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� <br />� <br />APPLICATIt,N FOR COt��TR1�C1 rON PER1N1� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />I-7 DENlOLITION fl COMdINATION [� BUILDING rl MECHANICAL �l PLUMBING f� SiGN <br />PROJECTADDRESS ,���� �V`2G2ti.�E�✓ r^/pJ 7—O�( <br />Zip rfIONE R // G2hN/+M <br />OWNER MAILADDRESS ��TM 3(r8'�640 <br />f-R-(r-�^^pa 5� /�'SSoC. 8G'LS LUE26h��/✓ WA-✓% �lo'i �V� . �^'A' l�Z�� <br />1�, Z�p PHONE <br />IENANT MPILAODR[55 <br />� �7 ,.6 �c Po 6ax 3�G� n-� S o/t-/3 SE�r�E w�. %�2�3 <br />T�f�- (�oL�/ zm rHONF <br />AR/CH1ITECT OR DES�GNER MNL AODRE55 ��TM <br />4/��INU' ZIP PHON[ StATEULENS[� <br />GENER�LCQNit1�CTOR MAILA0011ES5 ��t� <br />t�'�/4.L� C7�"�-� - <br />nrv ZIP PIIONE STATEIILENSE� <br />cin <br />CONTRAf.TOR <br />�•�,��r„�.,.,,,�� �� S OQ <br />WOf1K P� SOUARE FfJOT�'yE INVOLVEO <br />'Hurv�co w .,� o..,i •.... <br />IJ�i�/G l� /i'^i!� /�c./1 � N/ N (, . <br />LEGAL DCSCBIPTION OF PiiC?ERN ISHOWN BELOW OR ATTACH TWO COPIES) <br />wr o�ocK oF <br />PARCELTA%I.D.NUMBER <br />CONSTRUCTION LOAN LENDER. AODRE55, TELEPHONE NUMBEii <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) ' <br />BATHTUB -----� <br />LAVATORY (WASH BASIN) ' <br />SHOWER , <br />KITCHEN SINK & DISP ' <br />DISHWASHER � <br />LAUNDRYTRAY ' <br />CLOTHES WASHER ' <br />UHINAL � <br />DR�NKING FOUNTAIN ' <br />FLOOR DRAIN � <br />BACKFLOW PREVENTERS � <br />SINK (SERVICE — BAR, ETC.) ' <br />� <br />_ � <br />FOR OFFICE USE ONLY: <br />FRONTSET�ACK PFAR SFTDACK <br />USE 2JNE <br />REIGIR L�MITATION <br />OGCUPpNCV HO 0� <br />Gtt 1 <br />L <br />Fine aunAr�eon <br />%�� �' <br />rine snn�•.wi FA n� <br />� IS � <br />�vre or roNsr <br />/// �% <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />LOTPREA <br />NO. OF DW[LLING <br />IINIiS <br />i� <br />OCCUP TIpF� <br />REr1504 / , 11 <br />1l% <br />o�tE � <br />E <br />• <br />HEATING SYSTEM: f 1 GAS fl ELECTRIC fl <br />GONTACT PFRSON �NO PHONF NO. <br />LL�'oivF �-D �7"S %C.�7+� ,Ga R-S /c-( 2WG ^ j Sl � <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />WORKSWILI BE C MPIIED WIT�H W ETHER SPEC F EDHHEREIN OR <br />AUTHORITYR OTVIOLN�TEAOA CANCEOLETHE� PROV SION OF AINY <br />OTHER STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OpPLECATOIONHI SP MADET AND PERCOMPLY EWITOH KTHOE STATc <br />CONTR TORS LAW 1827 RCW AND 296200 WAC. <br />��� ��� ,/2,/, <br />SIGNATURE DpT� <br />CITY OUSINE55 LICENSE N0. — <br />..._....._— - <br />NO. <br />TYPE OF EQUIPMENT FE <br />HNDLCi Urvns—�•r - <br />AIR SYSTEMS — B.T.U. M E.A. �_ _ <br />f iEAT PUMP <br />UNIT HEATERS — B.T.U. <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOG <br />WATER HEATER <br />WOOD ST_ ��E — <br />METAL FIREPLACE ('NO <br />FIRFPLACEINSERT(W( <br />GAS FIRE_ FL�CE — <br />GAS RANGE <br />GAS PIPIN�� <br />EXHAUSTFAN <br />SI�E $ETBACH PL4N G��ECK NUME3F:f1 <br />VACANT SITE <br />�IVES fl NO . pUIL�ING <br />�—�— <br />SIZE OF BLDG41 <br />PLVMOING <br />9ASEMENi MECII�NIC�L <br />'— IIVE$ �� pn01IlONnLPLANGHF.GK <br />o,� E� <br />--- <br />s va e ouaou+c sunr,��nnce <br />CITY OF EVERE"iT ru�iir,wonks <br />l IOCAL SALES <br />p% TAX COD[ IS 3105 TOTAL <br />SU8 TOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />FEE FECEIPTNO. <br />