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APPLICATIG.� FOR CONST�RUCT .JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT; WA 99201 •259-8810 <br /> 11 DEMOUTION f i COMBINATION fl BUILDING I-7 MECHANICAL f� PLUMBtNG �' SIGN <br /> PRO.ECT ADDRESS a933 /? ,� -�.� <br /> (�aL <br /> OKTlE(i �p��'1 7MAILAD�RESS CI7V ZIP PNO4E <br /> ART SKoTO�L 2933 CAcBy ftY EVE,e&77- Z55•-4355� <br /> IENANT RI�ApPRE$� CITY Z�P PNONE <br /> MUl</C7'EO �4FFE�F�UC6� 5/)MF EYE,��,*;� <br /> ARCIIITf.CTORDE5IGNER �dnILADDFE55 CITY 21P PHONE <br /> uENERALCONTpACiOR MAILCODRE55 C17Y ZIP PHONE STATELICENSE� <br /> MEGHANICALCONTR�CTOii MAILADGRESS CITV ZI7 PI10�1E SiATELICENSE� <br /> 8�',e�ey N�'o�tJ�P.o. �8oX52G9 , LY�NWoed 980�L ��6'BB35 �E,C'kYNCo7'XY�? <br /> PLUTA9ING COYTRACTOP MAIL ADDPESS CITY ZIP PHONE QTATE LICENSE� <br /> - CONTRACTPRIGEOF FK <br /> / Sc�S�° HEATIi:C SYSTEM: ❑GAS ❑ELECTRIC ❑_ <br /> � DESCRIBE WOFK AND SOUARE FOOTAGE INVOLVE� LONTALT GERSOh AND PHONE NO. <br /> Ns Na�► M <br /> (¢'(�S Gd/�}/� ME�'A'Z g9�G�LoaNO Or� <br /> � gG� A I HEREBY CFRTIFY THAT I HAVE REhD AND EXAMINED THIS <br /> � �� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNI�G THIS TVPE OF <br /> , E SSQ WORK WILL BE COMPLIED WITH WHGTHER SPECIFIED HEREIN OR <br /> LEGAiUESC'R,IP'TIONOPPPOPERTY�SHOWNBELOWORATTACNTIYOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO r,IVE <br /> � ior�BLOCK 68 or EVE�ETT AUTHORITY 1'O VIOLATE OR CANCEL THE PROVISION OF ANY <br /> - OTHER STAT[OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> P��4T pF REP�T D' O PERFORMANCL OF CONSTRUCTION.THAT I AM AUTF!ORIZED BY THE <br /> OWNER OF Ti115 PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARLELTNf I.D.NUTABER CONTR TORS LAW 1827 CW A 296200 WAC. <br /> - 3 - - 03 a , o � <br /> CONSTROCTON LO�1N LENDER.ADDRE55,TEIEPMONE NUAIBER X <br /> sicNa. eD,L y 7S� ont <br /> GITV�USINESS LICENSE N0. <br /> PLUMBIN6 MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILEn � A/C—NFiNDLG UNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) HEAT PUMP � <br /> SHOWER � UNITHEATERS—B,T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> � DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD i <br /> CLOTHES WASHER � WATcR HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAiV i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> DACKFLOW PREVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> � GAS PIPING ' <br /> � EXHAUSTFAN � <br /> -- � � <br /> i ' <br /> � ' <br /> — � � <br /> SUBTOTAL $ � SUBTOTAL S __�_ <br /> PERMIT 5 i PERMIT S � <br /> TOTALFEE S � TOTALFEE $ � <br /> FOR OFFIC[ USE ONLY: <br /> FROM SEI6ACK �EAR SETOACK SIDE SETBACK PtAN CHECKC MBER c/ FEE� ^ � RECEIPT NO. <br /> �����/ / <br /> usezoN LOTARF.A � VFCANfSITE FEES VALUATION FEE <br /> 1 �S,� f7VE5 �'14 BUILOING �,a � <br /> HEIC 1T L�MITqTION NO OF DWEWNO SRE OF OLOGRL � <br /> F ' <br /> `�` ' UNITS PLUM�INO � <br /> N <br /> OCGUPANCY NO.O�STORIES OCCUPANTLOR� BASEMENT MECHANICAL � <br /> GROUP <br /> ❑YES ❑ NO � <br /> fIREALAFMNEO'� IlEA50N A�DIiIONALPIANCMECK � <br /> OT11ER <br /> FIPE SPPII:KLER REO'D REASON <br /> STRTE BUILOING SIIRCH�RGE ���-.� <br /> � <br /> TYPEOFCONST PLANSA ,�veoer CITYOFEVEFlETT ruoucwonKs ' <br /> h+ �OCALSALES <br /> E _ � _ j TAXCODE1531tl5 TOTAL �-�� ^�- <br />