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APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •2598810 <br /> ❑ DEMOLITION fxl COMBINATION 151 BUILDING kl MECHANICAL kI PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> OWNER MAILADDRESS city ZIP PHONE <br /> Ralort Nnnoa Tnr 12811 M Ave W NA-2/11 Fl roF-♦• WA qR2 <br /> TENANT MAIL ADGRES9 T 04 206/513-9006 <br /> CITY ZIP PHONE <br /> ANCNTECTORDESKINER MAILADDRESS City ZIP PHONE <br /> OENERALCONTOACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE/ <br /> &elnr�t <br /> Haneg, _Tnr. 12211 Rf}, Ave- W #A-201 Everett, kM 9R2o. 4 206613-9006 RFtj 'PTllQKN <br /> MECHAMCAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE/ <br /> PLUMBINOCONTRACTOFT MAILADonE35 CITY ZIP PHONE STATE LICENSE/ <br /> CONTRACT PRICE OF WORK <br /> —AA11�^ HEATING SYSTEM: N GAS ❑ELECTRIC fl <br /> ai:RIBE WOR K AND BOUARE FOOTAGE INVdYED CONTACT PERSON AND PHONE NO <br /> Construction of one siDgle fandly esidence -Bandy Clark 206/513-9006 <br /> Beverly King 206/513-9006 <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS , <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Single family dwells PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW On A"ACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT 24l BLocK of AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Merrill Creek Gardens Div. 1 PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHI-H <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAX I.D.NUMBER CONTRACT ORS LAW 10.27 RCW AND 290,200 WAC. <br /> Select/ amen, Inc/.. <br /> CON97^tT7 L7 LENDER,ADDRESS.TELEPHONE RINSER XBY: f- r!�' ,� �� <br /> l' !h 1S CR7 SIGNATURE DATE <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR IFEM_ FEE <br /> 3 WATER CLOSET(TOILET) I A/C-AIHNDLG UNITS-H.P. I <br /> 1 BATHTUB FORCED AIR SYSTEMS–B.T.U. M E.A. <br /> 3 LAVATORY(WASH BASIN) I HEAT PUMP <br /> SHOWER ' UNIT HEATERS–B.T.U. M------------ <br /> ' <br /> KITCHEN SINK 8 DOSP i CLOTHES DRYERS <br /> DISHWASHER I VENTILATION FAN I <br /> LAUNDRY TRAY I RANGE HOOD ' <br /> CLOTHES WASHER I WATER HEATER 1 <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN I FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS i OAS FIREPLACE ' <br /> 1 <br /> SINK(SERVICE–BAR,ETC.) I OAS RANGE I <br /> ' I Yes OAS PIPING ' <br /> I EXHAUST FAN I <br /> I 1 <br /> I I <br /> SUB TOTAL E SUBTOTAL E �'— <br /> PERMIT S 1 PERMIT E T <br /> TOTALFEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK READ SETBACK SIDE SETBACK PUN CITE 1 !UMBER FEE RECEIPT NO. <br /> 4r LsY / � ' / .� �J <br /> USE ZONE LOT AREA VACANT BITE FEES VALUATION FEE <br /> wr a ND <br /> IIEIGHTUNNTNON0. D0/T1 <br /> I NO OF pWELLINO SIjjE OF OL <br /> ZU . <br /> BUILDING <br /> HNrts I LItU Sf LAOIVUJb <br /> SF ;4w t PLUMBINU 7/7 <br /> UPANCY NO OFSIDGIE7 OCCUPANT LOAD BASEMENT Wig <br /> MECHANICAL-� Z ,q BASEMENT <br /> FIREAURMReoo REASON ADIKTIONALPLANCHECK <br /> OTHER <br /> FIRE SPRINKLER REGD REASON <br /> STATE BUILDING SURCHARGE L J <br /> TYPE OF CONST. PLANSAPP7AO D@1111Y CITY OF EVERETT PUBLIC WORKS L[/ <br /> y� LOCAL SALES <br /> ll '^/ Do TAX CODE IS 3105 ITOTAL j <br />