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APPLICATIOK :OR CONSTRUCTIC. J PERMIT <br />TO BE COMPLETED IN BLACK IA.. —PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: U GAS )GELECTRIC O <br />259.8810 <br />1 DEMOLITION PV IX COMBINATION I ; BUILDING 'MECHANICAL 11 PLUMBING ❑ SIGN <br />OWNER MAR ADDRESS CITY ZIP PHONE <br />Abode Ltd. 18404 -104th Ave. NE, Bothell, WA 98011 206-487-2868 <br />TENANT MAIL ADDRESS CITY TIP PHONE <br />N/A <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />Jcse Bazan, 12729 NE 20th Suite 12, Bellevue, WA 98005 206-637-0831 <br />GENERAL CONTRACTOR MI R ADDRESS CRY 71P PHONE STATE LICENSE <br />Abode Ltd. Same as Owner L_ OK 13�G/j <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY NIP PHONE STATE LICENSEE <br />L G L Electric 4601 - Chennault Bch. Rd.,Everett, WA 98204 745-3308 LLFLEI213114 <br />PLUMBING CONTRACTOR MAR ADDRESS CRY ZIP PHONE STARE LICENSE <br />_D_esi4n Plumbing, 19301 3rd Pl. SE, Bothell 98011 206-827-9939 DESIGPC141NO <br />CLASI, OF WORK — <br />FX NEW 11 ADDITION I I ALTERATION REPAIR (1 DEMOLITION I 1 WOODSTOVE/FRPL INSERT I BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. <br />OF WORK <br />DESCRIBE WORK AND SQUARE FOOTAGE <br />Build new duplex. 1364 2 SF (slab) <br />PROFOSED USE OF BUILD NO <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE POMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />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 />CONTRACTORS MLA111,1,02 2 AC. <br />LEGAL DESCRIPTIJN OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIESI <br />LOT 5 BLOCK OF Shortplat 2-89 <br />Snohomish County, Washington. <br />Lower Rid a Rd. Everett WA <br />PROJEC;ADDRE59 <br />rry <br />SGNM PATE <br />P9xnall # E3uto'14A <br />tav ""SS9 LKEME NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_6 <br />WATER CLOSET (TOILET)( per bldg. <br />0 <br />A/C—A/HNDLG UNITS—H.P. <br />BATHTUB eC d <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />6 <br />LAVATORY(WASHBASIN) per Bl 9 <br />t <br />I n <br />UNIT HEATERS—B.T.U. M wa 1 hea <br />ers <br />0 <br />SHOWER <br />' <br />2 <br />CLOTHESDRYERS(per bldg.) <br />2 <br />KITCHEN SINK A DISH per y. <br />; <br />0 <br />VENTILATION FAN <br />; <br />2 <br />DISHWASHER(per bldg. <br />2 <br />RANGEHOOD(per bldg.)' <br />LAUNDRYTRAY <br />2 <br />1 WATERHEATER(per bldg.)— <br />' <br />CLOTHESWASHER(per bld . <br />0 <br />WOOD STOVE <br />; <br />URINAL <br />' <br />1 <br />METAL FIREPLACE A CHIMNEY <br />N <br />0 <br />DRINKING FOUNTAIN <br />Q <br />FIREPLACE INSERT <br />Q <br />FLOOR DRAIN <br />Q <br />HEATPUMP <br />0 <br />BACKFLOW PREVENTERS <br />; <br />Q <br />GAS PIPING <br />' <br />0 <br />ROOF DRAINS—RAINLEADERS <br />I <br />6 <br />EXHAUSTFAN(per bldg.)i <br />I <br />0 <br />SINK (SERVICE —BAR. ETC.) <br />; <br />Ir <br />I <br />' <br />SUB TOTAL $ <br />SUB TOTAL $ <br />' <br />PERMIT $ <br />I <br />PERMIT $ <br />N <br />TOTAL FEE S <br />IOTAL FEE $1 <br />XO ' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER FEE <br />RECEIPTM <br />_ZD <br />4 <br />� <br />jR <br />!J <br />3fo 3 90 30 <br />FEES VALUATION <br />(p7L,75" <br />FEE <br />usEzaNF <br />VACANTSITE <br />/rAREA <br />�l <br />TYPE Of COWS. AU MLStE <br />TYPE DF CONST ACTUAL <br />9EftI.FXLr <br />ND q U514AG UYne <br />I <br />PLUMBINEI <br />SREOFpI <br />LIfNP°Sf� <br />NO OF STORIES <br />BASEMENT <br />MECHANICAL <br />I <br />— <br />ADDITIONAL PLAN CHECKAVA <br />�— <br />OCCUPANCYLP.AD FIRE SPRNKLEAS REOD HEIGHT U}1RATK)N <br />SPRINKLER <br />--Y— <br />, <br />REASONF g6PRE/1tLERS <br />STATE BUILDING SURCHARGE <br />INTAKE By <br />PUNS APPROVED By <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />V T° <br />T' �Z 9 <br />TAX CODE IS 3105 <br />TOTAL <br />��� � <br />