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APPLICATI � N FOR COI�STRUC'.ON PERilA1T I <br /> CITY OF EVERETf•BUILDING DI`✓ISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> ❑ DEMOUTION ❑ COMBINATION f7 BUILDING �f' MECHANICAL ❑ PLUMBING Ci SIGN <br /> -�ROJECTADDRESS Z�_� �o� ��y �V� I <br /> � <br /> O'NNER MAILADDRESS Cltt ¢IP P110NE <br /> � - .c i i t�-lv i ur�c-"T L:2. Z�0-{- C�I�, A UE . <br /> iEN�NT MAILADDRE55 CITV ZIP PNONE <br /> T�4�S(�����e� ��a�1ciA(1 z�o"�- �It3v 1�vL �� qrt� <br /> AR HITECTOROESIGNEN MR�LRDDnE55 CITY 21P PHONE -r-J -�'Y, GU <br /> L��T N � coc�s�c,u �a� i a v r� v�,�u kFNTT� J�osa ���r�.��e��i� <br /> GENERA(CONipACiOq MM�pDDnE55 Ciri 21P p1104E ( � TAT�LICE. <br /> `T( _ _ �(z [���tl�`f! . �'� �CCI-t {�UE�Sf� • �Sc>rl�U�Y� 5��,�/� 11� ��� <br /> MECHANI�p�CONTAnpTOR MAILADDAESS CITY IIP PIIONE ��5 TEUCENSE� <br /> 1-�Fe+�aNsoti+ c�2p, 1�� I a�� A�tr_ ti�. k��r�� 9i"s43a HE��-�ac�z��ur <br /> PIUMBINGCONiRACTOR NAILA�DRE55 CIiV ZIP ' PMONE $TATELICENSE� <br /> A <br /> Wt1TpqCTP CEOFWORK <br /> O �� HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> SCRIBE WORN aND SOUARE FOOTAGE INVOlyEO f,09TRCT PERSON qyD PNONE NO. � <br /> ��5,-c, Ae. � s � � ��� �u�u� 5 9�0 2 � <br /> ADD�"ctONS '�p �ue..� Woe� <br /> � J � �5 � �STA�S � HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> f'ROPOSE�USEOFBVILDINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEO�LUESCRIPTIONOFPROGEPTY�SHOWNBELOWpRATfACHTYOCOPIES� WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEFEIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PR[SUME TO GIVE <br /> �ot e�ocK oF AUTHOR�TY TO VIOLATF. QR CANCEL THE PROVISION OF ANV <br /> OTHEii STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � ` ���ti��5 OWNER OF THIS PROPCRTY TO PERFORM THE WORK FOR WHICH <br /> CJ� APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTA%I.D.NUMBER CONTR TORS LAVJ 18.27 RCW AND 29620D WAC. <br /> r <br /> CONSTqUCiIONLORNIEFC.'^,AODREE7.tELEW.JNENUMBER x � ` � n � <br /> $IGNRTUqE DATE <br /> CITV BUSINE55 LICENSE NO. <br /> PLUMBING MECHANICAL � <br /> _NO. - TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF FI%TURE OR ITEM fEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> � <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 GISP i CLOTHES DRVERS ; <br /> DISHWASHER � VENTILATION FAN � <br /> � LAUNDRY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER , — <br /> URi'JAL � WOOD STOVE i <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) � <br /> FLOOk�RAIN � FIREPLACE INSERT(W06�BURNING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � <br /> � <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE i <br /> ' GAS PIPING � <br /> � EXHAUST FAN � <br /> ' i <br /> -` ' <br /> � , <br /> � , <br /> SUB TOT;t $ � SUB TOTAL 5 � ' <br /> i <br /> PERMIT S i PERMIT S ,�j" � <br /> TOTALFEE S � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> FqONTSETBALK REARSET9ACR SIDESEIAACK PLANCNECKNUMOEN FEE RECEIPTNO. <br /> usezoNe IOTAREA VApANT51TE FEE VALUATION FEE <br /> � f1YE5 ❑ NO BUILDING <br /> �'G1:T IIMITATION NO.OF OWELUNG S12E OF BLDGRI. � <br /> UNITS <br /> PLUMOINO � <br /> OCCUPANCY NO.OiSTONIES OCCUPANTLOpD BASEMENT �— <br /> GROUP MECHANICAL <br /> �YES ❑ NO <br /> FIREAURMREO'0 REASON ADD1170NAlPUNCHECK � <br /> OTHER • , <br /> FIRE SPRINKLER REO D REASON <br /> STATE BUILDINO SURCHRRG@ ! <br /> TVPEOFCONSL PIANSAPPROVED�Y CITY OF EVERET� �UPLIC\YORKS � <br /> LOCAL SALES <br /> DRTE TAX CODE IS 3105 TO7AL � <br />