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APPLICATIOrI FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT• fiUILDING DIVISION <br /> 3200 CEDAR STREET• [VERETT, WA 98201 •259-8810 <br /> fl DEMOLITION fl COMBINATION fl BUILDING I-1 MECHANICAI. �l P'_UMBING fl SIGN <br /> PROJECT ADDRESS �lJl/D � <br /> i �-P/�,�� JO 9� �,( �✓ <br /> py�rypq MAILADORE55 ✓ Cltt ZIP PIIONC <br /> E�twa �, ��1.��� c �1�Ur �� iit {`' k <\Llu �(9U�y (zU�) �U1 - OU°! 6 <br /> �TENANT M�ILADURF.55 CITV IIP PHONE <br /> 14o r tce c dAtt R ��., � a Il)4' ?c�-` ArJJ\� $e ��t ��p �1912i ( 206) 361 - L22� <br /> ppp111TF.CTORDE5IGNER MAl1.AD�AE55 G�TY 71P Pl�ONE <br /> �a� � ' Mc nc�n�a� 240 l -�'u�� K A�c 5� •E 2��o Sr� k��e �t4�1� 1 �20(.,) 443- 111� <br /> GENEftAL CONiRAGTOR MnILA0URE55 CIIV 21P P11C:NL StF7G IICFNSE r <br /> r <br /> Lu 1rt ° Weo�-ern fl�� # tuo S«.i}\e R512� �2J6�yq�,-v;oo 1-Arv�13LZ+E d8`bSD <br /> MECNANI LCJNTA4CT R� MAILA�[1RE55 CITV 21P PIIONE ST�TGUCENSE� <br /> � � � <br /> PL11M INGCONiRACT A�LA�ORE55 GTY ZIP PHONE STATE:�CFNSE� <br /> CONTR�GTPRICEO��K HEATING SYSTEM: I1 GAS f I EL[CTRIC �l _ <br /> � <br /> OESCRIBE WORK AND SOU�RE FOOTAGE INVOLYED CONT�CT PERS AND PNONE O. � _ <br /> + � S P.f �Jt � Jc•FQe. � <br /> �t I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> Coa t a �r�\o P�.� i�C k� '�`<<u��� � `+"` � �ppLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> anor0$ED USE OF flI11LDING � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of" <br /> �l}�� �� i� c� • WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL ESCR� TIONOFPHOPERTYISHOWNBELOW RATTACHTNOCOPIE57 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �p7� BLOCN oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW iiEGULATING C�NSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH - <br /> APPLICATION IS MAD D I COMPLY WITH THE STATE <br /> CONT ACTORS LAW 1 . 7 RC 296 00 WAC. <br /> ppRCELTA%I.D.NUMBEP <br /> 1 <br /> C095TRUCTIONIOANLEN�ER.ADORESS.TEIEPHONE NVMBER <br /> NATUR � <br /> CIiV�USINE55 LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF�EQUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—A/HNDLGUNITS—H.P. —r— <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS ' <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDFY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' 6VOOD STOVE <br /> �RINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> � FIREPLACE INSERT(WOOD BURNING) ' <br /> FLOOR DRAIN i <br /> BACKFLOW PREVENTERS ; GAS F�REPLACE ' <br /> SINK(SERVICE--BAR.ETC.) GAS RANGE ' <br /> � GAS PIPING � <br /> ; EXHAUSTFAN ' <br /> � <br /> � <br /> � <br /> � � <br /> SUB TOTAL 5 ; SUB TOTAL S � <br /> PERMIT 5 � PERMIT S � <br /> TOTALFEE $ � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> PRONT SETflACK REA�SETBACN SIDE SETBACK �L�N CII�UMOF:R FFE �` <br /> ',� RE�F�P,N� <br /> �l � <br /> USEZONE IOTAREA VACANISIiE <br /> FEES V LUATION FEE r_ <br /> i <br /> f1VE5 (� NO BUILO�Nf, � � <br /> i <br /> ❑EIGHT LIMITATION NO OF UWELLING SIZE OF 9L�G�ry, — � <br /> IINITS / PLUMpING � <br /> w --F— <br /> OGCUPANiY NO 0�S�ORIES OCCUPANT�AD BASEAIENT MEGInNILnL — <br /> GROl1P /_ — — <br /> `J� IIVE$ � NO <br /> AODIiION�L PLAN CHCCK �_ <br /> FlPE R�LARAI�PEO'D, / RF.ASON <br /> �� i <br /> OtMEP � <br /> i � <br /> FlRESPRINNLERPE00 RF�FON �-� <br /> �v sraie ouitoir��sunc��nnce � � <br /> tvreorr,oNsr ninNsar �yeoev CITYOFEVERETT ruAi�r.wonres _ _ _ <br /> ' I _ rn f'1� r ` LOCALSALES 70TAL � � .,�l <br /> �- ��- pATF TAX CODE IS 3165 <br />