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IZoy-T <br />APPLICATIV14 FOR CONSTRUCTAIDN PERMIT <br />CITY OF EVERFT T • BUILDING DIVISION <br />3200 CEDAR Sl REET • EVERETT, WA 90201 A259.8810 <br />I I DEMOLITION I I COMBINATION I I BUILDING I I MECHANICAL I I PLUMBING I I SIGN <br />PROJECT ADDRESS <br />209 92nd Place S.E. <br />)YRTrn MAILADDFTfgp t'Ilr 711, PHONE <br />Warbis Construction 10832 Willow Road <br />Lake Stevens <br />98258 <br />356-7767 <br />TENANT MAn. AnDIIFSc ------._---_ <br />my --- <br />7m <br />rIKXIF - --- <br />CITY "--- <br />PHIONE ------ -- - --- <br />AIICIRTrm on ursmNrn MAIL ATNKIESS —� - --- <br />ZIP <br />rllr <br />OENEnAI CONTMr.fIXi MAIL Af%tnf.9S <br />7m <br />PIIONF. STATE LICENSE <br />Warbia Construction 10832 Willow Road <br />Lake Stevens <br />98258 <br />356-7767 <br />MECHANICAL CONInACTOn MAIL MXXIFSS <br />CITY <br />71P <br />PHONE STATE LICENSEI <br />PIIIMRITOCONIDACIOn MAIL AVDnFSS r11Y ZI' PHONE STATE: LICENSE <br />$1625.00 <br />HEATING SYSTEM: 0 OAS ❑ ELECTRIC Cl <br />orscnlnF woo AND Sa11ARF. FOOTAGE INVOLVED <br />Single family sprinkler system-_ <br />-__ <br />rf1NTACT PEnSON AND PHONE NO <br />— -- <br />— ------- <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 COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION 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 19 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORSLAW 18.27 RCW AND 296.200 W/AC. / <br />X� i.��V `7/Z/9(� <br />Pnorosrn USL OF R(TIILXNO <br />SFR <br />LFOAI M1rmmTIGN Or I'OPFITY BIKTWN RRM On ATTACH( TWO COPIFSI <br />LOT PIocK or <br />- ---- <br />PATICEL TAX I0 NUMDEn — _ <br />CGNS1nIODoN LOAN I rNr*n. AnDFIESS, TFLEIMKXIF. m Amrn <br />SIIINAIUPF �+�� //f DATE f Y' <br />CITY PLISINESS IICFNSF 1(i <br />MECHANICAL <br />PLUMBING <br />NO. <br />_ <br />_ TYPE OF FIXTURE OR ITEM <br />____ <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />—�- <br />A/C -AMNDLG UNITS -H.P. <br />�— <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS - B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />-�— <br />_ <br />HEAT PUMP <br />r <br />_SHOWER <br />YITCHEN SINK I DISP <br />I _ <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />' <br />I <br />OISHWASHEPI <br />_ i _ <br />VENTILATION FAN <br />i <br />LAUNDRY In" <br />CLOTHES WASHER <br />' _ <br />�- <br />_ <br />_RANGE HOOD <br />WATER HEATER <br />) <br />�— <br />URINAL <br />'— <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />r <br />METAL FIREPLACE (WOOD BURNIN'3) <br />1 <br />FLOOR DRAIN <br />�— <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />~ <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />_ <br />SINK (SERVICE - BAR, ETC.) <br />GAS RANGE <br />_—T- <br />OAS PIPING <br />' <br />--_ <br />I <br />EXHAUSTFAN <br />1 <br />— <br />—1— <br />I <br />r— <br />1 <br />r <br />r <br />r <br />r <br />I <br />1 <br />SUB TOTAL <br />I <br />SUB TOTAL I <br />' <br />PERMIT <br />I <br />-i <br />PERMIT I <br />I <br />TOTAL FEE <br />$ <br />—`_ <br />TOTAL FEE I <br />' <br />FOR OFFICE USE ONLY: <br />moNT SFInAr,K <br />nrAn SETBACK <br />AIDE SFIRAT-R <br />mANCHFCK NIIMRrn <br />a (/S <br />rFF <br />RECEIPT NO <br />GAF ZDNF. <br />IOTAIIEA <br />VACANT .^.CIF <br />errs IItin <br />FEES <br />VALUATION <br />FEE <br />RUIDINO <br />-- - <br />IIEIOHIT (IMITATION <br />NO. OF DMUS111 <br />WHIR <br />SITE. Or RI IXVI I <br />PI IIMRMO <br />OCCCOPANCY <br />I NO 01110FfE1 <br />OCCUPANT LOAD <br />BASEMENT --_ <br />f1YES 11 NO <br />MrCIIAMCALnnmw — - <br />— <br />--'---- <br />ADDITIONAL PLAN CHECK <br />rIDFALAPM"COD <br />FTF.ASON '— <br />_ <br />()THIS (13 Heads) <br />20.00 <br />r11LF sImPTKIrnmon <br />DFASON <br />STATE Rmmma SUSCHMI(IF. <br />TYrEOFCONST <br />PLANSAI'VVEDRY <br />nl <br />DATE % " <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />mmmImatIKS <br />TOTAL <br />20.00 <br />-- <br />