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APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 90201 •259-8810 <br /> ❑ DEMOLITION Ixl COMBINATION lit BUILDING kI MECHANICAL kl PLUMBING 11 SIGN <br /> PROJECT ADDRESS /D 0 y s9 1 <br /> Pl, s . W. <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> SP1 Ey} IJP_ T�f§- l 8 Tl �LV 1� �IA-201 1''V YP"• <br /> TENANT MAILAOrK1E55 CITY �/ 71 48204 2016/513-90171A <br /> ARCHITECT l7 T5ESKINER MAILNXKIESS CITY ZIP PHONE <br /> GENEtALCONIRACTOR MAILADDHES9 CITY 711, pf"M BIAIE LICENSEE <br /> MEel Ha1IPa, Tn 1 R71 I,tk -_ W_ pp-201 1-FV tf }lm 98204 2O(�Sl i q(106 sm - T11f1KN <br /> MECHANICAL CONTRACTdi MAIL ADDRESS Clry P PHONE SIAIr.LICENSE <br /> PLUMBINGCONMACTM MAIL ADDRESS CITY ZIP PHONE STATE LICENSEE <br /> CONTRACT PNCE 01'WORK <br /> 40b000100 HEATING SYSTEM: pd GAS 17 ELECTRIC n <br /> SCRI E WOnKAND SOMME rOOTAOE motvrO CONTACT PFRSON AND PIIME NO <br /> Construction-Qf- gile single fmily residence -Midy Clark 206/513-2006 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE oP BUILdNa APPLICATION AND KNOW THE SAME-)BE TRUE AND CORRECT.ALL <br /> Sin le <br /> family dwelli� PROVISIONS OF LAWS AND ORDINAN(tS GOVERNING THIS TYPE OF <br /> LEGAL OESCRIPnONOF P110PERry ISHOWNSELOWOR ATTACIITWOCOPIESI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT 3$ BLOCK or 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 WHICH <br /> APPLICATION/ IS MADE AND I COMPLY WITH THE STATE <br /> PATICEL TAX H.O.NUMBER CONTRACTORS LAW 18.27 RCW AND 288.200 WAC. <br /> Select AKTmss, ]Inc. <br /> CONSTRIICn)NLOANLENDER.ADd1E5S.TELEPHONENUI'BER XBYI ` ' ` •7 Sr--S-_ 9� <br /> N.A , - I I d trs U 5 SIONAIURE DATE. <br /> • r,ITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. FYPE OF FIXTURE OR ITEM FEE 60. TYPE OF FIXTURE OR ITEM FEE <br /> 3 WATER CLOSET(TOILET) ArC-AIHNDLG UNITS-H.P. T- <br /> BATHTUB ' _ FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> 3 LAVATORY(WASH BASIN) I HEAT PUMP <br /> SHOWER UNITHEA7ERS—B.T.U. M <br /> 1 KITCHEN SINK B OISP i CLOTHES DRYERS <br /> DISHWASHER N VENTILATION FAN —�— <br /> LAUNDRY TRAY I RANGE HOOD —`- <br /> CLOTPES WASHER , WATER HEATER i <br /> URINAL ' WOOD STOVE , <br /> DRINKING FOUNTAIN , METAL FIREPLACE(WOOD BURNING) 1 <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) —�— <br /> BACKFLOW PREVENTERS ' <br /> OAS FIREPLACE GAS I <br /> SINK(SERVICE-BAR,ETC.) , GAS RANGE , <br /> ' OAC PIPING <br /> , <br /> EXHAUST FAN �— <br /> , <br /> , <br /> I � <br /> I � <br /> SUBTOTAL $ ' SUBTOTAL E <br /> PERMIT E , PERMIT E , <br /> TOTAL FEE f ' TOTAL FEE E <br /> FOR OFFICE USE ONLY: <br /> rHONTSETBACK REARSETBACK SIDE SEJBACK PLANCHEC NVMBER fE�E2 _ RECEIPT NO. <br /> /J <br /> USEZONE '7 LOIARE VACANT SITE FEES VALUATION <br /> /�FEE�L <br /> rl4Es IT No BUILDING Z 973 U <br /> HEIGHT LIMIIAT1011 NO MDWELLING SREOr ILII. <br /> UNITS ' YIYD Sr LIV H./4 } <br /> lftil Sr RAGE PWMNNO <br /> OCCUPANCY I NO 10 5101115 OCCUPANT LOAD BASEMENT -f� <br /> OBOLIP MECHANICAL <br /> R•3 Z N/A nrrs IvIra <br /> FIRE ALARM RED REA504 ADDITIONAL PLAN CHECK <br /> OTHER Ai <br /> FIRE SPRINKLER HE00 REASON <br /> STATE BUILDING SURCHARGE <br /> TYPE OF CONST PLANSAPP OVEDBY CITY OF EVERETT PUBLMWOMS •1-� ;. .-� <br /> �y �JIa LOCAL SALES <br /> �L"f DATE S 79S TAX CODE IS 3105 TOTAL ( � - <br />