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_ ,� <br /> APPLICATI�..�1 FOR COMSTRUCTrON PERMIT <br /> me ere��ee� everett <br /> cirv oF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION XX BUILDING : MECHANICAL i PLUMBING �1 SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PMONE <br /> Noel Gallanger 2324 Pfanor Way Everett, WA 98204 743-1312 <br /> TENANT MAILADDRESS CITY 21P PHONE <br /> ARCHITECT OR DESIGNER MRIL ADDflE55 CITV ZIP PHONE <br /> Owner <br /> GENERAL CONTRRCTOR MAIL ADURESS CITV 21P PHONE LICENSE e <br /> 0'P;alley Bros. P'.:�stering Co. ,Inc. 518 Pecks Drive Everett, WA 98203 743-1155 OMALLBP122�1A <br /> MECHANICALCONTRRCTOfl . ''.ADDRESS CITY ZIP PNONE LICENSEt <br /> None <br /> PLUMBINGCONTRACTOp MRILAD�RE55 CITY ZIP PHONE LIGENSEI <br /> None <br /> CLASS OF WORK <br /> ❑ NEW kj(ADDITION � ALTEPATION Li REPAIR �7 DEMOLITION G WOODSTOVEiFRPL INSERT ❑ BUILDING RELOCATION <br /> TENANT IMPROVEMENT OR INTERIOR PEMODEL ONLY es bo�,..� CONTACT PERSON AND PHONE NO. O Y" ,��(5 <br /> CIXJTPACTPRICEOFWORK: � �j OOO.00 h�/ � � 3 — <br /> DESCPIBE WOflK RND SOUARE FOOTAGE INVOLVED <br /> Add 3 offices to existin buildin 704 S . Ft. <br /> PROPOSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Offi ce APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWNBELOW OR ATfACH FOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �or tdorth !,'-��ocK oF Pecks Ba V10W Tracts WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Plorth hal f of lot 12 - Pecks Bd �1BW Tracts OTHER STATE OR LOCAL LAW REGUUITING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I Ai.+AUTHORIZED BY THE <br /> exce t the W25t JO fEet. OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAi.TORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGNATUREOFCONTPACTORORAIITNORREDAGENT DAiE <br /> X <br /> PRQIECTADDRE55 <br /> 518 Pecks �rl e Everett WA 98203 aPP�IGANTSCITYBl151NESSLICEN5EN0.AND8U51NE55NRME <br /> PLUMBING MECHANICAL None <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE� � NC—P✓HNDLG UNITS—H.P. , <br /> BATHTUB � ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B,T.U. M ; <br /> SHOWER � CLOTHES DRYERS i <br /> KITCHEN SINK&DISP ; VENTILATION FAN ; <br /> DISHWASHER RANGE HOOD � <br /> LAUNDRYTRAV ; WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE ; <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETCJ ; <br /> � ; <br /> � <br /> � ; <br /> SUB TOTAL $ ; SUB TOTAL $ ' <br /> PERMIT $ � P[RMIT $ I <br /> TOTAL FEE $ TOTAL FEE $ � <br /> FRONTSETBFCK � REARSETBRCK � SI�ESETBACN � PLANCHEC N�MBER FEE ,J( RECEIPTNO. <br /> �2 � 92 � 14-24 i L �q �� '"— <br /> USEZONE LOTAREA VACRNTSITE FEES VALUATION FEE <br /> _'L �Q ❑ YES i.X NO BUILDING ` i <br /> TYP Of CONSi.A OWABIE 1YPE OF LONSi.ALTUAL ot[uPe4tv No o10wFwNGUxrtS <br /> �pp�P PLUMBING � <br /> � Z $� i <br /> SIZE Of BLDG. ^* NO.OF STORIES BASEMENT � <br /> .�� MECHANICAL i <br /> ❑ YES � NO <br /> OLCUPANCYLOA� FIRESPRNKLERSREO'D NEIGMTLIMITqAT19N OTHER � <br /> L'1 YES CX NO aCJ STATE BUILDING SURCHARGE iIJ <br /> RE ONFORSPRINKLERS <br /> STATEENERGYSURCHARGE � <br /> APPLICRTIPYACC.OV PLANSAPP3gVEDBV CITYOFEVERETT PUBLICWORKS 1 <br /> M� 15C n LOCAL SALES <br /> i�i �.1-�� TAX CODE IS 3105 TOTAL f51 <br />