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APPLICATII .� FOR CONSTF�UC1 _ON PERMIT <br /> CITY OF EVEREiT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION fl COMBINATION fl BUILDING fl MECHANICAL t� PLUMBING fl SIGN <br /> PROJECT ADDRESS �7 <br /> �� � �✓2. �� � 31i�/� .so�� <br /> ��MMER MAIL�DDRES$ iV PMONE <br /> n /�i�f'�.� o�o� ��--i /S� �n��s"� 9d'a-yo L,G�'a�.5/ <br /> TEN�NT MqILA0DRE55 Cii� zlP PHONE <br /> Ai1CHRECTOR0E51GNEN MAILMDRESS GITY IIP PMONE <br /> GENE�f1 CONifUCTpR I�ILAUDRES piY ZIP P110NE STq1ELICENSE� <br /> ��lOo/P �/�s� ��olo S -� S�9nss %d ,c�`-v� 9�..�LS-- f�P.9,!�"C���e�2 <br /> MECH AICONTRACiOR MA'LR�DP.ESS GTY ZIV PHONE ST0.7ELILENSE� <br /> PLUMBINGCONTR�CTOR M�I�ADDRESS p7Y 21P PNONE STAfEIICENSE• <br /> . CONTMCTPRICEOFWIXiK <br /> HEATING SYSTEM: Cl GAS Cl ELECTRIC f1 <br /> OEY�BE WORK 11N0 SOU�HE FWTAGE INVOIVED CONiACT CERSONAND f'NONE ND. <br /> � k � <br /> - I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPJSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT.ALL <br /> S�L PROVISIONS OF LAWS AND ORDINANCES GOVEiiNING THIS TYPE OF <br /> LEGALDESCP�PTIONOFPROPERTV(SNOWNBEIOWORRTTACHTWOCOPIES) WORK WILI BE COMPLIED WITH WHE71iER SPECIFIED HEREIN OR <br /> . NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVF <br /> wr eiocK ov AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> y�� . /J U�� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR'fHE <br /> Q��� g PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> /�/� �J3Co �/ti�� h'Zi� A PLECATOIONHI SP MADETAND PI RCO P Y EWI HRKT ER STATE <br /> PMCELTA%I.D.NUMBEN CONTRACTORS AW 1827 qCW AND 296200 WAC. <br /> CONSTRUCTIONIO�NLENOER.�DORE55.TELEPNONENi1MBER X /��� �/� I}_�/�'�/ <br /> �5: (f % S <br /> SIGHATpr¢ DATE <br /> _ CITY BUSINE55 LICENSE N0. <br /> - PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OP EGUIPMENT FEE <br /> WATERCLOSET(TOILEn � q/C—AMNDLGUNITS—H.P. � <br /> BATHTUB � FORCEO AIR SYSTEMS—B.T.U. M E.A. � <br /> � <br /> VATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SIMK 8 DISP i CLOTHES DRYERS ; <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER i WATER HEATER � <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) ; <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS � GAS FIRE?LACE � <br /> SINK(SERVICE—BAR,ETCJ � GAS RANGE � <br /> ' GAS PIPING � <br /> � EXHAUST FAN ' <br /> � � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL S � <br /> PERMIT S , PERMIT $ , <br /> TOTAL FEE S � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONi SETfiACN REAR SETBACK SIDE SETBACK PI�N CIIECH NUM9 R FEF RECEIPT N0. <br /> C��-U� <br /> USE20NE LOTAFEA VACANiSIfE FEES VALUATION FEE <br /> � f1YE5 fi NO <br /> - BUILUING � <br /> HEI6NTlIMITFTION NOOPDWELLINO SIZEOFBLDGRI <br /> i <br /> UNIIC <br /> PLUMOINQ � <br /> i <br /> OCCUPANCY NO O[S�OpIES OCCUPANiLORD 815EMENT � <br /> GRWP MfCNANICAL � <br /> � <br /> f7YE5 fl NO i <br /> FlRE�L�RMREO'D REASON pDDI110N4LPLANGN(:GK � i <br /> i <br /> ou�en ; <br /> FlRE SPPINNLER REOD REASON � <br /> STNE OUIIOMC SUACIIARGE i <br /> TVPEOFf,ONST PLl�NSAPPROVEOOY CITYOFEVEREtt PIIOIIf.WOf1K5 r <br /> LOCALSALES — — -I— <br /> mTe TAX CODE IS 3105 TOTAL <br />