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APPLi�pT10N FOFi CONSTR► '�TION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION G� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 �� <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING pJ MECHANICAL ❑ PLUMBING ❑ S <br /> PROJECT ADDRESS <br /> r2"7��i GoLtbY Ev�cRE.TC',Wl�i <br /> OWNER MAILADORE55 ��n, <br /> z�P PMONE <br /> .'�. i—1 . r2'131 Wg�r� Ev�rt- <br /> 7ENANT MRILADDRE55 CIIY <br /> Z�P PHONE <br /> �� \R.IES'i1...�00 �rxt3-csaT f��.ao���"("'ra <br /> hRCHITECTORDESIGNER MAILRDDflE55 ��n. <br /> Z�� PHONE <br /> GENERALCONTi7ACtOR MNLAOUAE55 ��iy <br /> ZIP PNONE STATEIJLENSE� <br /> MECHNJICAICONTA�CTOR MRILADDRESS �n. <br /> P.e.�-a.�er Z�P PHDNE STATEUCENSEII <br /> F�� �ee�.J 2no4^�. s} �a+wE �'. F Tr��artA .wA 98a2492�.-2Z�c <br /> PLUM9INGCONTRACTOR MAILADDRESS �,ry � vs-RziFroqycf- <br /> Z�P PHONE STAIE LICENSE e <br /> CONTRACT PBICE OF WpRN <br /> �� ��-a��� Sc�¢.>..�.� tv,,��,,, , HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> DESCHIBE WOAK ANO SOU<RE FOOTAGE INVOLVED <br /> QO �o�.�T£ SP��`L CONTACTPEBSONANDPHONENO. G,.,� ��� <br /> ��. �dTfGC'Ld �Q�N1S .1. • �.+s�cc.r <br /> �acz r�Awr tf.-�anoV�j.��-rs c2.�cr ) �2b• 22�jp <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI: <br /> , raovoseo use oF emtoiNo � APPLICATION AND KNOW THE SAME i"O BE TRUE AND CORRECL AL <br /> OFiL��-E. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE ql <br /> LEGALDESGRIPTIpNOFPROPERTY(SHOWNBELOWORATTAClITWOCpp�ES) WORK WILL BE COMPLIED WITH WHETHER SPEGIFIED H'cREIN Of <br /> NOT. THE GRANTING OF A pERMIT UOES NOT PRESUME TO GIVf <br /> , ��T B��K oF AU'HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANl <br /> . OTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFORMANCt OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICF <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCELTAX I.D.NUMBER CONTRACTORS LA11'79,27 RCW A�J 296.200 WAC. <br /> CONSiRUCiION LOAN LENOER,ADDRES3,TELEPNONE NU\1BEli � " g y� <br /> X , <br /> SIGNRTURE DATE <br /> r�?_4l�94 <br /> CITV OUSINE55 LICENSE N0. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR I7EM FEE N0. TYPE OF fl%TURE OR ITEM <br /> WATER GLOSET(TOILEn � FEE <br /> A/C—MiNDLG UNITS—H.P. i <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WqSH BASIN) � <br /> � HEAT PUMP � <br /> � SHOWER � UNITHEATER5—B.T.U. M i <br /> KITCHEN S(NK d D1SP i CLOTHES DRYEIiS � <br /> DISHWASHER � <br /> ' VENTILATION FAN <br /> LAUNDRYTRAY � ' <br /> � RANGEHOOD i <br /> CLOTHES WASHER � WATEP HEATER <br /> URINAL ' <br /> � ' WOOD STOVE , <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) ' <br /> FLOOR DRAIN � F�REPLACE�NSERT(WOOD BURNING) i <br /> BACKFLOW PREVENTERS ; GAS F�REPLACE � <br /> SINK(SERVICE—BAR, ETC.) ' <br /> � GASRANGE � <br /> -- ' GAS PIPING � <br /> � EXHAUST FAN � <br /> � <br /> i 'i— <br /> i � SUB TOTAL $ � SUB TOTAL $ � <br /> PERMIT $ � <br /> TOTALFEE $ , TORAIFEE $ ~— <br />' FOR OFFICE USE ONLY: <br />' FRONTSETHACK REARSETOACK SIDESETOACK PIANCHE NNIIMOER FEE FECEIPTND. <br />� 115EZONE LOTAREA VACANTSITE /FEES VALUATION F� <br /> f1YE5 ❑ NO pUILDINO <br /> HEIGHTLiMITATION NO.OFOWELIING SIZEOFBLUG?,1, � <br />� UNITS <br />� PLUMBIN6 i <br /> OCCUPANCV Iq.OFSTOWES OCCUPANTLOAD BASEMENT <br />� GROUP MECH�NICAL <br />' ❑YES ❑ NO <br /> FlREAURMREO'0 REASON ADDI770NALPLANCHECK — ��— <br />! FlflE SPPINRLER REO'D qEA50N OTHEII L � � <br /> STATE BUILDING SURCHARGE j <br /> TVPEOFC�NST. PLANSAPpROVEDUY � — <br /> J�� CITY OF EVERETT aueucwonKs � <br /> LOCALSALES <br /> onte �� —1 � ' TAX CODE IS 3105 TOTAL <br />