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APPLICATIOW FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />fl DEMOLITION fl COMBINATION fl BUILDING f-1 MECHANICAL LUMBING fl SIGN <br />PROJECT ADDRESS <br />C%�v0 S C? c�Pr r��'••� W vac <br />..,..,�o ..di .00ar�c / cirv , zir r�wNe i <br />,�,.�9 �lu -Clv� �sa 9 ��3'— � S� L� I��a� s3 _ <br />TENANT AILADDRESS CITY ZIP �'��ONE <br />.�RCHRECTOROESIGNER MRILADORE55 CITV ZIP PMONE <br />PLUMBINGGONTRACTOR M1�IIMDRE55 �Cltt G21P PNONE STATEIICENSEr <br />L'ir P IJL+b� 133/8 SR�o /+r�i• �Or/ l�L2� �f3S-SS.SS <br />CONTRACT PPICE OF V10RNZ � <br />HEATING SYSTEM: f 1 GAS f 1 ELECTRIC fl <br />OESCPIBE WORK AND SOUARE FOOTRGE INVOLVED CONTACT PERSON �ND PHONE NO. <br />� — � � • f �'"�__ <br />USE OF <br />LEGAL <br />LOT _ <br />BLOCK <br />(SHOWN 6ELOW Oq <br />CONSTRUCTION LOFN LENOER, AOURE55. TEIEPHONE NUMBER <br />PLUMBING <br />NO. TYPE OP FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONT SETAACN REAR SFTBAf.N SIDE SE7BRCN <br />USE 20NE <br />IIEIGIIT LIMIiAT10N <br />OF <br />I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFiNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PflOVISION OF ANY <br />OTHER STATE OR LOGAL LAW REGULATING CONSTRUCTION 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 MADE AND I COMPLY WITH THE STATE <br />CONTRAi�G.�.r �27 RCW AN 96200 WAC. <br />x % /g'ys <br />SIGNATUPE DATE <br />dTY BUSINE55 UCENS[ NO. <br />MECHANICAL <br />NO. TVPEOFE�UIPMENT FEE <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CIOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BURNING) <br />GAS FIREPL <br />GAS RANGE <br />EXHAUST <br />SUB TOTAL S <br />PERMIT 5 <br />TOTALFEE 5 <br />PLANCIIECNyUMO[P I FE[ I RELFIPTNO. <br />LOTPREA VAC�NTSI7E FCta <br />f1YE5 (iNO pUILOMG <br />NO. OF OWELLING SRE OF BLDGR.I <br />UNIiS p�UR101NG <br />OCCIIPANTLOAD BASE4ENi MECMANICAL <br />f1YE5 It NO <br />P�AspY �ODI IIO�lM. f'LM� CH[CN <br />OiMER <br />RE��ON <br />STAIL pURUIYC SURCN4RG[ <br />Ptnusarrnoveoor CITYOFEVERETT ruenr.wonres <br />LOCALSALES <br />..... TAX CODE IS 3105 707AL <br />