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br15L/ L <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT • DIVISION <br /> 3200 CEDAR STREET • EVERETTRETT, WA <br /> 80201 • 259-8810 <br /> 1 1 DEMOLITION 1xl COMBINATION IA BUILDING k) MECHANICAL kI PLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> /230 -5:) /D/.so. 6-"ere ff <br /> OWNEn MAII ADUnESS --A.�••� <br /> C TV IIP PIIDNE ��� <br /> TENANT r nr,,,A Tnn 12Q1L@t111Ly� l`L ?4IEY'xetMAILADDRFSS CITY t, 06/- <br /> -Hfl <br /> Tir r11OF <br /> A5611ICCi On UESIRNLR MAl1.A0UnESS CITY <br /> IIP r11DNF. <br /> GFNEMt CONTRACTOR MAI—ADDRESS CITY —" <br /> IIT PHONE STATE LICF NSEI <br /> Inc. ] A71 Rrh Ayg`���,� Evr <br /> MECIUNICAL CUNTRACiOn MAILADDnES$ <br /> CRY- -� t-- --9.820�2Dh/St -gpD6 RRi F.L�i'T110Kn1 <br /> PP PHONE STATE OCEN3EI <br /> rLUMBINn CONInACTDi MAILADDnEis CNv <br /> :.IP PHONE SLATE LICENSE IT <br /> CONTRACT PniCE OE WDI,K _ <br /> X5401Cn, 000,00 HEATING SYSTEM: H GAS FI ELECTRIC 1l <br /> D SE WORK All SQUARE rOOUOF.INVOLVED <br /> ConstnUction of ne r to f_ CONIAC I PFnSON AND r110NF Do <br /> —� ��b��U _JiL�Y Clark 206/St t_9006 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY TI4AT I HAVE READ AND EXAMINED THIS <br /> PnOPOSED USE or nm mo APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Sir le family dwLllinq PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYi E OF <br /> LEGAL DESCmPTION OF PROPERTY ISROWN BELOW On ATTACH TWO COPIESI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN On <br /> Lor <br /> 53 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> BLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION CF ANY <br /> OTHER STATE On LAW REGUTING CONSTRUCTION On THE <br /> Merrill Creek Gardens DIV. 1 PERFORMANCE OF LOCAL <br /> CONSTRUCT ON.LATH T II AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PARCEL TWX I o.mmnen CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> Selec !lanes,/ Inc. <br /> CONSIRUCDON LOAN LENDER.ADDRESS.IELEPIIONE NVMBEn <br /> % Vr vl B �-k d r-/_ <br /> $IDNAI IInE On1E <br /> DTY BUSINESS LICENSE NO <br /> PLUMBING IECHANICAL <br /> NO. TYPE OF FIXTURE OR IT FEE NO. TYPE OF FIXTURE OR ITEM e <br /> 3 WATER C13 LOSET(TOILET) FL` <br /> ' /VC-AIHNDLG UNITS-HP. �- <br /> 3 LAVATORY(WASH 1 BATHTUB <br /> BASIN) ' FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> HEAT PUMP <br /> 1 SHOWER <br /> ' CLOTHES <br /> ERO.T.U. M '- <br /> 1 KITCHEN SINK 8 DISP _ *___ CLOTHES DRYERS <br /> 1 DISHWASHER J VENTILATION FAN <br /> LAUNDRY TRAY I <br /> I RANGE HOOD <br /> 1 CLOTHES WASHER r WATER HEATER <br /> URINAL —� WOOD STOVE , <br /> DRINKING FOUNTAIN i _ METAL FIREPLACE(WOOD BURNING) <br /> -FLOOR DRAIN I FIREPLACE INSERT(WOOD BURNING) <br /> BACKFLOW PREVENTERS f- GA5 FIREPLACE I <br /> SINK(SERVICE-BAR, ETC) ' <br /> _ GASRANGE —�— <br /> I <br /> ' YCS- GAS PIPING I <br /> EXHAUST FAN �-- <br /> I <br /> I <br /> r <br /> r i <br /> I <br /> SUB TOTAL E -- - <br /> PERMIT $ SUB TOTAL E _- J <br /> ' PERMIT E I_ <br /> TOTALFEE E ' TOTAL FEE E --� <br /> FOR OFFICE USE ONLY: <br /> rnp1T SETBACK LnFA 519E SEET9ACK rl AN C11[CK IUArOFI1 PEE RECEIPT NO <br /> JJ �(/ Y _ 1 "') <br /> VSETONE VACANr IE FEES VALUATIONFEEA S _ - <br /> nuaon+o _,IIEIOIIT UMIIAIION SITE Or BLDORI z t7j'L 1'10 $f L-Ive�V t <br /> ?� riumnwR 7- <br /> z s C ABAL C <br /> OCCUPANCY NO OI STORIES OCCUPANT LOAD BASEMENT <br /> MECHANICAL <br /> IZ '3 <br /> 2- <br /> NO <br /> Il YES C� <br /> TIRE ALARM FEEL REASON ADDITIONAL PLAN CHECK/ <br /> OIIIEn A //r <br /> FIRE SPnINKIF.nRWO REASON (, <br /> of J <br /> =STATE SIIRCIIARDE ! <br /> TvrEOFconsr r1ANSArrnovroTlY CITY OF EVERETT runucwDI <br /> kl LOCAL SALES _ <br /> Y-IJ DATE S Ze/'i TAX CODE IS 3105 TOTAL <br /> n <br />