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Per�m;t' �# 8y6$9S <br /> APPLICATI� F�R CONSTRUCT.ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 38201 •259-8810 <br /> ❑ DEMOUTION Cl COMBINATION I-1 BUILDING fl MECHANICAL � PLUMBING �l SIGN <br /> PROJECTADDRESS �o9a9 <br /> �v��.���ree�� ivAY Sn�h�..f�h <br /> OWnNER �)� MFILAOORE55/� CITY ZIP PHONE' c <br /> �UIv�.� l�lQ1�C.Il M�IL�pR�7 ��✓'�r'��CryEYG'G� Z��' ��C�� PMONE'�ZI6J <br /> Auteauyle.e .s��� <br /> ARCNITEGTORDESIGNER NRILAOORESS f.IiV ZIP PHONE <br /> GENERAI CONTP�CTOR MMUUDRE55 CIiV ZIP P110NE SiATE LICENSE� <br /> PrG' 11woL.� ��! 1'/�C `��'Z9/6''tsrsw l�rnr„�✓w� 98037 35'y-6Eu� �Quaezos-3D8 <br /> MECH�NICQCO RACTOR MRILRDDRESS Gltt Z�F PNONE STATELIpENSE� <br /> PLUMBINGCONTR�CTOR M�ILAODRESS CITY ZIP PHONE STATEUCENSE� <br /> Ge�rC�,zr /�1��:� ��a IBf!'�'sr aE A�G' hh 9 z2 -z Getchor a <br /> CONTRACT PRICE OF WOPK <br /> 550°V HEATING SYSTEM: Dd GAS fl ELECTRIC I-1 <br /> DESCRIBE WORK�ND SOUARE FOOTAGE INVOWEO CONT�Ci PERSON r1ND PHONE NO. <br /> .. � ' BaTk .� t Id G � 359-66ao <br /> f3tti. <br /> .�ta�.� -S�D I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> P APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vnoroseo use oF euu.ar+a PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ' . . IEGALOE$CPoPf10flOFPRQPEPTY�SHOWNBELOWOR�TTACNTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> . . - '� ior Ia e�ocK ,� oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> ' � } O L� IO �� � O PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � -i APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> � PAi10ELTA%I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ` <br /> — —U : — / x �/7�E�I�"I`Er— H ��'7.� <br /> ' CONSTRIICTON LOIW LENOER.I1DdiE5S.TELEPHONE NUMBER <br /> � SIGN�TURE � DATE <br /> CITY BUSINESS LICENSE N0. <br /> PLUMBINfi MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILE� � A/C—NHNOLG UNfTS—H.P. ' <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> � LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNIT HEATERS—B r,U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRYTRAY � AANGE HOOD � <br /> � CLOTHES WASHER � WATER HEATER � <br /> � URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BUFNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � <br /> SINK(SERVICE--BAR,ETC.) � GAS RANGE ' _ <br /> � �� B;b ' GASPIPING ' <br /> � E%HAUST FAN � <br /> � � <br /> i ' <br /> � ' <br /> � ' <br /> SUB TOTAL E ' SUB TOTAL $ ' <br /> � ' <br /> PERMIT $ � PERMIT S � <br /> TOTALFEE S ' TOTALFEE 3 ' <br /> FOR OFFICE USE ONLY: _ <br /> FRONT SETPACM RE/�H SETB�CI( SIDE SETBACK PLRN CIIECK NU F /-D FEE AECEIPT NO. <br /> lL — <br /> USEZONE IOTRREA VRCANTSIIE FEES VALUATION FEE _ <br /> f1YE5 I1 NO BUILDING j <br /> HEIGNT LIMITATION NO.OF OWELLING SIZE OF BLOG/f I � <br /> i <br /> I1NIT5 {+��)MBING �1 <br /> T— <br /> (`CCUP�NCY NO Of StORiES OCCUP�NT LO�D BASEMENT MECHnNICaI i <br /> GROUP <br /> f1YE5 I1 NO <br /> i <br /> FIRE�URMREO'D R[RSON /DU1110NAI.PL�NGIFCK � <br /> ----�— <br /> � <br /> OTNER � <br /> FIRE SPRINNLER REO'D REASON � <br /> STNE Bl➢IDR:G 54RCNABGE <br /> TYPEOFCONST PLANSAV['ROVEOBY CITYOFEVERETT �uai.ir,wonKs <br /> LOCAL SALES ; <br /> oarE TAX CODE IS 3105 TOTAL <br />