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AL h t5i4- Ll[ t3�1 s/ c <br /> APPLICATION FOR CONSTRUCTION F%MIVIIT <br /> CITY OF EVERETT I BUILDING DIVISION <br /> 3200 CLDAR STREET I EVERETT, WA 98201 , 259-0810 <br /> O DEMOLITION rxl COMBINATION lit BUILDING RI MECHANICAL RI PLUMBING <br /> F) SIGN <br /> PROJECT ADDRESS _ �{ <br /> /;_ 1 -7 P1, <br /> OWNED MAIL AnGnFSS CITY ZIP <br /> rNGNE <br /> RFalant- Nrmoa rn 1�p11 th Ate W !IA-201_ LUerett A T <br /> iENAN! MAILAIKgE599CITY A� d.�2Q6/513-9 <br /> zlr PHONE 9006 <br /> A TICIBIECTOr10EBgNEO MAILAUINIES9 CITY z,r _ <br /> r11ONF <br /> OENEIUL CONTMCIp1 MAILADDFTESS CITY (Ir MONS STATE LICENSE <br /> f.'Ct HaITIPa TI 2811 Rth Ai L•' SA U FvPrp L•I��IA 997D, 4 2D6/I;l i-9D06 RF:fFf`r'Tllnunt <br /> MECIIANICALCONIFIACtOn AIAILAUOnESS <br /> CITY ZIP PI TONE STATE LICENSE/ <br /> PLUMBKq CONIDACipI MAILADDDESS CIrY zip PIKBIE STAVE MEUSEI <br /> CONTRACT PRICE Or WONT( <br /> � <br /> An-noo,on HEATING SYSTEM: H GAS 11 ELECTRIC 17 <br /> BCR EWOnRANDSOUARE FOOTAGE INVOLVED CONTACTPEnSONANDPIMENO <br /> �Cons f y Clark 206/513_9006 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS I <br /> PROPOSED USE CF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRFCT ALL <br /> Si le famil dwells PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DE9CRIPI117N OF PROI'ERIY(SIgWN BELOW 011 AT/ACII1W0 C01'IES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE <br /> Lor 1 BLOCK Or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTING CONSTRUCTION OR THE <br /> Merrill Creek Carden5 Div. 1 PERFORMANCE OF CONSTRUCTION.THAT 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 TO.NUMBER CONTRACTOnS LAW 18.27 RCW AND 288.200 WAC. <br /> S ! ec amee, In . <br /> CONSTRUCTION LOAN LENDEnA.ADMIES9/.lEl€ATO/NE NU/MBEs XBy, AZ., �f',73 ,t, <br /> IVO,,.P ` 6L4/ IcCP/f Ca Z SIGNAIunE / <br /> DATE <br /> CITY 011INESS LICENSE NO. <br /> PLUMBING MEN <br /> NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FTYPE OF FIXTURE OR ITEM FEE <br /> 3 WATER CLOSET(TOILET) A/C—AMNDLO UNITE—N.P.Z BATHTUB __ FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 3. LAVATORY(WASH BASIN) HEAT PUMP6HOWERUNIT HEATERSB.T.U. MKITCHEN SINK 8 DISPCLOTHES DRYERS <br /> DISHWASHER AN <br /> VENTILATION F —'— <br /> LAUNDRYTRAY ' RANGE I100D —i <br /> CLOTHES WASHER ' <br /> 1 T WATER HEATER —�— <br /> URINAL ' WOOD STOVE 1 <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) �— <br /> FLOOR DRAIN 1 FIREPLACE INSERT(WOOD BURNING) i— <br /> BACKFLOW PREVENTERS " OAS FIREPLACE 1 <br /> SINK(SERVICE—BAR,ETC.) 1 OAS nANOE <br /> Yen OAS PIPING <br /> I EXHAUST FAN �— <br /> 1 <br /> 1 <br /> T � <br /> 1 �T� <br /> 1 <br /> SUBTOTAL S ' SUB TOTAL S ' <br /> PERMIT $ 1 PERMIT S — <br /> TOTAL FEE $ i TOTAL FEE S — <br /> FOR OFFICE USE ONLY: <br /> Ft10NT SETBACK �/ GEARSEIBACK SIDE SETBACK+ PUN CIIECK NUMBED TEE nECEIPT NO. <br /> USE ZONE _3 / LOT MF.A VACANTFEES VALUATION FEE <br /> OYFS F.B a NO BUILDING q <br /> /IEgIIT LIMIA / II8 DWELLING 61zE Or BLOLVII, - <br /> 22 L14J SF LI�,ti4 •r Mumma <br /> L,z 5, . c>.R.Ac.E77 <br /> OCCUPANCY Iq a91dIF9 OCCUPANT LOAD BASEMENT <br /> GROUP MECHANICAL <br /> OYES W410 <br /> FIRE ALAnM nE00 TTEASON ADDITIONAL TITAN CITECK <br /> OTIIER <br /> FIRE SPAINKLEn nEOD nEA90N <br /> BOATS BUILDING SURCIMIIGE <br /> TYPE GFCONST. runsArrnovEDaY CITYOFEVERETT 1PLIFILICINOVIRS <br /> {y _Ib LOCAL SALES - <br /> -L '/`) DATE TAX CODE IS 3105 TOTAL <br />