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APPLICATI�..� FOR CONSTRUC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-881� <br /> DEMJLITION f� COMBINATION I 1 BUILDING ❑ MECHANICAL fl PLUMBING fl SIGN <br /> PROJECT ADDRESj� ' / <br /> COI �., r,l �w�_ L ✓�ti<"� Wi: y�1Q� <br /> OWNER MAILAODqE55 CITY IIP pNONE <br /> ` on� S � �w� li9/l 5-r,;s�,cw �N�i/�Q� 4�a `/� 29� 33�F-s7s3"" <br />� TENRNT � AILAD .SS CITY Zlp pHpNE <br /> ARCIITECTORDESI�R � MAILAOO�E55 CITV 21P 1'MONE <br /> i � <br /> GENERALGONTRALTIX7 MAILFO�PE55 CITY pIP �1^�ION- STATELICENSE� <br />' /3 �c w aa�l �96�s� �Z-�! Ly�n� �ti� p��od r���zp� /3�com �l3oPh <br /> MECHRNICAICONTfiACTOR MqRADURE55 CITV ZI7 P�IONE STRT[LICENSE� <br />� PLUMBINOCONiRRCTOR MnILAU0RE55 CIIY ZIP PNONE STATELICENSE/ I <br /> - CONTRACf PRICE OF WOBK <br />, HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br />' . DE6CRIBE WORN ANO SOUARE FOOT�GE INVOLVED WNTACT PERSON AND PIIONE H0. <br /> /;�1%.,�, v 2 s�.- /A <br /> • ,f ' ve �> <br /> � I HEREBY CE(iTIFV THAT 1 HAVE READ ANO E%.4MI�ED THIS <br /> � PROPOSED USE OF BUILDINa APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> i � . PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />�I � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL�ESCRIPTIONOFPPOPERTY(SMOWNBELOWORATIACNTWpCOPIEF� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or�BLOCK��or ��e'�'�� � B• AUTHOHITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />! � � OTHEF S'ATE OR LOCAL LAW REGULNTING CONSTRUCTION OFi THE <br /> i �!L,Lfi �f �,/2I2Y� AS �`R Gwv../ i n ✓�� j PEFFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br />� (o �.a�r�IS •� S^�O �. (.t,�ri OWNER OF THIS PROPERTY TO PERFORM THE WORK FOP WHIGH <br /> APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br />� anace�r�z i.o.r+uMeEa CONTRAC70RS LAW 1827 RCW AND 296200 WAC. <br />�f CONSTRUC�LO NoLEN�ER.D�BE55,��PHONE U�O' \—/ C- �' <br /> i X ! � G� ` <br /> �IGNATURE DATE <br />� <br />( CITV DUSINESS LICENSE N0. <br />! PLUMBING MECHANICAI <br /> j� NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIKTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP i <br /> II SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES ORYERS ' <br /> i <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV � RANGE HOOD ' <br /> CiOTH[5 WASHER WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTHIN ; METAL FIREPLACE(WOOD BURNIN�:) i <br /> FLOOR DRAIN � FIREPL�CE INSERT(WnOD BURNING) � <br /> BAC'(FLOW PREVENTERS � GAS FIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> II � GAS PIPING <br /> I i EXHAUST FAN <br />� i i <br /> i i <br /> i — <br /> i i <br />� i i <br /> SUB TOTAL 3 ; SUB TOTAL S � <br /> PERMIT S � PERMIT $ � <br />�� TOTALFEE 3 � TOTALFEE $ � <br /> I FOR OFFICE USE ONLY: _ <br /> iFRONi SETBACK REAR SETBACN uIDE SETBACK PLAN CI IFCK NOMOEP FE[ RECEIPT N0. <br />� <br /> i useior+e �otnaen vacnNiSiTe FEFS VALUATION FEE <br />� nvEs n ruo omioiNa 1 <br /> � <br />' NEI�NT LIMITPTION NO.OF OWELLING SIZE OF OLDGRI. � <br /> UNITS PLUMOING ( <br />� OCCUPANCY NO OFSTOR�ES OCCUPRNTLOAO BASEM[NT MEGHRIlICAL <br /> GRUUP <br />� ❑YES fl NO � <br /> i <br /> FIREA�ARMAEO'D REASON ADUITIONALPLANCNECN i <br /> OTIIEF � <br /> FIRE SFqINNLER REO'D REASON <br /> � <br /> STRTE OUILDING SVRGHARGE i� <br /> II TYPEOFCONST PUNSAPPROVEDBY CITYOFEVERETT �UOIICWOFKS � <br /> LOCALSALES , <br /> I oAtE TAX CODE IS 3105 70TAL I <br />