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r <br />APP�.ICATIOA iFOR CONSTRUCTrON PERMIT �,�}� <br />CITY OF EVERETT • BUILDING DIVISION �/�� <br />3200 CEDAF STREET • EVERETT, WP.98201 • 259-8810 �l��� <br />rl DEMOLITION I� COMBINATION f7 BUILOING I� MECHANICAL i� PLUMBIiJG I-1 SIGN <br />P OJECT 40DRESS �� � � / _/ <br />%D/d L,o �l�tir� l/I F�� <br />MAII ADDRE55 <br />CITY IIP P11p9t <br />��-�--•��P� �� � � 5 3 - ,3 z % i <br />CIIY ZIP �'MC9E <br />ARCNITTG70POESIGNER MFILMURE55 UTY ZIP PMOYC <br />CONTRl.C70A <br />un <br />IIP <br />LIC@NSE � <br />?NONE STATE LICENSE � <br />PLLWBINGCONTRACTOR NAILPDDRESS CITY ZIP PNONE ST/dEUCENSE� <br />CONTRRCi PPICE OF WJfiK <br />OESCRIBE WORH AN� SOUAAE FOOTAGE INVOWEO <br />J Z�`�� � <br />�' <br />POSED USE OF BUIL0ING <br />LEGAL UESCRIPTION OF PROPI <br />LOT BLOCK <br />isr+arn eEtow oa <br />L' �dKo -v� � - ��� -w��%` <br />CONSTRUC710NLOANtENUER.A��RE55,TELEPMONE NUM9ER <br />PLUMBING <br />TYPE OF FI%TURE <br />WAT�R CLOSE7 (TOILEn <br />BATHTUB <br />LAVATORV (WAS4 BASIN) <br />SIiJr 8 DISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />FOUNTA�N <br />FLOOR DRAIN <br />BACKFLOW PREVENTE <br />S�NK (SERVICE — BAR, <br />FOR OFFICE USE ONLY: <br />f(i�NT SETBACK RE�R SET�ACK <br />USE 20NE <br />MEIGHT LIMITqtION <br />O.CUI'ANCV N0.1 <br />GROVP <br />FIRG ALARM FEO'U <br />FIRE SPRINKIER R <br />LOiAREA <br />FEE <br />SUB TOTAL 5 <br />PERMIT 5 <br />1'OTAL FEE $ <br />SI�E $ET6ACK <br />N0. OF OWCWNG <br />UNITS <br />LOAO <br />VACRNi SITE <br />❑YES Il NO <br />5�2E Of 9LCG�71. <br />❑VES fl NO <br />CITV OF EYERETT <br />LOCALSALES <br />TAl( CUDE IS 3105 <br />HEATING SYSTEM: fl GAS fl ELECTRIC ❑ <br />COYtACT PEHSON �ND P/IONE NO. <br />I HEREBY CERTIF'/ THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME i0 BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND CRDINANCES GOVERIJING THIS TYPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOHITY TO VIOLATE UR CANCEL THE PROVISION OF ANY <br />OTHER STATE 09 LOCAL LAW REGVLATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TI�E WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />� / <br />, ,����� ��;�-j5 <br />RE DRiE <br />CITV BUS�NE55 UCf:NS NO. <br />MECHANICAL <br />NO TVPE OF FUf1URE• OR ITEM FEE <br />A/C — A/HNDLG UNITS — H.P. ' <br />FORCED AIR SYSTEMS — B.T.U. M E.A. ; <br />HEAT PUMP _ <br />UNIT HEATc35 — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE jWOOD BURNING) <br />FIREPLACE IWSERT (WOOD BURNING <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPIN6 <br />EXHAUSTFAN <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE 5 <br />PlANC11GCNNUMOFP IFEE IRECEIPTNO. <br />�UILDING <br />PLUMBM� <br />MECIIANICAL <br />AODITIONAL FUN CNECk <br />OiXER <br />STATE BUILOING SURGHRPGE <br />ruei ic woaKs <br />TOTAL <br />