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APPLICATICrr�l F�DR C�hlSTRUCT�ON PERIMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />f� DEMOLITION fl CpM81NAT10N f-1 BUILDING I-1 MECHANICAL rl PLUMBINC SIGN <br />PROJECT Af]DRESS � � <br />�z � � � ,�, S�, L <br />OWNER Matncon[ss cm nr r��oNe <br />IENANT M�IL�OORE55 f.ITV 71P PIIONE <br />�`,s'.e.e.u�r l��a (�lass 6 9Z3 ��� � �� 1�1� <br />F�HITF.CT �ESGNER IAAl1.A0DRE55 �ITY )IP nup��E <br />\ <br />1ir <br />c.<<s�o� a o 9 ym/� <br />]N@ StRE IICFNSE � <br />��✓ 9szZs (3�v)6so-��o <br />- � - "'•' •��� rnurvt STniF IICENSE � <br />PWMBINGf.011TRRCiOR IAI.ILADDRE55 CI�1' ZIP PHOtiE $TATELICENSF.� <br />SOVARE FOOTaGE INVGLVED � <br />LEGAL OESCRIPTION OF PROPERTV (SHONR! BEL�W OR ARACH <br />l0T BLOCK OF <br />PARCELTA%IA.NUMBER <br />CONSTRUCTION LOAN LEN�EIi. ADORE55. TEIEPMONE NIIRIBER <br />PLUMBING <br />NO. TYPE OF FiXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK R DISP <br />�ISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL S ; <br />PERMIi S i <br />TOTAL FEE 5 � <br />FOR � Fli.r USE ONLY: <br />FI�� • �7A�CK ilEARSF.TBACK <br />USEZONE ' LOiRREA <br />� �� <br />HEIGHT LIMITATION NO OF DWELLING <br />UNIIS <br />OCCUPANGV 110OiSIOnlES OCCUPANiLOAD <br />nnr. <br />TYPE <br />HEATIP:G SYSTEM: f l GAS �l ELECTRIC fl <br />CONTRCTPLRSONANDPHONEH(1_ n . _ _ / i <br />_�-S6 D) h 5 C'�' /�S Zi <br />, <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS O� LAWS AND ORDINANCES GOVERNIPJG 1HIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OP <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROViS10N OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CON;�TRUCTION OR THE <br />P6RFOR�����CE OF CONSTFUCTION. THAT I AM AUTHOPIZED BY THE <br />OWNER l' 'HIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />x ��Zlrv7�� S��iCl6/� �' �Z-�� <br />SIGNA � DATE <br />CITY Ol15WESS LICENSE N0. <br />NO. TYPE OF EOUIPMENT FEE <br />A/C — A/HNCLG UNRS — H.P. � <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br />HEAT PUMP —�— <br />UNIT HEATERS — B.T.U. M � <br />CLOTHES DRYERS ; <br />VENTILATION FAN T— <br />RANGEHOOD � <br />WATER HEATER T <br />WOODSTOVE � <br />METAL FIREPLACE (WODD BURNING) ; <br />FIREPLACE INSERT (WOOD BURNING) ' � <br />GAS FIREPLACE ; <br />GAS RANGE <br />GAS PIPING <br />SIDESETBRCR �PlANC11Ef,KNUMBF.R <br />VACANT SI1E FEES <br />IIYES fiNO pUItOiNG <br />512E OF BIDGRI <br />PI UI,!�7MG <br />DASEMENT NECIInNIC�L <br />IIYES II NO <br />ADDIIIDNAI. PL4N CHf.GN <br />Oi11EF <br />sTaie omini��c sune��nnce <br />CITY OF EVERE7T �uni.ir, wonKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />PERMIT S i <br />TOTAI FEE 5 � <br />iEF��/T I RECEIPiNO. <br />C/ <br />