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APPLICATIV�I IFOR CONSTRUCTrON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAFt STREET• EVERETT, WA 98201 •259-8810 <br /> f-1 DEMOLITION fl COMBINATIOV rl BUILDING rl MECHANiCA�_ �l PLUMBING � SIGN <br /> rRIOI I O D EI�E�GI�EEi y �JfI�J > EVE���Ti �� 9 S Zo8 <br /> OWNER MFRADDPE55 Gltt ZIP PIIONE <br /> 1aA-i�,o�c�c 9865 NE//6tl: ST#2�l Ki�KuINAw� '��d�4 3y7-Q077 <br /> TENANT � MNLAOURF.55 CITY ZIP PMONE <br /> R�N/�/sSfJNcC" 3��K l2ESToRfI7/�'N -S�/nEf15 PROJEcTADD�ES <br /> ARLNITFCTORUESIGNER M611.RD�RE55 GI1Y 71P �MON[ <br /> GENEiiALCONTRACTOR MAILAODf1E55 CitY 2�P PHONf: SIATEUCFNSE• <br /> r�,e,ev N�,u eo., �,a,Do�r Szd`i �.; ��,���aD �9D1f6 �7G-�0�5 6�',�'Y,uco7xa� <br /> MECHANICALCONTRACTOR AILA�DRE55 Gtt ZIP r��air: $TA7GLICENSE� <br /> PWMBINGCON7RApTpR NRILaDDFE55 CIN ZIP PHONE STATEUCENSE� <br /> CONTRACT PRICE OF WORK <br /> �5'�� ?a HEATING SYSTEM: I l GAS �1 ELECTRIC f 1 — <br /> DESCRIBE WORN AND$OUARE FOOTAGE INVOLVEO CONT�CT f'ERSON AND PIIONB NO �� ���--- <br /> M� Ty,9�U /ZC/AJSTf1LG �LdC'f�T� <br /> /�4um,r-x7,eas��a �- � 77�� £�3 <br /> I�.��niN�r� /�(�srrc ��1��'b /�N A PL CAB ON AJDI KNOW THE SAME TO BEDTRI E A DxCORR CT ALL <br /> PRL��I�OPFauML'IC VvORKSWILL BE COMPLIED OVITH W ETHER SPEC F EUH ERE N OR <br /> LEGPLDESCRIPTIONOF7ii0PErl'�YISHOWNBEI.OWOFATTAGHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot e�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY � <br /> OTHER STATE OR LOCAL LAW REGULATING CGNSTRUCTION OR THE <br /> ����'��- PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FpR WHICH <br /> � APPUCATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 10.27 RCW AND 29G.200 WAC. <br /> PARCELTNf1A.NUMBER <br /> a z y Z��Qy zan 5�00� �} f-z�-9'6 <br /> CONSTRUCTION LOAN:ENOER.ACDRE55.TELEPNONE NUMBER x <br /> SIGNATUAE �J G / B(O �A'C <br /> CITY BUSINF55 LICENSE NO. <br /> PLUMBING MECHANICAL � _. � ;'.;� <br /> NO. TVPF OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET(TOILE� � A/C—A/HNDLGUNRS—H.P. ' _ <br /> BATH7U8 ; FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY (WASH BASIN) i HEAT PUMP ' _ <br /> SHOWEP. � UNITHEATERS—B.T.U. M _ <br /> KITCHEI.1 SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY � RANGE HOOD _�_ <br /> CLOTHES WASHER i WATER HEATER ' <br /> URIPJAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN ' MF.TAL FIREPLACE(WOOD Bi�a^.^."+G) � <br /> � <br /> FLOOR DRAW � FIREPLACE INSERT(WOOD BURNING) ; <br /> i <br /> BACKFLOW PREVENTERS i GAS FIREPLACE <br /> fiINK(SERVICE—BAR,ETC.) � GAS RANGE ' <br /> � GAS PIPING <br /> � <br /> � EXHAUST FAN ' <br /> � � <br /> 1 SUB TOTAL 5 i <br /> SUBTOTAL S ; <br /> PERMIT S � PERMIT 5 � <br /> TOTALFEE S � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETPALK REAP SETBALK SIOE SETBFCK PLAN CIIEC/N NUM�f.R FEF �+ RECEIPT N0. <br /> /V�h N�M N�/� � �1 LI�'�� � <br /> �� FEE <br /> USE Z E �REA VaCANf SITE / FEES VALUATION <br /> ��/ iy ��I fIVES /� ��� OOIl01NG L`/ � c"s-1 <br /> HEIGNT LIMITRTION NO OF OWELIING SIZE OF 9LOGRI i <br /> UNIT. / PWM�ING � <br /> ��L1�� • � <br /> OGCl1PANCY NO Oi SIO�iES OCCUPANT LO/D 9ASEMENT MECIInNILaL � <br /> GROUP i <br /> f1VE5 il NO i <br /> FDD�IIONAL PI AN CHFCN <br /> FIREAIARMREO'0 �F.A50�� T <br /> or��en <br /> FIRFSPRINNLERREO'� �EASON � ��'� <br /> STAIE HIPLDRIC SUqC11PqGE _ � �\�� <br /> TYPEOFCONST rinNs� pvEDBY CITYOFEVERETT �un�.�r,wo�Ks <br /> /1h LOCAL SALES 2 � 7J�-- <br /> oATE (,-S � TAX CODE�S 3105 TO7AL <br />