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APRLICATIC�1 FOR CONS"�RUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING S\'STEM: ❑GAS ❑ELECTRIC ❑ <br /> 25°•8610 <br /> ❑ DEMOLITION Ci COMBINATION ❑ BUILDING Ll MECHANICAL ❑PLUMBING ❑ SIGN <br /> OWNER MRILADDRE55 LITV 21P PHONE <br /> Robert J. Btown 7423 20th St. SE Everett, WA 98205 (206) 334-7939 _ <br /> TENANT MRILADDAE55 CITV ZIP PHONE <br /> Masters Inc. 14522 Willow Lane SE Mill Creek 98012 (206) 481-8888 __ <br /> ARGHRECTOPDESIGNER MAILADDRESS GTV 21P PHONE <br /> Sutterfield Design Group 400 Dayton Edmonds 98020 (206) 775-0564 _ <br /> GENERALCONTR�CTOR MAllAC7RES5 CITV ZIF PNONE STATELICENSE� <br /> John Daniels Construction, Inc. 2232 Pacific St. Bellingham, 98226 (206) 733-3618 JOHNDIk231KE <br /> MECHAN0.;AL CONTR4CTOR MAIL RDORE55 GITY ZIP PMONE STRTE LICENSE R <br /> PWMBMGCONTRACTOR MAILADURE55 CITY 21P PMONE STRTELIGENSE• <br /> CONT�GT PRILG�O N \ _ . I �S C�� ! ?�� � ���� <br /> .-�� IV <br /> DESCRIBE WORN ANJ SOUpRE FWTRGE INVOLVED CONTFCT PERSON AND VHONE NO. <br /> '•/ <br /> i HEREBY CERTIFY T4AT I HAVE READ AND EXAMINED THIS <br /> �Pr�o SEDUSE euaoiv I qpPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> J��(('� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> Lo�����r4 o���KRTV(S�� B��WORATTACHTWO1LOPIES) J NOTTHELGRA TOINGOFAD ERMI�DOESNOTPRIESUMEETOGIOVE <br /> �7��o�J 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 /> PARCEL TAX I.D.NUMBER CO RACTORS LAW 1827 RCW A�/p�C,9G2OO WAC. <br /> CONSTFUCTION LO LENDER. E55.TELE HONE NUMB R ( � I \ S / � -� <br /> a9 �� � � �� s . � ao � k,'f 1 � <br /> pRpJE�DRESS s�eN.u e o�re <br /> CILV BV:'�YCS.".LILEN$[NO <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlIITURE OR ITEM FEE NO. i TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � !VC—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ~— <br /> LAVATORY(WASH BAS�N) UNII 4EATERS—B.T.U. M � <br /> SHOWER ' CLOTHES ORYERS <br /> --� <br /> KITCHEN SINK 8 DISP I VENTILATION FAN <br /> � DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ' METAL FIREPLACE(WOOD BURn�NG) <br /> DRINKWG FOUNTAIN FIREPLACE INSER;' I <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PHEVENTERS GAS PIPING ' <br /> --r— <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN � <br /> SiNK(SERVICE—BAR,ETC.) i_ <br /> � � <br /> � <br /> SUB TOTAL $ ' SUB TOTAL $ <br /> PERMIT $ PERMIT $ <br /> TOTAL FEE $ ' TOTAL FEE L ' <br /> FOR OFFlCE USE ONLY: <br /> FNONT JETBACK REAR SETBACK � \ SIDE SETBRCK PLAN CNECN NUMBER FEE /_ � AEC T/NO�L <br /> �kl '�i�V — � � ��v (��JL <br /> use zone �or nA�n vncnar siTe FEES VALUATION PEE _ <br /> �- <br /> �'_ Z ❑ YES . O BUILDING 7.� l�� <br /> TVPEOFCON51 NO.OFSTORIES acuo�xcr x011�vMwHGuxrts � <br /> ✓- N � '^�e` PLUMBING i __ <br /> i <br /> SIZEOFf�B�DG FIRESPRINKLERSFEO'D BASEMENT MECHANICAL � <br /> �S �jB Z""F�Q. YES oves �o ; <br /> OCCUPANCYLQAD FIRE�RMRE00 HEIGMTUMITATION ADDITIONALPLANCHECK i <br /> 3 � i <br /> OTHER i <br /> REASON �� C <br /> STATE BUILDING SURCHARGE J <br /> INTAKEBV PLANSA ROVEDBY CITYOFEVERETT PUBLICWORKS "�� <br /> LQCRLSALES <br /> oqT m� � ,9� iAX CODE IS 31u� TOTAL 4/ ���� <br />