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APPL�.:ATION FOR CONSI .�UCTION <br /> PERMIT <br /> Me Everpmen <br /> GTY OF rverelt <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> OWNER MRILFDDRE55 CiTY ZIP PMONE <br /> HOUSING HOPE P.O. BOX 7823 EVERETT ,WA 98201 (206) 258-2214 <br /> TEN�NT MAILRDORESS CItV 21P �NONE <br /> N/A <br /> ARCNITECTORDESIGNER MAIL�DDPESS GTY 21P PNONE <br /> IMPRESSION DESiGN 2229 JACKSONAVE. EVERETT, WA 98203 355-3200 <br /> GENER�LCONTRACTOR MRILAODRESS CITY 21P PMONE UCENSEe <br /> Housing Hope <br /> MEGH�NIC�LCONTRACTOR MAILRDCRESS qTY 21P PHONE IICENSE• <br /> N/A <br /> PLUMBIN�LONTRRCTOR MRILRDpRESS CITY 21P PIIONE LIGENSE• <br /> N/A <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RFLOCATION <br /> ifN�NT IMPROVEMENT OR INTERIOR REMODEL ONLY CONTRCT PERSON AND PHONE NO <br /> LONTR�GTPPICEOFWORK ��Z�OOO Aat Bontje ZSB-Z2�4 <br /> UESCRIBEWORKAN�SOU�PEf00TnGEINVOWEO C`0(IVe�t existing <br /> sinqle residence to 1 - 3 br and 1 -2 br du ex aparts involving 2114 sf. <br /> VROPOSEO USE OF BUILOING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TMI$qppLICATION AND <br /> Resi dent i al KNOW THE SAME 70 BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> LE��L OESCRIPTIDNOF PROPERttISHOWN BELOW ORATTAGM FOURCOPIES� ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLETED WITH � <br /> W HETHER SPECIFIED HEREIN OR NOT.7HE GRANTING OFA PERMIT DOES NOT <br /> LOt 17-18etoCK 772 oF Section H of Everett PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPROVISIONSOF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER• <br /> FORMANCE OF CONSTRUCTION THFT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 7827 RCW ANU <br /> 296.200 WAC. <br /> SIGN�NREOFCONiRAGTORO�AUTHON2EDFGENT �ATE <br /> X i1�2t/�9 <br /> FRQIECT�ODRE55 RPPLICANTSCITY I ENSENO.ANDBUSINESSN�ME <br /> 3230 Norton,Everett ��d � <br /> PLUMBINO MECMA CAL <br /> NO. TYPE OF FI)(7URE OR ITEM FEE NO TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi(TOILET� A/C—A/HNGLG UNITS—Fi.P. _ <br /> � BATHTUB � FORCED AIF SYSIEMS—flT.U. M EA <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> � KITCHEN SINKB DISP. _ � VENTILATION FAN <br /> DISHWASHEfi � RANGE HOOD <br /> LAUNDRYTRAY � WATERH[ATER <br /> CLOTHES WASHER WOOD STOVE <br /> UR�NAI METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACEINSEFT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS O fY GAS PIPING <br /> ROOF DRA�NS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL $ � SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> FRONTSEiBRGK flERRSETBRGN SIOESETBALK PIANCX CRNUMBER FEE �S- RECEIPfNO. <br /> F,t��sn�JC�2o ?�' S�•F �o' c1363 �7— <br /> usexor+e LOTRREA VRGRNTSITE FEES VALUATION FEE <br /> �� I�� ��� � ❑YES �O �Q� <br /> BUILDING � Z fXJ� � ��Cl <br /> TVPEOfCANST. �CUPANCYGROUP NOAFDWELIINGUNRS <br /> ♦uowee���CTu�� j g PLUMBING <br /> SIZEOF LDG NO.OFSTOPIES ESMT. OCGLO�D <br /> EbI����G � �N1QjL+R � ❑ v MECHANICAI <br /> r?4�M.�vGL A'' N <br /> HEIG�HI LCIMITATION OTHER <br /> y' ✓ <br /> FIRE SPRINKLEFSREOUIREO ❑YES R no STATE BUILDING SURCHARGE � y <br /> STATE ENERGY::URCHARGE <br /> APPUCRTIONACC.BY PLANSAPPF.9Y PUBLICWORKS <br /> � I� � TOTAL / <br />