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r', <br />ITT M <br />IO Z w <br />y H <br />N H <br />H C33 <br />mOM <br />3 C7 <br />OH <br />ZOE <br />n• � <br />H <br />L9- z <br />H, H <br />8 En <br />n t7 En <br />m <br />Z H En <br />H O En <br />APPLICATION FOR CONSTRUCTIC A PERMIT <br />TO BE COMPLETED IN BLACK INK -PLEASE P111NT <br />[ BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS UELECTRIC ❑ <br />259.8810 <br />1 DEMOLITION X COMBINATION BUILDING MECHANICAL PLUMBING I ] SIGN <br />JWNlR MAIL ADDRESS CITY ZIP PHONE <br />.../A ,nAVU A..n_ mr- RnE•hP_ST. WA 98011 206-487-2868 <br />TENANT MAIL ADDRESS CITY zip r• m <br />N/A <br />ARCHITECT OR DESIGNER MAR ADDRESS CITY ZIP PHONE <br />Jose Bazan, 12729 NE 20th Suite 12, Bellevue, 11A 98005 206-637-0831 <br />GENERAL CONTRACTOR MAX ADDRESS CITY 11P PHONE STATE LICENSE <br />Abode Ltd, Same as Owner <br />MECHANICAL CONTRACTOR MAKADDRES4 CITY 11P PHONE STATE LICENSE <br />L G L Electric 4601 - Chennault Bch. Rd.,Everett, WA 98204 745-3308 LLELEI213B4 <br />PLUMBING CIXIIMCTOR MAIL ADDRESS CRY 11P PHONE STATE LICENSE• <br />-A r. er.. Tmr*hmTT QAn11 206-827-9939 DESIGPC141NO <br />CIASSOFWORK eenAle nrunl MON WODDSTOVERFRPL INSERT f 1 BUILDING RELOCATION <br />IA NCYY HMM..IVn <br />CONTACT PERSON AND PHONE NO <br />CONTRACT PRICE OF WORK <br />DESCRIBE WORK AND SQUARE FOOTAGE. INVOLVED <br />Build new duplex. 1364(2)SF (crawlspa <br />) <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PROPOSED USE OF WILDING <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />Single Family Residence <br />PROVISIONS OF LAWS AND ORDINANCESGOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FMR COPIESI <br />LOT R BLOCK OF Shortplat 2-89 <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />Snohomish County, Washington. <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 LAW 18. CW 6.200 <br />_6 1 Lower Ridge Rd Everett WA <br />PROJECT ADDAE84 <br />I # wIM <br />iAY7W/)f'// tSrASo�M.P <br />tm M•rtnLKPRF Hn <br />i <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. I TYPE OF EQUIPMENT FEE <br />WATER CLOSETITOILETI er bld <br />ANC-AMNOLG UNITS-H.P. <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS-B.I.U. M E.A. <br />' <br />6 <br />LAVATORY(WASHBASIN) per B1 9I <br />UNIT HEATERS-B.T.U. m(wall hea <br />ers <br />0 <br />SHOWER <br />2 <br />CLOTHESDRYERS(per bldg.) <br />2 <br />KITCHEN SINK d DISP per 9 • <br />VENTILATION FAN <br />DISHWASHER(per bldg.) <br />RANGEH000(per bldg.)' <br />LAUNDRY TRAY <br />; <br />2 <br />WATER HEATER(per bldg.) <br />CLOTHESWASHER eI bld <br />WOODSTOVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />Q <br />1 FIREPLACE INSERT <br />FLOOR DRAIN <br />Q <br />1 HEAT PUMP <br />' <br />Q <br />BACKFLOW PREVENTERS <br />0 <br />GAS PIPING <br />Q <br />RCOFDRAINS-RAINLEADERS <br />6 <br />EXHAUSTFAN(per bldg.) <br />Q <br />SINK )SERVICE -BAR, ETC 1 <br />1 <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE s <br />TOTAL FEE f <br />rwn vrrwc v.ac <br />FRONTSSETTBACK <br />v...... <br />REAR SETBACK <br />SIDES TIMCK <br />PUN ON En NUMBER FEE <br />RECEIPTNO <br />& <br />'A <br />i}� <br />LN <br />USE ZONE <br />'7� <br />LOT ARE 1, 1 <br />U <br />VACANT SITE <br />VALUATION <br />FEE <br />7105 <br />PFEES <br />!/ <br />3 <br />'I�J'L+N;�ACNUAL: <br />nlnl^M. <br />I1Pt A1.UNIa A.LIM+tiIL- <br />�OUPn..,..unI. <br />I <br />— <br />_ <br />PLUMBING <br />SRE OF BLDd NO OF IGOnIE9 BASEMENT <br />MECHANICAL <br />/A.D' <br />LTLV sF * 2 <br />r <br />; <br />OCCUPANCY LOAD FIRF SPARKLERS AEOD HEIGHT LIMITATION <br />ADDITIONAL PLAN CHECK <br />�-.- <br />-1J <br />DEASONF SPRINKLERS <br />/ I <br />INTAYE BY PUNS AIrrrovlO or CITYOF EVERETT <br />*TMOTALq <br />Jo LDCAL SALES <br />�/ � TAX CODE IS 3105 <br />;0 <br />