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/MA PLC 1lf '/T' u -7 <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 90201 • 259-1810 <br /> 11 DEMOLITION fxl COMOINATION IR BUILDING kl MECHANICAL RI PLUMBING F1 SIGN <br /> PROJECTADDRESS <br /> /.2 0 L '1 <br /> OWNER • MAIL AUUTE55 CITY <br /> IP PIIONF. <br /> RENT Nnrranr7n.!-12RI1 LI -Zwe_IV AA-2Q1 erCt�,.I 4)j�98204 L, <br /> 1ENANt MAILATKKPS9 ZIP .W 51 -y006 <br /> SIIY rIroNF. <br /> AIICIBIECt OHDE9IGNER MAIL Ati-ME59 CITY <br /> IIr P11ONF <br /> OENEIUL CONIRACIOII MMI.AOIXIESS CIIv <br /> IP r11011E STATE LICENSE F <br /> SP1eO HamaA Tn 1 Rll Rf-h A. L B <br /> MECIIAMCALCONIMCton MAILAUIIRE55 A-901 erBtt,--V 0204 706/513-gpOg Gf!r Tllnhl� <br /> CITY IIr MIONE s LK:ENSE F <br /> PIUMBBIO CONIRACTOII MAIL Abp1E5S CITY <br /> IIP PIIOIIE SIAfE LICENSE F <br /> CONTRACT PRICE OF WORK <br /> HEATING SYSTEM: N GAS f7 ELECTRIC F.1 <br /> 'BCR E4.Wao ITKOANO SCIUARE FOOTAGE MLV <br /> YOEr, '-- -- <br /> ConBtructiOn O rm a1 CONTACT PEnSONANR rIgNENO <br /> � lY reside _Bandy Clark -206/513-9006 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Plrotg9E0 USE Or BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Sin91e family dwelling PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> iEGALOE raNOFrnoTfily srowNBELowonAtteclnwoca ESI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> Lor <br /> 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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Merrill Creek Gardena Div. I PERFORMANCE OF CONST RUCTION,THAT 1 AM AUT14ORI ED 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 TAK I.D NUMBER CONTRACTORS LAW 18.27 nCW AND 298.200 C. <br /> Select lanes, �I�njc.J�+_ <br /> CONSTMICRON LOAN LENDER.ADDRESS.IELEPNONE NUMBER L= � II�L(t-. (�/23/5S <br /> SIONAIUIIE <br /> DALE <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE T FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) 1 NC-AMNOLO UNITS-H.P. I <br /> 1 BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) 1 <br /> SHOWER HEAT PUMP <br /> ' <br /> ' UNIT HEATERS-B.T.U. M �~ <br /> KITCHEN SINK 8 DISP 1 CLOTHES DRYERS �— <br /> DISHWASHER --i— - VENTILATION FAN �— <br /> LAUNDRYTRAY 1 <br /> 1 nANGEHOOD 1 <br /> CLOTHES WASHER -�—T WATER HEATER , <br /> URINAL ' WOOD STOVE i <br /> DRINKING FOUNTAIN 1 METAL nnEPLACE(WOOD BURNING) , <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING)BACKFLOW PnEVENTERS ' / OAS FInEPLACE 1 <br /> SINK(SERVICE-BAq,ETC.) 1 OAS RANGE , <br /> GAS PIPING i <br /> 1EXHAUST FAN , <br /> 1 <br /> 1 <br /> 1 1 <br /> _ _ <br /> SUBTOTAL S ' SUBTOTAL S ' <br /> PERMIT S 1 PERMIT f �— <br /> i07ALFEE f ' TOTAL FEE f �— <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR FETBACK SIDE SETBACK PIAN CHECK NUMBER FEE RECEIPT NO. <br /> A, <br /> USE TONE LOT AREA D VACANT VIE FEES VALUATION FEE <br /> /e`3L OYES T1 NO BInLDNG -7 �Zz <br /> IIEro11f LIMIrA1 f <br /> NO orUNIIS DWELLING SIZE OF Ill. I. <br /> /7 Z .1 F L/vITJ4 t PLUMBING <br /> OCCUPANCY NO OFAfOR'• OCCUPANILOAO BASEMENT - <br /> OR31P � MECHANICAL <br /> M-I 2 4 orfs <br /> FIRE ALMMBEOD REASON AIKKIIONAL PLAN CHECK <br /> DIMER <br /> FIRE 6PI11NKLER REDO REASON <br /> 3TAIE BULONO SUIICHARGE r/1 <br /> rYPEOFcoNST r1ANSAr vEDsr CITY OF EVERETT PUBucwOnKs LLII <br /> Z��77- H LOCAL SALES - <br /> -/j unlE 6/Z ES95 TAX CODE IS 3105 TOTAL ,C <br />