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APPLICATIO` ' FOR CONST�iUCT!1N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> O DEMOLITION ❑ COMBINATION O BUILDING �ECHANICAL ❑ PLUMBING ❑ SIGN <br /> � L' vt �u r� t ... 1��/ /-��d� ��z-- .. <br /> PROJECT ADDRESS' �� <br /> /s(oo l'�10�' � 77r � �ov � �C� �oos' �P�1 E - i'�a(a <br /> ��ER M�IL�WRE55 <br /> . � <br /> „ , a '" �� <br /> A ;110NE <br /> MAIIADDNF:55 GITY 71P <br /> TEN�NT � / ��� Q�t� _ . <br /> ARCHRECT OR DESIGNER AUII ADDRE55 LITY 7��' PNONE <br /> (�s3�4�G -/.��o <br /> 6ENER0.GONTMLTOR MAII�ODRE55 <br /> GIiY Ii� PnON SIATEIICENSE• <br /> C , / h� � �A 4�Y�/1�1 sM�7NFSie.SdT <br /> S/h/'�'N �i�, �-/�•STCry�,S I�OC .�Y At/�k �u^�c STAiEIICENSE� <br /> MECHANICALCONTRACTOR IL�DDRE55 <br /> CITY JC PIIONE <br /> PlUA1BINGCONTRACTOR M�IL�OOFE55 <br /> ��N ZIP P��ONE STATE UCENSE� <br /> CONiR�CiPRICEO�WORK � HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> � � � CONiACT PERSON ANO PHONE NO <br /> DESCRIBE WORN�ND SOUARE FOOTAGE INVOLVED <br /> + I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPUCATION AND NNOW THE SAME TO BE TRUE AND CORPECT ALL <br /> �' VRpPO5E0 USE OF BUIIDINO HOVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> ' ORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR _ <br /> �'� LEG�LOESCRIPTIONOFPH9PENNISNOYMBELOWORAITALHTWOCOPIES� AUTHORITYTOTVIOLAOTEAORRCANCELETHE PROVS�ION OF AINY <br /> � �oi B��K °F OTHER STATE OR LOCAL LAW FiEGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THA7 I AM AUTHORIZED BY THE <br /> APPIECA�IONHI SP MADET AND PERCOMPLYHEVW�OH KTHE STATE <br /> . COMTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> '. PAqCELTA%I.D.NUMBER p <br /> rti - _�� 7-,/' 97 <br /> CONSTRIICT�OM LOAN LENDER,ADDRESS.TELEPHONE NVMBEfi X DATE <br /> SIGN RE <br /> CITY BUSINE55 LICENSE NO � <br /> PLUMBINO MECHANICAI <br /> FEE NO. TYPE Of EOUIPMENT FEE <br /> n0. TYPE OF FIXTURE OR ITEM a�_p,R{NDLG UNITS � <br /> WATER CIOSET(TOILET) ' <br /> � <br /> � FOHCED AIR SYSTEMS � <br /> BATHTUB ' � <br /> LAVATORY(WASH BASIN) � HEAT PUMP <br /> � UNIT HEATERS � <br /> SHOWER � CLOTHES DAYERS ' <br /> KITCHEN SINK 6 DISP ' <br /> � � qANGEH00D � <br /> DISHWASHER � WATER HFATER ' <br /> LAUNDRY TRAY � WOOD STOVE �— <br /> CLOTHES WASHEF , MEfAL FIREPIACE(WOOD BURNING) � <br /> URINAL , � <br /> FIREPLACE INSERT(WOOD BURNING) � <br /> DRINKING FOUNTAIN ' � <br /> GAS FIREPLACE <br /> FLOOR DRAIN i GAS RAIJGE ' <br /> BACKFLOW PREVENTERS � � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> � EXHAUSTFAN , <br /> � <br /> � � <br /> � � <br /> i ' <br /> � i <br /> SUB TOTAL S i <br /> SUB TOTAL E � pERMIT E � <br /> PERMIT 5 ' TOTAL FEE E ' <br /> TOTAL FEE 5 ' <br /> FOR OFFICE USE ONLY: neceirrNo <br /> i'lANC11ECKNUMflGti FEF ;\ <br /> FRONTSETBALN PEAR SF.TBACN SIOE SETB�CK � �� `�s v <br /> J <br /> FEES VALUATION FEE <br /> USE 20NE I OT�REA VACAN7 SITE � <br /> �YE$ ❑ ND pUIlDIN6 � � <br /> � <br /> NO.OF DWELLING S�2E OF BLDG2� � <br /> HEIGHT LIMITATION � <br /> UNITS ClUlA01NG I <br /> 1 <br /> 1 <br /> OCCUPANCY MO 0�StOHIES OCCUPANT LO�C 6ASEMENi MECN�NILPL <br /> i <br /> QRWP ❑vE5 ❑ �+� � <br /> AD��iIONAI.�LANCHF.LK � _ <br /> i <br /> FIPESPRINKLERPEO'� Hfa$ON �U <br /> � <br /> 01MER � <br /> � <br /> REA$qN , <br /> FIRE ALARM flE0'� StAI E OUtl0iN6 SU�LHnnf E r_ <br /> iYPEOFf,ONST PLANSA �C1�EDUY CITYOFEVERETT �11011(:WO�KS __i— <br /> �n LOCALSALES I <br /> oAT 3 _S TAX CODE IS 3105 TOTAL <br /> i v <br />