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� ._��.��_ <br /> .. �., <br /> APPLICATlG.� FOR CONSTRUCT.JI�i PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �C�r��� <br /> 3fi00 CEDAR STAEET• EVERETT, WA 98201 •259-881 D <br /> Ll DEMOLITION �f� COMBINATION �l BUILDING f1 MECHANICAL CI PLUMBING f� ;aIGN <br /> PROJECT ADDRESS <br /> �E���� ���/�y ���� �f 9���� �s-; -�i.�s�y <br /> 01V!IER MAILADURE55 CITY 21P PNONE <br /> c5%�'a ra�itc, y. �3o r szc�7 r=.�vP.cY�— �'.�k• a.�� '�.3 s/ <br /> 'E,NA/Ni MAILAOOBF55 =1� ZIP PHONE <br /> /�'//SC/�� STpMo�n� CllGp(p <br /> PRp11TECT OR DESIGNER Nqll.ADDRE55 CITV 21P PHONE <br /> Ch u�,C m�, dp�v 6, 0 3v x.s-��� �,rzl� G�ir �s� �f�s�5� <br /> GENEMI CONTRRCTOn Mni�nuvntea � CIiV I�P PHONE STAiE LGENSE� <br /> ff�r oS/�o%�- Du�y <br /> MECNIINICALCONTRr1CTOP MAILADOFESS GTV ZIP ppONc STRTEUCENSEI <br /> PLUM9ING CONTR�CTOR MAILAUDRE55 CITY IIP p�IONE STAT@ UCENSE� <br /> CONTRALT PR�CE OF WORK <br /> /'s�0 ODO HEATING SYSTEM: ❑GAS Cl ELECTRIC (7 <br /> DESCRIBE K AN SOUARE FOOTAGE INVOLVEO CONTACT P[RSON ANO PHONE N0. <br /> 702� � I�v�ro.ti S��At,�E �ih�3/✓ <br /> � <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIiIS <br /> PROPOSEO USE OF BUIIDINa APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> O�r.!��� . PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LQDE/SJCR�IPTIO�N-�OFPROPEPTY(SHONMBELOWORAT7ACNiWOCUPIFS� NOT. THE GRAN1lNG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT�1 '�z BLOCK ��oF ��*OC � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI LAW REGULATINO CONSTRUCTION UR THE <br /> �/39/ -(o(aY�OoJl'G�7 PEFiFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> y39/ - Io L 7- OD - 00 APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> FARCEILVf ID.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRlICT10N/L/OAN LENDER,ADORE55.TELEPMONE NUMBER x ��(y{� )'�(/C���Y�j/ ��'�0 �� <br /> �G�Y'� SIGN�TURE OATE <br /> CITY BUSINE55 LICENSE NO. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF Fl`(TURE OR ITEM FEE NO. TYPE OF FlXTURE OA ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS � <br /> DISHWASHER � VENTILATIUN FAN � <br /> __ LAUNDRY TRAY ; RANGE HOOD ; <br /> C�OTHES WASHER WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLP.CE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENT[RS � GAS FIHEPLACE ' <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> ' GAS PIPING ' <br /> i EXHAUST FAN i <br /> i i <br /> � i <br /> � � <br /> � � <br /> SUB TOTAL $ � SUB TOTAL S ; <br /> PEFMIT 3 � PERMIT $ � <br /> � <br /> TOTALFEE $ � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: �t� " � � _ <br /> FRONTSETBALK REARSETBACK S�DESETBACK PIANC��KNO,MBER FLJ O� �- /J REClIPTONO. � <br /> /%� Y � % / <br /> USE70NE �mnaEa VAG/NTSITE FEES VALUATION FEE <br /> ❑YES Il NO OUILOINO 7, cy' � <br /> w � <br /> HEIGHTLIMITAiION NOOFDWELLINO fIZEOfOIOC.RI. � <br /> °"'TS 'iDZC 5F �T♦,'I� PLUMBING i <br /> OCCUPANCY NOAf STORIES OCCUP�NT LORO BASEMENT�Z Lyp�u- MEGNANICAI � <br /> CRO <br /> 2 � �f j(YES fl NO i <br /> FIFE�I.AFMREO'0 REFSON A�OITIONALPIANGHECN � <br /> Y�> A:DIiLA�1,+G� OiNEN � <br /> FlqE SPRINKLER PEO'0 REASON <br /> y�? I� [�T(A — STATE9WlUWGSURCN�RGE � i O <br /> G <br /> TVPEOFCONST PLANSAPPROVEDBV CiTYOFEVEREIT �UBLICWORKS � <br /> '7� I� �M LOCAL SALES � <br /> �L pqTE 1'AX CODE IS 3105 TOTAL `�� i ) <br />