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r <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> 047, <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ' ' DEMOLITION • COMBINATION IX BUILDING MECHANICAL ' PLUMBING SIGN <br /> fPROJECTADDRESS I (N� YoVr.ER LIAR ADDRESS w� <br /> .R.ER 9 CIL', J'' PHONE <br /> 6-1 -"t4erzosk, ►AC-ac.� C,E.,,�TE,2-City � 132I C' UQ1./ EA-tie-ell- <br /> -'- - 1t - z�r, <br /> TENANT ZIP NONE <br /> EN/ MAIt ADDRESS I , / �-''j/'�v l "E�Z.(f I' <br /> ARCHITECT OR DESIGNER MAID ADDRESS CITY r�J'r� IK1Nf Z59 -c.)G�L15 <br /> .9y ,r u r.1ooH ram, Aze-4-1-ta *5. 4?- b liv'CT ' ' _ t:t.roWt-tom wry <br /> GENERAL CONTRACT RANI ADDRESS (i1., 9��3 <br /> JIr' PIP)Nl GtAT( tatIU <br /> I <br /> 1WJ Ce-v-t-s-TiLiurt et-i P.A ►3 ox 41,$1) i' NTT qt Zt3t 2` C�L/►e 4'31'�Lo <br /> MECHANICAL CONTRACTOR ' JiP/ <br /> L ADDRESS CITY T T �91 /► <br /> PHONE SAT(LICENSE• <br />( PLUMBING CONTRACTOR MAIL ADORE SS C111' <br /> Zip PHONE STATE LICENSE• <br /> CONTRACT PRICE OF WORK 417 O <br /> �IO CPO <br /> SYSTEM: GAS 1 ELECTRIC I I <br /> DESCRIBE WORK AND SOI,ARE FOOTAGE INVOLVED <br /> CONTACT PERSON AND PHONE NOTel-•A�F^r IMeg-MV yi��- r INI�� j e-pc... <br /> hw0s2 2cri -vb6g, <br /> �x151l wGl l''fr S►ol TM. 4Pf e ►12-rt-=,cam r•Locep j- M t_ <br /> _ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PR(D�P.�osED��u�s�E a BUILDING <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> I F`S€0US OF <br /> B&M� QFe1(� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DE SCRIPTION OF PROPERTY ISIgWN BELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS AND I COMPLY WITH THE STATE <br /> PARCEL TAX I D.NUMBER CONTRACT••�' CW AND 296.200 WAC <br />( CONSTRUCTION LOAN I ENDER.ADORE SS TELEPHONE NUMBER i��� /2- / - <br /> N SI ATURE/ DATE <br /> l4, ,z <br /> CITY BUSINESS L ENSE NO <br /> PLUMBING <br /> MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMEM <br /> WATER CLOSET(TOILET) M <br /> - FEE <br /> A/C-ANDLDLG UNITS-H.P. <br /> BATHTUB FORCED AIR SYSTEMS-BTU. M E.A <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS-B.T.U. M <br /> KITCHEN SINK d DISP CLOTHES DRYERS <br /> DISHWASHER VENTILATION FAN <br /> LAUNDRY TRAY RANGE HOOD <br /> CLOTHES WASHER WATER HEATER <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) <br /> BACKFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE-BAR, ETC.) GAS RANGE <br /> GAS PIPING <br /> EXHAUST FAN <br /> 1 <br /> SUB TOTAL S SUB TOTAL S <br /> _. — PERMIT PERMIT $ PERMIT S <br /> TOTAL FEE S I TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FRONT SF TRACK REAR SF TRACK SIDE SETBACK PI AN CHECK MIMB( Fr( <br /> `�/T� nFr.Flrr NO <br /> 5 _J <br /> USE ZONE DDT AREA -30- <br /> VACANT SITE FEE VALUATION FEE <br />' AYES f: P.O <br /> 1 Run DING U7/062 ) 30 <br /> HEIGHT llw TA710N NO OF f1TI(IIING SIZE Of MIX:'11 <br /> umIS 6-2 GO - -- <br /> PI HABNG <br /> OCCUPANCY NO Or STC TS OCCUPANT LOAD BASEMENT --- 4-- <br /> C.ROUP, 3 MECHANICAL <br /> YES /+q <br /> FREALARMREOD REASON AIXXIK)NAI Ty A4 CH(CK <br /> YFf ugc ! o,?P. - - --- —�-- <br /> DTHER <br /> FIRE SPRINKLER REOD REASON p <br /> v r J � 0/(0, STAI(WADING SIRC•IARGr ---- — L s-0 IYP OECONST PIMA FORT CITY OF EVERETT PI IK IC WORKS _! <br /> I -F/1 � Ci r LOCAL SALES ,_ <br /> TAX CODE IS 3105 TOTAL <br /> F DATE I - a�r - 1 v <br />