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APPLIC/t►Til..d FOR CONSTRUCI.ON PEF�MIir <br />CITY OF EVERETT • BUILDING DIVISION GC,��� <br />3200 CEOAR STREET • EVERETT, WA 98201 • 259-8810 � <br />Il DEMOLITION fl COMBINATION f-1 BUILDING �MECHANICAL t� PLUMBING �l SIGN <br />PROJECT ADDRESS �� � � /� ��L� . <br />Ci i"fiJ <br />OKT/ER <br />FHONE <br />��r( U(�(VVEyU�I-CYc/!y//L7N F7`7S/ ���N/f*'z > >bit/tu-- ccyr-�vivc� i�= iior�-� iic_ <br />IENANT � M4ILMDRE55 CITV LP PHONE <br />�� . '7�9 N, /�rw.9�cu9-� [�..�r-y�r —c�-- <br />PRCHITECiOR0E51GNEN MAILADOHESS ��n' Z�P PHOYE <br />GENERALCONTRAQOR MAILAD�P[SS CITY 21P PIIONE STATEIJCENS[� <br />CONTRnCTOR <br />PLUMBING <br />Cltt <br />UESCRIBE WORK AND SOIIRNE FOOTAGE <br />V / �/ �✓ <br />�UD SO <br />ioT e�ocK <br />I.U.NUMBER <br />GONSTdUl:TION LOAN LENDER. ADORESS. TEIEPHONE NUMBER <br />NO. TYPE OF FI7(TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />KITCHEN SINK 8 DI <br />DISHVJASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />DACKFLOW PREVENTERS <br />SINK lRFRVICF — AAR Fl <br />SUB TOTAL 5 ; <br />PERMIT 3 � <br />TOTAL FEE 5 � ' <br />FOR OFFICE USE ONLY: <br />FRONTSEiBACN REAR SET6ACK SIOESETBACK <br />USE ZONE LOTAHEA VACRNT SITE <br />(IYES ❑ NO <br />HEIGHT LiMITATION NO. OF OWELLING SIZE OF BIOGRI. <br />uNits <br />I I I ❑vE5 Il NO <br />REO'0 REASON <br />21P _ PHONE STATE <br />PHOYE STATE IICENSE � <br />HEATING SYSTEM: �GAS ❑ ELECTRIC f7 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />' APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECiFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 1 HE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO "�RFURM THE WORK POR WHICN <br />APPLICATION ;S MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND'[96200 WAC. <br />x i/�L� 9 ` ,�C� � - ,� oiy5 <br />SIGNRTURE ��TE <br />CITV �USINESS LICBNSE NO. <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />A/C —A/HNDLG UNITS — H.P. ! <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br />HEAT PUMP � <br />UNITHEATERS—B.T.U. M , <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLAi <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />PERMIT 5 <br />TOTALFEE S <br />PLANCHECNNUMBER IFEE �RECEIPTNO. <br />BUILOINO <br />PLUMBING <br />MECNANICAL <br />pDDIT10NRL PUN CNECK <br />OTHER <br />STATE BUILOING SURCHARGE <br />Puouc woaKs <br />TOTAL <br />