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APPLi��1Tlt.� FOR rON�YRUC7 .ON PERMIT <br /> CITY OF EV�t�ETT• BUILDING DIVISION � <br /> 3200 CEDAR S i REET• EVEREii, WA 98201 •259•BB10 <br /> �l DEMOLITION f7 COMBINATION I l BUILDING rl MECHANICAL �k'i'PLUMBING rl SIGN <br /> PROJECT ADORESS <br /> �270 7 ��/3c/ ��/_F. �G�or2 7 <br /> owr� n ^raatnoo��ss J DS / J� �'/—/���Vi���(��� GV�� �/� 9�2�/ <br /> /7 lV�/Z <br /> IENANT MAILApDiiES CITY ZIP PIIONE ' <br /> _�N_F/✓�Zt'1�Ar�/ �'�. <br /> ANCHITCGi OR DESIGNER MAIL ADOpES$ GITY Z;P PIIDNE <br /> GENERALGOYTRnGTOR MAILADOfl[SS rIIY nr PI!ONE STATELICEkSE: <br /> MECNANICALCONTR�CIOR MAILADDRESS CITY ZIP PIIONE STATELICENSEY <br /> PLUMBINGCONTAACTOF MAILADDRE55 CITY 21P PIIONE STAiELICENSE� <br /> / 3b C N <br /> C09TRRCTPRICE �WORK <br /> HEATING SYSTEM: ❑GAS ❑ ELECTRIC Ll <br /> D�IBE WORK AN�SOUARE FOOTAGE�%O�VED GONiACT PEHSONANO PNONE NO. <br /> fiLL./lF/,L %C <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEO USE OF BUILD c APPLICATION ANO KNO1N THE SAME TO 8E TRUE AND CORRECT.ALL <br /> }— � PROVIS!ONS OF LAWS AND ORDINANCES GOVEPNING THIS TYPE OF <br /> � �— WORK WILL 8E COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPPOPERTY�SNOWNBELOIYIXiAiTACNTWOCOPIES� NOT. THE GRANTING OF A P�RMIT DOES NOT PRESUME TO GIVE <br /> �or 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�AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEFiFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE hND I COMPLY WITH THE STATE <br /> PARCELTA%I.U.NUMBER CONTFACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSiRI1GTON LOMI LENUER,ADDRESS.tEIEPHONE NUNBEP �,'///-��(�d���, �� /�-�7[..f' <br /> SIGN TUBE DATE �f <br /> Cltt BUSM[SS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM PEE NO. TYPE OF'IXTURE OR ITEM FEE <br /> WATERCLOSET(TOILEn � A/C—AMNDLGUNITS—H.P. � <br /> BATHTUB ; FOFiCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP i <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SIK!(&DISP ; CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD � <br /> CLOTfiEd WASHER � WATER HEATER � <br /> URINAL � WOOD STOVE ' <br /> DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) � <br /> FLJOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � <br /> SiNK(SERVICE—BAH,ETCJ � GAS RANCr <br /> ' GAS PIPING ' <br /> � EXHAUSTfAN � <br /> i i <br /> � � — <br /> i � <br /> T <br /> 1 1 <br /> SUB TOTAL 5 � SUB TOTHL S � <br /> PERMIT $ � PERMIT S � <br /> TOTALfEE $ � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETDhCK RERR SETOACK SIDE SETBALK PUN CHE N 1 UUBf �� FEE RECEIPT NO. <br /> usetoNe �otnae� vacnNisire FEES VALUATION FEE <br /> nves n r+o ow�oiNc � <br /> HEIGHTLIMITAT70N NOOFOWE�lIN6 SIZEOPBLDGR.L i — <br /> UNITS P�pM01N6 i <br /> OCCUPANCY NO OFyfORIES OCCUPANTLOAD BASEMENT MECHANICAL � <br /> GROUP <br /> ❑YES C7 NO i <br /> FIPEAUfIMREO'0 REASON AU01➢ONALPLANCMECN i <br /> i <br /> OiNER � <br /> FIRE SPRINKLER REO'D PEACON <br /> � <br /> STATE BIIIlDINO SURCHARGE i <br /> TYPEOFCONST PIPNSAPPri0VE09Y CITYOFEVERETT PUBLICWORkS � <br /> LOCAL SALES <br /> baTE TAX CODE IS 3105 TOTAL I <br />