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APPLI�C�'ION FOR CONSTRir�T10N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVEFETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ �`OMBINATION ❑ BUILDING f�3 MECHANICAL O PLUMBING <br /> PROJECT ADDRESS � S' <br /> �2"1 o`T Go��Y Evr�z�tT,WA <br /> �WNER MNLADDRESS <br /> ��TM t�P PHONE <br /> J .'t7. !-i . rl'731 WE.'T+�t,�rz� EV�n- <br /> iENANT MAIIADURE55 <br /> }��r�y. � diY 21P PHONE <br /> ��.xv�crc•r L�.1-i�4SL�'�Ol�{ (I"'\ur..f'T•FSL <br /> ARCHITECTOqDE51GNFR MAILMORE55 ��n. <br /> z�P PHONE <br /> GENEflALCONTi7ACTOR MRILADDAE55 CITY <br /> ziP PNONE STATEUCENSE� <br /> MECN�NICAICONTpqCTOR MAILADORE55 ���y <br /> P�e.�-e.�e r Z�P PIIONE STATE LICENSE 11 <br /> F��z+E P+:o.-ec�.l 2oc4-�. e} �+Mie e�. a TA�oe-�A .wa 98a2q.9z`-Qx�o <br /> � PLUMBIN6COIITRACTOR Mq�ApDPE55 ��n. - Pv'�R�GroqYcSr <br /> =�P PNONE STATE LICENSE� <br /> � CONiRAtT PRICF OF WORK <br /> 11 o Q.¢.Lo ta,T�� c��a��� ���os HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> OESCRIBE WORNAND SOUARE FOOiAGE INVOL\'ED <br /> �'�� � L��AT� SPLN�L CANT�CTPERSONANOPHONENO. <br /> �-r�2. Fiwr�tw �7¢�N�S J. �x� <br /> F�acz 'T'�Pwr lf-sFncvE+.�E�'�5 C2.�� ) �2v• 229p I <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI! I <br /> raoPoseo use oF euaoiNa . APPLICATION AND KNOVJ THE SAME TO BE TRUE AND CORRECT.ALI <br /> O RL[.� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OI <br /> LEGRLDESCRIPTIONOFPROPERTY�SlIOWN6EtOWOqA77pC11TWOCOPIES) �'�'ORK WILL Pc COMPLIED WITH WHETHER SPECIFfEO NEREIN OF <br /> NOT. THE CIiANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��T B��K �F AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN1 <br /> OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICF <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTA%1.0.NUMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER.ADDPESS,TELEPNONE NUMBER x � � �� <br /> 51 ATIRE _ I J" � ��� <br /> �24 t�9 4 oaE <br /> CIIY BUSINESS LICENSE N0. <br /> PLUMBING MECHANICAL I <br /> NO. TYPE OF flXTURE OR ITEM fEE NO. TYpE OF FI%TURE OR ITEM <br /> WATER CLOSET(TOILE� � �E <br /> BATHTUB aC—AMNDLG UNITS—H.P. , <br /> LAVATORY(WASH BASIN) � FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> SHOWER HEAT PUMP � <br /> i <br /> ' UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINlC 8 DISP � CLOTHES ORYERS <br /> DISHWASHER � i <br /> LAUNDRY TRAY VENTI�ATION FAN � <br /> � RANGEHOOD � <br /> CLOTHES WASHER � <br /> URINAL ' WATER HEATER � <br /> ' WOODSTOVE , <br /> DFINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) ' <br /> FLOOR DRAIN � <br /> ' F�REPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENiERS � GAS FIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) � <br /> � OAS RANGE � <br /> ' GAS PIPING , <br /> � EXHAUSTFAN <br /> i ' <br /> � SUB TOTAL $ ! � <br /> PERMIT g � SUB TOTAL S � <br /> TOTAL FEE PERMIT $ , <br /> $ � TOTAL FEE $ i <br /> FOR OFFICE USE ONLY: <br /> FFONT SETBACK REAR SET(lACN SIDE SETBACK PUN CHECN NUMOER <br /> J�' FEE RECEIPTN <br /> USE20NE /� `� <br /> LOTAPEq VACpNTSITE FEES VALUATION FEE <br /> f]VES O NO BUILDINO <br /> NEIGNTIIMITRTION NO.OFDWELLING SIZEOfOLOGRI. . <br /> UNITS <br /> PLUMOING i <br /> GFOUPANCY NOAFStt/NE5 OCCUPANTLOAO BASEMENT <br /> MECHANICRL <br /> ❑YES ❑ NO � <br /> PIREAURMREO'D qEA50Y ADOITIONALPUNLHECK i �--1 <br /> i <br /> OTMEq /� <br /> FIRE51'RINKLERREOV RE/SON � <br /> STATE BUILDING SURCHAAGE I <br /> TYPEOFCONSL PU�+S/�I'PqOVEUBY CITYOFEVERETT PUOLICWORKS ' <br /> JM LOCAL SALES 1 <br /> o�re �) . � • TAR CODE IS 3105 TOTAL /� �� <br /> � <br />