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� ,,g <br /> APPLIC�aTION FOR CONSTR.�CTION <br /> PERMIT <br /> rne e�ero•een <br /> � CITY OF evere[t <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-BB70 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNER MAILAD�RE55 GITY ZiP PHONE <br /> HOU�ING HOPE F.O. BOX 7823 EVERETT. WA 98201 (206) 258-2214 <br /> iENANT MAILAO�RESS CITY 21P PMONE <br /> N/A <br /> RRLNREGTORDESIGNER MAILRDORESS CITY ZIP PNONE <br /> IMPRESSION DESIGN 2229 JACK50N• AVF. EVERETT, WA 98203 (206) 355-3200 <br /> GENERI�CONTRAGTOF MAILA�ORESS GIiY 21P PNONE LILENSE• <br /> Housing Hope <br /> MECHRNIG�LCONTPACTOR MRILAD�RE55 CITY ZIP <br /> aMONE LICENSE• <br /> N/A <br /> PLUMBINGCON7RACTOR MAILAOORE55 CItY 21P FMONE LILENSE• <br /> N/A <br /> CLA55 OF WV RK <br /> ❑ NEW ❑ ADDITION C3C ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL INSEPT ❑ BUILOING RELOCATION <br /> TEN�AT IMPROVEMENT OP INTERIOR REMO�EL ONLY CONTACT PERSON RNO PMONE NO. <br /> CqNTR�GTPRIGEOFWORK ��G W� Aat Bont�e 2J0-GG�4 <br /> OESGRIBEWORN�NDSOU�REFOOT�GEINVOLVED Convert single residenc <br /> to 2-3-BR du lex a artments �nvolvin 1 928 sf. <br /> PROPOSED USE OF BUIL�ING I HEREBV CEFTIFV THAT I HAVE READ AND E%AMINED THIS APPLICATION AND <br /> residential KNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWSAND <br /> LECv0.UE5CRIPTIONOFPROPERTYISMOWNBELOWOFATUGNFOURCOPIES� ORDINANCESGOVERNING7HISiVPEOFWORKWILLBECOMPLETEDWI7H � <br /> WHETH ER SPECIFIED HEREIN OR NOT.THE GRANTING OFA PERMIT DOES NOT <br /> �oi 19-20 e�ocK 7�2 oF S2CYlOf1 H of Everett PRESUMETOGIVEAUTHORITVTOVIOLATEORCANCELTHEPROVISIONSOF <br /> ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER� <br /> FORMANCE OF CONSTRUCTION.THAi I AM AUTHORIZED BV THE OWNER OF <br /> THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 296200 WAC. <br /> SIGNRTUREOFCONTPRCTORORAUTHORREOFGENT p4iE <br /> 3228 Norton Everett WA X u �� <br /> PROJECTADDRE55 APPIICANTS Y IN 8 NSENO.RNDBUSMESSNRM <br /> PLUMBINO MEC NICAI <br /> NO. TVPE OF FI)(TURE OR ITEM FEE TYPE OF EQUIPMENT 'EE <br /> WATER CLOSET(TOILEn A1C—A/HNDLG UNITS—H.P. <br /> � BATHTUB �� '— FORCED AIR SYSTEMS—B.LU. M EA <br /> LAVATORV(WASHBASIN) UNITHEATERS—B.T.U. M <br /> SHOWER CLOTHES DRVERS <br /> � KITCHEN SINKB DISP. � VENTILATION FAN <br /> DISHWA�HER '2 RANCaE HOOD <br /> LAUNDRVTRAY WATER HEATER <br /> CLOTHES INASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACEINSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK�SERVICE—BAR,ETC.) <br /> SUBTOTAL S � -^ SUBTOTAL S , �' <br /> PERM�T S PERMIT S <br /> TOTALFEE 5 TOTALFEE S �! <br /> FRONTSET&�CN RERRSETBRGN SIDESETBR�K � VIANLNECNNUMBER FEE pECEIFTNO. <br /> �' � ' S �-�� - 3 5 �'% o a <br /> usezor+e ^ LOTRPEA VAGANT51�, FEES VALUATION FEE <br /> ��—� ❑YES �J NO <br /> TVPEOFCANSi. OCCUPANCYGROUP NOAFOWELLINGUNIIS BUILDING �LOQO �. i <br /> ♦��ow�e��r -ue�' �'� PLUMBING �. <br /> SIZEOFBL NO.OFSTORIES BSMT. OCGLO�O " <br /> RENOR(�L �� � � MECHANICAL � , i <br /> HEIGMiLIMITATION OTHER <br /> FIRESPRINKLERS REOU�RED ❑YES NO �� STATE BUILOING SURCHARGE � � <br /> STATE ENERGY SURCHARGE <br /> RPPLICATION ACQ BY PLANS RPPR BY <br /> yJ�� � PUBLIC WORKS <br /> /"/ � TOTAL I /�� � <br />