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APPLICATIV�1 FOR CONSTRUC7 �ON PERMIT�w�� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERE7T, WA 98201 •259-8810 <br /> �DEMOIITION ( � COMBINATION i i BUIIDING i MECHANICAL � i PLUMBING I i SIGN ' <br /> PROJECT AODRESS <br /> � <br /> JWNFR MRII��DRE55 QTV Ilo PHONE <br /> ae�o caa c e /.Ln�o� !�,/� 9�as �s� pc s S�� 9�'/�r �� t>3O _ <br /> iFN�N1 MMIROORFSS CIiY ]�a PHONE <br /> �rn� <br /> nRCM�iEC10RDE51GNER MRIIADOBE55 CITV ]IP PHONF <br /> I�n l'�.l5ait d f�scx. !9o?s P��r- �-lle .S�I�� 5��// 3oG� <br /> GENERRLCON�RACfCR M/II��DRE55 CItY � ZR� PHON[ SiATEIICENSEx <br /> S�L Co�„���O r -�C//�S �/���u -Q y�S �Y99LY_Y� sD ,� oa.3/ �— <br /> MECHANICN\CONTRRCT M�IL RDOBE . Clrv ZIP FIIONE STNTE tICF.NSE x <br /> Un,�P�s,�, iYiv�l� (��C 770�3 S� f��e �/33%9/� 3'0�/-�/D r.url ivnac .3� Ns <br /> MUMBINGCONiRAf OR MAIIADDRE$S Q�Y ZIP PHONE STATELICENSE♦ <br /> � <br /> CONTMCi GRICE OG WOAN <br /> 7 � Q 3OC%J " HEATING SYSTEM: �(GAS �l ELECTRIC f l <br /> DESC IBE NqR PND SOUPR FOOTAGE INVOLVED �T PER$�CnNp E NO. � <br /> 0 / � <br /> /' r � <br /> C,� /J�' I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> r��T APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br /> PiqPpSEO USE OF BUIL Nc PROVISIONS OF LAWS AND ORDINANCES GOVEfiNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFlE� HEREIN OR <br /> IEG�LDESCRIPTIONOFPROPERTY�SNOWNBELOWORATfRCHTWOGOGIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO �IVE <br /> ioT ei oF AUTHORITV TO VIOLATE OA CANC£L THE PFiOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK fOR WHICH <br /> APPIICATION IS MADE AN� I COMPLV WITH THE STATE <br /> PMCELTN(I.D.NUMBEF CON ACTORS LAW 1827 RCW A 6200 WAQ � <br /> CONSTRUGTIOO IOAN LENDER.RpDRE55.TELEPHONE NUMBER X C/ /S P� <br /> 51 TURE OATE <br /> I BUSIN LICENSE N0. <br /> PlUM81NG HANI AL <br /> NO. TVPE OF FIXTURE OR ITEM FEE O. TVPE OF EQUIPMENT FEE � <br /> WATER CLOSET(TOILET) A/C—AMNDLG UNRS—H.P. <br /> BATHTUB ' FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> T— <br /> LAVATORV(WASH 9ASINj HEAT PUMP � <br /> SHOWER UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK&DISP CLOTHES DRVERS <br /> DISHWASHE? VEN7ILATION FAN <br /> . LAUNDRVTRAY RANGEHOOD <br /> CLOTHES WASHER WATER HEATER <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DHAIN FIREPLACE INSERT(WOOD BURNING) <br /> BACKFLOW PREVENTERS GASFIREPLACE � <br /> —� <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE <br /> � � � GAS PIPING _ <br /> EXHAUSTFAN <br /> i <br /> --� <br /> SUBTOTAL $ SUBTOTAL $ <br /> PERMIT $ PERMIT $ <br /> TOTAL FEE $ TOTAL FEE $ __ <br /> FOR OFFICE USE ONLY: _ <br /> iRONT SETBACN AEAR SFTBRCN SIDE SET9ACK PtArv CNECH NUMBFR FFF RECFlCT NO <br /> useiowe �otaaen vnen�vrsire FEES VALUATION — FE� <br /> i i ves '.�� �+o eim owc � <br /> MEIGHT�IMITpTION NO OF DWELLING SRE OF BLOC�iI <br /> UNlig PI.IIMPMG <br /> OCGUV�NCV N�`Oi SiOaIES OCCUPqNT LOAD BASEMENi MFCHANIGI <br /> GPOUV .—__" <br /> 11VE5 �� Nn <br /> FIPEAL�RMPEOf RP/SON AD[TIIONFIPLANCHFGK , <br /> 7THEP <br /> FlRFSVRINKl4RRF0'D RFRSON ���/� <br /> STATE BUIIDING SURCH4RCf )/I <br /> �tl�L <br /> *wForrpNsr vinNsavcaovenev CITYOFEVERETT �'uaiir.woaks , <br /> LOCALSALES - — -� -- — � <br /> �qrE TAX CODE IS 3105 T07•� _�_ _�!!�}S� <br /> � <br />