> TOTAL FEE S 1 TOTALFEE $ I <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REM SET SIDE N BIDE 6E70A1;K PLANCNE BER. FEE RECEIPT NO <br /> iS 3"'r.L 6• d to' ienu '177//(p/✓'QQ✓/ �r� X12, <br /> USE ZONE D LO/An A VACANT SITE FEES VALUATION FEE <br /> pxll n No BUILDING 7 �� <br /> f1EG11TtIMIM�TIOqN� NO T9 DWELLING SIZE OF BL I <br /> Z5 QI`Hlo Sf L,v,(�G }' PLUMBING <br /> GA/ A4C771 <br /> GROUP ANCY NO MSIOGES OCCUPANT LOAD BASEMENT MECNANPCAL <br /> 2 A nYF.B n.40 <br /> FIREAIMMREOD REASUN ADDITIONAL PLAN CI,ECK <br /> FIRE SPRINIILER omEn REDO REASON <br /> STATE BUILDING SURCHARGE <br /> TYPE OF CONST PUNS APrnoG eY CITY OF EVERETT PUBLIC WORKS <br /> �J 1,4 LOCAL SALES <br /> DATE 5 2S 9g TAX CODE IS3105 TOTAL -- <br />