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APPLICATI4.� FOR CONSTRUCTrJN PERMIT <br /> CITY OF EVERETI'• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> f� DEMOLITION C1 COMBINATION !�BUILDING �l MECHANICAL f-1 PLUMBING fl SIGN <br />�i PROJECT ADDRESS <br /> I 3 s 3 o eo�.b Arv� <br /> owr+en MAIL pODPE55 / cin�• y� vmpp� r��orve <br /> trNr/� �/1{ICQ MAI//[D�O�Il/ L�K�IIY(%YG�// Zf/ O �� r��oN7- S 9 72J 3 <br />�I <br /> AHCHITECTOROESIGNEH MRILA��RE55 qTY IIP PHONE <br /> GENERnLCONTR T MAILA�RESS CI1V jIP PIION[ $TFT[LICENSE� <br /> (�ur+w +ns u.sf'o�r l�ort`rb�e 1+9�11��7 � /(s/i )9� f7^ /UE /„QiCe STwewr <br /> MECH�NILALCONTBACTOR MN�A�DRE55 ZIF PHONE STATEL�CENSE� <br /> � 4ts..rr- � 8v —ai�. 4� <br /> PLUMBINGCONTRACTOR MAllA00RE5S CITY ZIP PHONE STATELICENSE� <br /> CONTMGT PRICE OF WORK <br /> O , o• HEATING SYSTEM: ❑GAS ❑ ELECTRIC Ll <br /> OESCPI�E Y/ORK AND SOIIAtiE FOOTAGE IN OLVED CONiACT PERSON AND PNONE NO. <br /> .7" in e nd. en s i I� S"$- V 7-7 <br /> : I HEREBY CERTIFY THAT I HAVE READ AND �xAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Pfi0PO5E0 USE OF 9UILDINp PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> � IEGRLDESCRIPTIONOFPROPER7Y�5HOWNBELOWOFAIIRCHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> . �or e�ocK oF _ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TN(I.D.NUMBER CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br /> CONSTRUCTIDN LOAN LENDER,RDDBESS.TELEPHONE NUUBER X ./[i( y—�� '�3 <br /> jilE OAiE <br /> CITv BUFINE55 UCENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDLG 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 /> KITCfiEN SINK 8 DISP � CLOTHES DRYERS i <br /> DISH'�h�ASHER � VENTILATION FAN � <br /> IAU�DRY TRAY � RANGE HOOD ; <br /> CLOTHES WA5HER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> DACKFL.OW PREVENTERS � GAS FIREPLACE � <br /> CINK(SERVICE—BAR,ETCJ � GAS RANGE <br /> ' GAS PIPINO ' <br /> � EXHAUSTFAN � <br /> � � � <br /> � � <br /> i � <br /> � <br /> SUB TOTAL 5 � SUB TOT�L $ ' _ <br /> � <br /> PERMIT S i PERNIT S � <br /> TOTALFEE S ' TOTALFEE $ � <br /> FOR OFFICE USE ONL1': <br /> FRONT SETOACK RGAR SETBACN SIDE SETBACK PLAN CHECK NUMOEp �EE RECEiPT N0. <br /> USEZONE LOTAREA VACANTSITE FEES VALUATION FEE <br /> IlVES fl NO BUIlOINO � � <br /> i — <br /> NEIGNTLIMIiAT10N NO.OFOWELLING SIZEOFOLDGRI. i <br /> UHITS p�UMEfINO � <br /> OCQIPANCV NOC'FSi0FiE5 OCCUPANTLOAD BASEMENT M[CHANICAL � <br /> GHOUP � <br /> ❑VES f] NO i <br /> FIREPLAPMREO'D REASON AOOITIONALPLANCHEGN I <br /> OTHEA � <br /> i <br /> FIRE SPRINKLEA REOD REASON i <br /> STATE BUILDINO SURCHARGE I��) <br /> TVPEOFCONST. PLANSAPPROVEOOY CITY O�EVERETT �UCLIC WORNS � <br /> LOCAL SALES <br /> �prE TAX LODE IS 3105 70TAL u D •• <br />