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1� i� <br /> APPLICATI�./ FOR CONSTRUCTrJN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAF STREET• EVERETT, WA 98201 •259-8810 <br /> p DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING p SIGN <br /> PROJECT ADDRESS: /�J�70� ur�,— ��¢...i <br /> � <br /> OWNER AUiIADpqE55 Lltt IIP PNONE <br /> y1?.�Z`,f � i000� t.,,t., �1��. ���`" p�z o�/ �o� -�y) -.z o Ga <br /> TENANT M�II�pOPf L17Y 71P PIIONE <br /> ARCNITECTORpES�GNER MNIADORE55 Lltt 7�P PNONE <br /> ��1�/�l�i� <br /> GE1NER�ICONiRA�TOR M�ILADOPF.55 �IIY IIP ' Pr:ONE SUTELICENSEy,-��rC� -� <br /> �,[Jost ,S��u�z �o�F/�.e .Z2 707 P���✓��rP/f .QO/'//1S �r �'7G�f�?��-.'t.5 J=/f'o� ��yO.ff <br /> MECN�VlICA�pONTR�CTOR MAIL A BE55 CITY I�P YIIONE STATE IICEN$E� GCri'�S <br /> S 'S- �'7 <br /> PIUTABINGCONTRACTOR M�ILADDqE55 CIIY Zli` PHONE STATELICENSE• <br /> L IMCTPP�GEOF WORK HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> / � Q, <br /> OESCRIBE MVRK AND SOUARE FOOiAGE INVOIVED L T�CT f'ER50 �HO PHONE NO <br /> �oo • .v:t r�� -zss'-��a� <br /> C' rit x ri c� P .Z,f .�itL /S <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PRpPOSEO USEOF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVIS�ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCRIPTIONOFPRUPEH7Y�SNOWNBELOWIXiATTAGN7WpCOVIES) NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE <br /> ioT e�ocK ov 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 AUTHORIZED 6Y THE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> VARLEI TAX I.O.HUTABER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> COHSTRUCTION LON!IENDEfl.�DORE55.TELEPMONE NUMBER x� y � �//'�/9G <br /> SIGN UH'+� DATE <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIMURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNRS � <br /> BATHTUB ; FORCED AIR SYSTEMS ; <br /> LAVATORY(WASN BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS � <br /> KITCHEN SINK R DISP i CLOTHES DRYERS i <br /> DISHWASf1ER � RANGEHOOD � <br /> UIUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOODSTOVE � <br /> � <br /> URINAL � MEfAL FIREPIACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GAS RANGE ; <br /> SINK(SERVICE—BAR,ETC.) ! � GAS PIPING � <br /> EXHAUSTFAN <br /> � <br /> i � <br /> � i <br /> SUB TOTAL E ; SUB TOTAL f ; <br /> PERMIT S � PERMIT S <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�CK PEAq5ET8A�N SI�ESETBACN �UNCII�Ntl�fl , FEF RECEIPiNO <br /> 3 �i <br /> use za+e LOT AREA VA[ANT SIIE FEES VALUATION FEE <br /> �— <br /> ores oNo ounoiNr, ,�� 2�/ � <br /> HEIGMT UMITATION N(� pF DWEIIING SIZE OF 9LOGRI i i <br /> UNI75 PlUM01NG i <br /> -'� <br /> OCCUP�NCY Iq 0�SIDNES OCCUPANT�O�D BASEIIENT MECIInNILat � <br /> GRWP <br /> ❑YES ❑ NO i <br /> RODIIION�L PUN CIIF.CK <br /> fIqESPPINK�EFaEO'D nE�50N � <br /> i _ <br /> omen ' <br /> FIflEPiMMREO'D pE�50N � <br /> i <br /> STAEOWl01N65URCMAqGE � Sz� <br /> __ r_ <br /> TYPEOFf,pNST PLANSAPPROVEDOY CITYOFEVERETT �IIF111�WOf1N5 <br /> LOCAL SALE� � --'— <br /> o�tE TAl( CODE IS 3105 T07AL ����; 5'�� <br />