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APPLICATION FOR CONSTRUCTION PERMIT <br /> �* <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 80201 • 258.0010 <br /> ❑ DEMOLITION S W COMBINATION IR BUILDING kl MECHANICAL RI PLUMBING n SIGN <br /> PROJECT ADDRES ��• <br /> owNEn <br /> MAIL ADDIIESS CITY <br /> 71P r11ow '— <br /> RelTx.♦• Nano Tnn 17R71 R ! I <br /> IENAN— - �— <br /> MAILAIHplf.55 CITY 4 ��`��--"9 <br /> nr rnoNf���" <br /> AnCIBIECI On DESIGNER MAIL ADOnE99 <br /> CIIY ZIP r110NE <br /> GENEMLCONInACT011 MAIL ADpIE59 <br /> CITY ZIP r11pIE EWE LICENSE, <br /> Se1ec 11a1rAT, Tn�1701----1 Otb AVB. W. 9A- -Dl Ftiprra F! —P1�fl'�Y� <br /> MECHANICAL CONTRACTOR MAIL AaNIF.S9 -�iL.6/Sl�-9DR( RFfl`T 11 DlCN <br /> CITY ZIP PHONE STAIE LICENSER <br /> PLO;BSIGCONTnACIOn AML,-- S3 CIIY <br /> ZIP PIIOIE SIAT E LICENSE, <br /> CONIRACTPi R1— <br /> o HEATING SYSTEM: DIG GAS I7 ELECTRIC ❑ <br /> SCN E4 W`�O- yDA!ND SDUAnE FO01A0E IIVOtVEO r <br /> ONIA <br /> CmstnJCti90 of one Slnn1P fardl BaW PENSOIANn rIIONE HD <br /> y B O nre• may, Clark 0liG413-9006 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSES VSE aF BUILpNG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Sir�x le family dwQllina PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL BE9CIIIPTION OF 1910PENTVISIIGWTI BELOWOUTTACII TWO COPIESI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> Lot 50 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> BLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE On LOCAL LATING CONSTRUCTION OR THE <br /> Merrill Creek Gardens DiV. 1 PERFORMANCE OF CONSTRUCT ON.LTHAT II AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCEL AP IS MADE AND 1 COMPLY WITH THE STATE <br /> TAA I.O.IAMBER CONT,q ACTORS LAW 10.27 RCW AND 290.200 WAC. <br /> SelecL ones, Incy.Jo <br /> CONSTRUCTION LOAN LENIN.Al7p1ES9.TElErHONE(NVAIBER XHye ��=(,�'T <br /> ATE <br /> _ <br /> PLUMBING CITY BU91NE93lICEN9E No. <br /> MECHANICAL <br /> NO. I TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE On ITEM <br /> 3 WATER CLOSET(TOILET) I FEE <br /> BATHTUB A�—AAINDLG UNITS—H.P. I <br /> ' <br /> 3 LAVATORY((WASH ASIN) <br /> FORCED AIR SYSTEMS—B.T.U. M E.A. ~ <br /> B <br /> SHOWER ' HEAT PUMP I <br /> UNIT HEATERS—B.T.U. M I <br /> KITCHEN SINK 6 DISP i CLOTHES DRYERS <br /> DISHWASHER <br /> LAUNDRY TRAY _ VENTILATION FAN I <br /> I RANGE <br /> CLOTHES WASHER HOOD <br /> 1 WATER HEATER <br /> URINAL I <br /> ' WOOD STOVE , <br /> DRINKING FOUNTAIN 1 METAL FIREPLACE(WOOD BURNING) <br /> BACKFLOW PREVENTERS <br /> BOOR ORAIN ! FIREPLACE INSERT(WOOD BURNING) —i-- <br /> j OAS FIREPLACE I <br /> SINK(SERVICE—BAR,ETC.) <br /> OAS RANGE � <br /> ' Ye OAS PIPING I <br /> I 7- EXHAUST FAN <br /> 1 <br /> 1 <br /> 1 <br /> I 1 <br /> SUB DOTAL f ' 0118 TOTAL S ~— <br /> PERMIT f <br /> 70TAL FEE f —� PERMIT TOTAL FEE f f _� <br /> T <br /> FOR OFFICE USE ONLY: <br /> rRONT.SETBACK / DEAN SETBACK SIDE SETBACK / PLAN CHECK MIMBEN rEE _ n <br /> ECEIPt NO. <br /> usEzoNE 2 / LOT AREA 2 VACANT SITE FEES VALUATION FEE"YES n NO BUILDING <br /> IHEIGHTHMRAION / NOOrDWELLING SIZE OF BLIT 1 Z 73 C)�) du <br /> UNI21"0SF LI"W6 + PLUMOINO <br /> 4 � .7 <br /> 62 F R C e <br /> OO�ANCY NO.OFSt0RE9 OCCUPANT LOAD BASEMENT <br /> � MECHANICAL <br /> ImIm-1 Z OYES K110 ��� �� e <br /> FIRE nM EDD REASON ADDITIONAL PLAN CHECK <br /> FIRE SPRINKLER RECD REASON OTIIEn <br /> 1 (1 STATE BUILDING SURCHARGE <br /> TYPE CON91. PIANS APrn VEORY <br /> OF EVERETT runuc wGnKs <br /> CAL SALES <br /> DATE (p Z y5:EAXCODE IS3105 1701AL <br />