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APPLICATIO�1 FOR CONSTRUCT�ON rERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> n DEMOLITiON f 1 CO'MBINATION 11 BU�LDING �5C MECHANICAL �1 PLUMBING f 1 SIGN <br /> FROJECT ADDRESS � <br /> _ �5 'i�9 �'�zoA a�� €��-n- 9�aa� <br /> ovn�en MRILpDpqESS � LITY zir rr�ove <br /> .� f�Nma��1 �,7.29 B�o��.�-r �r,r.�F-�r' 9P'zo/ <br /> fNANT MqItADDRESS QTY 71P PHONE <br /> ACIFIG P��'L f'y ,f�fT�,2lES <br /> ARCNIT[CTORDES�GNER MpI�ApURESS C17Y 71P PNONE <br /> GENERALCONTYIM1CTOP MAILADCRE55 CIiY 71P PIIO`l[ $7AT[IICENSE• <br /> MECNRNILALCONTPI,CTOR MAI�ADDPE55 CITY :9P PIIONE 3�a\ STAtEI�CENSE� <br /> l <br /> �Jrr� FAU.S FlB+4�7�3- �k1G Pra 6a�r 803 �2An7rrEFA�1,�S 9kZSz 9!-GSSS �,eqti1�FN/a/mq <br /> �WMBINGCONiR0.CTOR MAILADDRESS ❑tY PP PHpNE S7ATEI.ICEUSE� <br /> CON I1Ll PfilO?OF WORN -- <br /> ��Bo.Q HEATING SYSTEM: 6(GAS f 1 ELECTRIC f 1 . <br /> �ESSRIBE V/pf1K pN�SOUOq fOOT�GE IYVOLVBD WNTwCT PERSCM ANO PHONF N0. <br /> ��?�_�� � =N[�U577�/+r� _ �1 y /-(v4A�/ 3!D �4!— eSSS -- <br /> �EEr�ENous� Na+sa- 2 ka�r N,E,4r�,es _ .nos. �9 - 79�/9 <br /> ' iI iPE GAS 1 HEREB" CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROI'OSED USE OF BUIIDINa APPLiCATION AND KNOW THE SAA�E TO 8E TRUE AND CORRECT ALL <br /> lnJf}R�Ht)z(SE � 1eE7'A�l L S7-fl2¢�iPa*1T PROVISIOVS OF LAWS AND ORDIIJA�CES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LCESCRIPTIONOFPROPERTY(SNOWNBEIOWORA7iRCMTYJOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> � iot e�ceK or AUTHORI7Y TO VIOLATE OR CANCEI. THE PROVISION OF ANY <br /> OTHER S14TE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSTRUCTION.THAi I AM AUTHORIZED BV THE <br /> OIVNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTR%ID.NUMBER CONT ORS�AW 1 .Z7 RCW R'Q9B.ZO0 WAC. <br /> WNSTRUCTION IO�N LENGER.RDDRESS,iGIEPNONE NUMBER x � a/� /� <br /> _ SIGNRTUPE DATG <br /> CIi/OUSMESS LICGNSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE Oq lTEM FEE NO. TYPE OF EpUIPMENT FEE <br /> WATERCLOSET(TOILET� � NC—A/HNDLGUNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) i HEAT PUMP , <br /> SHOWER � UNITHEATERS—B.T.U. M '�� <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDFY TRAV ; RANGE HOOD ' <br /> i <br /> CLOTHES WASHER i WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN ; METAL FIREPIACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIrIEPLACE INSERT(WOOD BURNING) �— <br /> BACKFLOW PREVENTERS � GASFIREPLACE ' <br /> SIKK(SERVICE—BAR, ETC.) � GAS RANGE � <br /> GAS PIPING ' <br /> i EXHAUST FAN i <br /> , � <br /> � � <br /> � � <br /> —�— <br /> SUB TOTAL S ; SUB TOTAL 5 ' <br /> PERMIT $ i PLRMIT $ p iQ� <br /> TOTALFEE $ � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> fRONTSF.TPACN R[ARSFTO�CN SIUESEiBACN PLANCIIEJC�NN�UMf1frR y� fGl RfCHPTNO. <br /> Jv��l <br /> USC.QNE iotnAen vaenNrsrte FEES VALUATION FEE <br /> _ f IYES f i NO OWLDINA �- <br /> � <br /> HEIGNTLIMIUTION NOOPUWEILING SIZEOFBLDG/fi � <br /> IINIfS pI.UlA01N0 i <br /> OCCUPRNCV NO(%$10PiE5 OCCUPANi IOAD BASEMENT �,���qqNICAL I <br /> GROUV <br /> I1VE5 Il NO � -- <br /> FlREAURMREOD fiF450Y <br /> ADOIIIONPL PUN CMFGN � <br /> _�_ <br /> O1NEP � <br /> � <br /> FIRF.SPfi1NKlERREOO REASON <br /> STNE BUItUiNC SURf.11ARf,E � <br /> i_ <br /> ivreorcoNst r�nNsarvnovenor CITYOFEVERE7T ruenr.wonKs <br /> �OCAL SALES 1--- <br /> „q,E TAX CODE IS 3105 TOTAL <br />