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., Er <br /> IeeA- <br /> APPLICATION FOR CONSTRUCTION <br /> PERMIT <br /> CITY <br /> IDTY OFrgronn PVUIOIt <br /> everett `e./ <br /> r. <br /> BUILDING DEPARTMENT <br /> 259.8810 TO BE COMPLETED IN INK-PLEASE PRINT <br /> a 0 AA ffCdA/LFJ) <br /> OWNER MAIL ADDRESS WI'. ZIP 1,HONE <br /> John Hotchkiss 6714-Highland Or Everett 353-1467 <br /> TENANT MAIL ADDRESS CRY Z'.P PHONE <br /> F] H ARCHRECT OR DESIGNER MAIL ADDRESS CITY �v— ZIP PHONE <br /> A x GENERAL CONTRACTOR MAILADORESS CITY ZIP PHONE LICENSE• <br /> Bo CQ Uoiode .Consta.A....Inn 11217-6=1,5 t_..NELk.._SSeYens 55.2 B '".��-5_ _2. _G !@$1.0 <br /> 1AECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PRONE: LICENSE• <br /> • X <br /> H 0 PLUMBING CONTRACTOR MAIL ADDRESS CITY PP PHONE LICENSE• <br /> Io x 0 <br /> Iv <br /> y IV CLASS WORK - <br /> ® NEW 0 ADDITION ❑ ALTERATION 0 REPAIR ❑ DEMOLITION ❑ '/OODSTOVL/FRPL INSERT 0 BUILDING RELOCATION <br /> � TENANT IMPROVEMENT CR INTERIOR REMODEL ONLY CON TACT PERSON AND PRONE NO <br /> 0 Hd coNTRACTPRICEOFWORK 12,330.00 ,ft,,J_,,r„ i6 -7 j'L Mark Goode 334-9262 <br /> Q spy DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br /> .0 24 x 28 x 9 Garage 67EOM—so.._t<._— <br /> � <br /> E H PROPOSED USE of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br /> �y g � ��,.rl �� KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> OR' coves WHETHER coveORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br /> H LEGAL DESCRIPTI IDA PROPERTY STOWS BELOWOWHETHER SPECIFIED HEREIN OR NOT.THE GRANTINGOF APERMITDOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �H LOT 10 BLOCK 4 Or North Reyorly ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THEPER• <br /> CA FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> Div. #2 Vol 1D plat page 46 THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br /> CKI AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br /> y 296.200 WAG <br /> h0� _ SIGNATURE OF CO ACTOR OR Au,rIORIZEDAGENT DATE <br /> PROJECT ADDRESS APPLICANTS ITT EASINESS LICENSE NO.AND BUSINESS NAME <br /> i 6714 Highland Dr <br /> 4 PLUMBING none MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-AIHNDLG UNITS-RR _____ <br /> L. ,j BATHTUB �- FORCED AIR SYSTEMS-BLU M EA. <br /> LAVATORY MASH BASIN) INEUNIT HEATERS-ETU. Al <br /> SHOWER CLOTHES DRYERS _ . <br /> '"' KITCHEN SINK&DISP. VENTILATION FAN <br /> '�••n.' DISHWASHER = MOMRANGE HOOD <br /> LAUNDRY TRAY - WATER HEATER <br /> CLOTHES WASHER WOOD STOVE _ <br /> URINAL METAL FIREPLACE S CHIMNEY - <br /> 'I"'I'w FIREPLACE INSERT <br /> DRINKING FOUNTAIN <br /> FLOOR DRAIN HEAT PUMP <br /> . BACKFLOW PREVENTERS GAS PIPING _ <br /> ' ROOF DRAINS-RAINLEADERS EXHAUST FAN _ <br /> SINK(SERVICF•-BAR ETC) ---- -- <br /> 1 <br /> .ter A <br /> ' SUBTOTAL S f SUBTOTAL S <br /> PERMIT S _PERMITS <br /> TOTAL FEE S <br /> TOTAL FEE S <br /> FRONT SETBACK REAR SETBACK / <br /> SIDESETBA / FEE RECEIPT NO. <br /> 115E ZONE LOT AREA VACANT SIZE FEES VALUATION FEE <br /> /n-4-Z, O YES U NO <br /> BUILDING _aI.7_i_Z 0o <br /> TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS — -- <br /> AntWA PLUMBING <br /> TJ•• ..-...-_._ <br /> SIZE OF ELDG NO OF STORIES BSI OCC LOAD <br /> D Y /+1/ MECHANICAL <br /> N Vi/ <br /> 6 2 l / BB. T uhll AN+ - OTHER <br /> OTHER <br /> FIRE SPRINKLERS BEMIRED E7 YES !!No C�7/1 I. . <br /> STATE BUILDING SURCHARGE 51) <br /> STATE ENERGY SURCHARGE <br /> APPLICATION ACC.BY PLANS APPR DV <br /> PUBLIC WORKS -. <br /> V ; ' _(i TOTAL EMI Sd <br />