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APPLICA�'It,nl FOR COIdSTRUC'1.ON PERM17 <br />CITY OF EVERETi • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />fl DEMOLITION fl COMBINATION rl BUILDING I� MECHANICAL fl P�_UMDING fl SIGN <br />PAOJECT ADDRESS <br />7�00/ Evr,rq.ree.� G!/a�1 <br />pWNER MRILADORESS GITV Z�P PNONE <br />v =: �.,..�,.. ..,� t�s-4aa� <br />< y�..� �.. -y.o �lcOS a9 f f�//vss��y 9f�Gt�� <br />�'ral--,--- ' % �.-- <br />TENANT h1A1LADDR:55 LIiY ZIP PHONE <br />("Li ano' %%%r�on/ ar. �xri /� ��S-4¢"�ic �� Se.a�// 98l99 28L 70(,� <br />ARCHITECTO ESIGNf.R Al1.AD�PE55 LITY ZIP P� <br />f�rmf �rsllzls[..�55�2G-92?�-lS1��Sf.S�r.S�a�c,98[����?107'/48� �/77 <br />GENEMICONIR�GiOR MnILA�Of1E55 � � � CItV _ ZIP Pu04E SIATELICENSE� <br />MecNnNica�co��T�ncran MNILPU/UNt�S �•��� "' """"' '""""""'--- <br />� Br- Se�G�Gd <br />PLUMBINGCONiRACTOR M/•II.�DORESS Cltt ZIP PNONE STAiELICENSE• <br />LESCPIBE GlORK AND SOU�RE FOOT�GE ��NOLVEO <br />�dYJII/JC/eri: e'�'��IS__._�� <br />�c,u��tr�Maf �45D0 <br />PPOPOSED USE lO � BUILDING 1 <br />�C7 c�l�/�T' <br />LEGAL DESCRIPiION OF PROPERTY (SNOWN 9ELOW OH ATTACH <br />LOT BLOCK OF <br />PAfiCEL TA% I.D. NUM6ER <br />�0728Q5-?�-�b1 -QQQ <br />GONSTRIICTIONLORNLEN�ER.A00RE55,TELEPNONE NUMOER <br />To ��- S�P�>4-d <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: <br />PRONTSETOACN PEAfiSETBACN <br />USEZONE <br />HEIGIIT LIMITFTION <br />OCCUPANGY NODi5i0PIE5 <br />GRO P� � <br />FIfiE PLAR,MNREOI1 <br />IV✓ <br />FIRF. SP�INKLER �EO'11 <br />ND <br />T'IPE OF f,ONST <br />� <br />lOT RfiEA <br />NO OF OWELLIIlG <br />IINITc <br />pATE <br />HEATING SYSTEM: � GAS I-1 ELECTRIC fl <br />CONiACT VERSON ANO PHONE NO. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPV=D WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TH'c GRANTING OF A PERMIT DOES NOT PRESUM17E TO GIVE <br />AUTHOFiITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEP STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY ThIE <br />OWIJER OF THIS PROPERTY TO PEFt''ORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. �� <br />CITV BUSINESS LICENSE NO. <br />MECHANICAL <br />FEE NO. TYPE <br />6-��-�s <br />DATE <br />FEE <br />A/C —NHNDLG UNRS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNITHEATERS—B.T.U. M <br />CLOTHES DRYEflS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAI FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS PIPING <br />EXHAUSTFAN <br />SIOE SETBACN �IAN CIIECK <br />VACANiSRE <br />( I YE$ f 1 NO p����pING <br />SIZF.OF ALOGRI <br />� `� T/ P�IIMAMG <br />I <br />B�SEM@NT �� IA[CIIANIC�L <br />fIYES [+"NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3705 <br />iDDI110Nn1. PI�N CHF.CN <br />Oi11ER <br />STNE UUILO�`1G SIIRCIIARGE <br />ruei.ir, v.on�s <br />TOTAL <br />SUB TOTAL S <br />P[RMIT S <br />TOTALFEE S <br />rer � r+eeemrno. <br />y�7�9 <br />