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. - - — <br /> APPLICATIO,�1 FOR CONSTRUCT�N PERMIT <br /> ..�fl'OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEREiT,WA 98201 •259-d810 <br /> ❑ DEMOUTION ❑ COM8INATION ❑ BU{LDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: ��n� � . I � C���C�� �, I,i��� �I� �VL��� <br /> (�(`�ll�l %l�'P�'PH AJ[� t� ��►'�.�. <br /> ��i�ir ) l/�a�� �CIF� �_Ti',�C, �7U7 C�7�'_/ ��,'C' l��t'?�I, �'C�l'E'� <br /> ��r�l��T���cEm,��s�, �� �e�i����Y��, ��a� , c�"ri �C� � �c,r� �'�� <br /> MLNIiCLTp10E51GNER 1.W1AD011ESil CI7V 71P �, PNp1E „ <br /> r <br /> ll i�'I"Y'Y� ��"1��1'' 1�fi7��� ,�� � ��'7 ��,Z'..�� 1 �1�� �,, � �Z.r'�l ����7- �;;fcZ�Z ? <br /> GENEMLLONTR/�CTOR MNL/�WPESS CITy ����,t'J� llP �11p E I�TEIILENSE• <br /> r ,Y�,��»;= 1 !��/�v:r�il�''rl-7� 'Im��,r' �1/'Z"IC�✓,� ��� �-�l�/U �"�vz��ci�x�� <br /> MECN�NMd1LCONiRACT(Mi MNLAOd1E55 LITV ZIP PHONF STATEUCENaE� <br /> PLUAlM1fsCONiRAGfOR Y/�ILADd1ES5 CIIY 21P PMONE ST�TEL�CENSE� <br /> caerrucrvn j� � �L� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> .o,��t ; <br /> p�5�ptl�Nqq�1N45q�MiE Fppi N O CCMlT�GT P[RSON/�NO PNOf�E NO <br /> ' � ' QL f"�/Y�' • <br /> �,r''i���� 1� '/�' = <br /> I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rnorOseo use oF eu�dna � PROVISIONS OF LAWS AND ORGINANCES GOVERNING TliIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lEpµpES�p�p7�pNpFp�qpfipry�51qW11 �cw MoconEsl N0T'. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior ewcu oc AUTHORITY TO VIOLATE OR CANCEL THE PAOVISION OF ANV <br /> OTiIER STATE OR LOCAL LAW RECaUUTING CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTflUCTIJN.THA71 AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WORK FOF WNICH <br /> APPLICATIO / IS M/�9E A �I C�O`�LWA�WITH TME STATE <br /> MJiGEL TAX I D.MI�MEN CONTRAC �RS Y� ff3 � <br /> �/-/��/���a� � �� � <br /> Cp15T111ICT10N ldW LENOER.Mp1E55.TEIEPHOME MMlER x <br /> • � pE DA E <br /> ' � CITYBUSINESSLILEHSENO. <br /> PLUM6IN6 MECHANICAL <br /> NO. TYPE OF FlXTUHE OR�TEM FEE NO. TIPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn � MC—AMNDLG UNfTS ' <br /> BATHTUB ; FORCED AIF SYSTEMS � <br /> UVATORV(WASH BASIN) � � HEAT PUMP � <br /> SHOWER ' UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASMEfi ' • � � � � � � FJWGE HOOD _ ' <br /> LAUNDRY TRAY ` � - ; WATER NE4TEF � <br /> CLOTHES WASHER � WOODSTOVE ' <br /> URINAL ' MEfAL FIREPL4CE Y_QOD BURNING) ' <br /> � <br /> DRINKIN6 FOUNTAIN � FIREPLACE INSFRT QNOOD BUR4ING) i <br /> FLOOR DR(�IN � GAS FIREPLACE ' <br /> BACK�I.OWPREVENTERS ; GASHATIGE � <br /> SINK(SERVICE�-BA �,ETC.) � GAS PIPING ' <br /> . � � IXHAUST FAN � <br /> i <br /> i <br /> � <br /> i <br /> � � <br /> � <br /> � <br /> � <br /> SUB TOTAL S ' SUB TOTAL S i <br /> PERMIT S � PERMIT : � <br /> TOTALPEE S � TOTALFEE f ' <br /> FOR OFFICE USE ONLY: <br /> i110NT SETB�LI( RE�R$ETBACK SIOE SETBACN PLAN CIIECN N 40ER •� . FEF�O HFCEIPT NO <br /> r-) ` � � <br /> � <br /> USE2d+E LOT�REA V�CANTSIfE FE VALUATION �E <br /> � <br /> ❑YES ❑NO BWIDiN(i � <br /> HE16HT LIYIT�TION NO Of DwELLI/q 52E OF BIDWfI � <br /> i <br /> UNITS PIIIMtlIN6 � <br /> T <br /> OCGUPANCY MO Of Siptl[5 OCCUPANT IOAD BIlSE4ENT � <br /> MFCNMIIGQ i <br /> ORJUP <br /> ❑YES ❑NO � <br /> ADpfION�L f UN CNF.CN � <br /> FIRESPWNNIERPEO'D REI150.N � <br /> � <br /> O711EB r n , � <br /> FIREAtMMFEO'0 �NEASON � <br /> STAIE BUI�DINfi 5 RLN�f1GE J <br /> - �_ <br /> tvvEOFr.or�st PLANS OVEUBY CITYOFEVEREIT MIBIIf.WONNC ' <br /> / IJ/r LOCAL SALES y <br /> p��� �, �j�9� TAX CODE IS 3105 TOTAL CJ '� <br />