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APP��C/4T�f"V FOR CONSTRUC'i�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAH STREET•EVERETT, Wq 98201 •259-BB10 <br /> fl DEMOLITION fl COMBINATION DK BUILDING A�MECHANICAL �d PLUMBING f 1 SIGN <br /> PROJECT ADDRE�S <br /> 5t�/N ER /�'viivTF LGT'� CO /� �i�5� <br /> ��Ep M/�ILADpqE55 <br /> p�. q �.�CITY z�p P��E <br /> �•� �OMES MAIL�DCRE55 �T `l / / •,G CITV �UD//�✓i�IG qpO_Jyt CJI'� p <br /> TENANT � <br /> ziP PHONE <br /> �RGWTECTOROESIGNER MAIlADq1E55 <br /> CITY ZIP PNONE <br /> GENE{UICONTRA�TOR M�4t�00qE55 <br /> LI7V ZIP PIIONE STATE UCENSE� <br /> UF.SrFN :Z'NVF,�^r,�7YT- /t�Fq[Ty ���d7 ST � ��.E N/UODiNv�//C <br /> MECHIINICQ CON MAII AODBESS �CS/ O <br /> /I CIT� 21P PHONE �� S�UC <br /> �/ STATE UCENSE• <br /> / / /1 <br /> WUMBINGCONiRACTOR MMLAOOpESS <br /> �� (r CITY 71P n����yE STATE LICENSE� <br /> CONTMCT PRICE OF 1ypp1( �� // <br /> HEATING SYSTEM: y4GAS f 1 ELECTRIC f I <br /> DESCWBE MqRI(AND$pUAqE FOOTA(3E INVO�VED <br /> _S R NE CONTACTPENSON�NOPIIOHE!q <br /> STR c � Ef�_�/. jFR2l5 LCX,. �- <br /> ��9- 7F1/O ^,�y�'t <br /> -- — 2uL, �Y6'/- BStlS a��E <br /> I HEFIENY :;ERI'IFY THAT I HAVE READ AND EXAMINED THIS <br /> PNOPoSED USE OF BUIipNO APPLICATI�'r;AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> SFh� PROVISIONS OF LAWS AND ORDINAkCES GOVERNING THIS TYPE OF <br /> �EG/��DeS�R�P�i(7�p�PpppERTy1�pNMlELOWCpATitrv�.ypCOP1ES� WORK Will BE COMPLIED WITH WNETHER SPEqFIED HEREIN OR <br /> ioi_�_ NOT. TI�E GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> e�°�K o� __ _ AUTHORITY TO VIOLATE Oq CANCEL THE PROVISION OF ANY <br /> OTHEF STATE OR LOCAL LAW REGULATINO CONSTRUCTION Oq THE <br /> �'EPFORMANCE OF CONSTqUCTION.THA71 AM qUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PAHCEL TAt LD.NUMBER �CVTRPCTORS L 18.27 RCW AND 296200 WqC. <br /> CONSTRUCTION IO�H LENDER,�p[)qE55,TELE%qNE NUMBEq /, 1 <br /> s cH,���' , /o? �4J <br /> O�TE <br /> GTY BUSINESS IICENSE NO, <br /> PLUMBIN6 <br /> NO. TYPE OF FlXTURE OR ITE4 MECNANICAL <br /> FEE NO. TYPE OF EQUIPMENT FEE <br /> .3 WATEfiCLOSET(TOILEn � A/C—M{NDLOUNRS—H.P. , <br /> BATHTUB , ` . <br /> � LAVATORY(WASH BASIN) � I FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> / SHOWER ' HEAT PUMP � <br /> ' UNIT HEATERS—B.T.U. M <br /> / KITCHEN SINK 8 DISP � ' <br /> � CLOTHES DRYERS � <br /> / DISHWASHER � � <br /> LAUNDflY TRAY VENTILATION FAN , <br /> � / RANGE HOOD <br /> / CLOTHES WASHER i / WATER HEATER � <br /> URINAL � <br /> ' WOOD STOVE ' <br /> DRINKING FOUNTAIN ' <br /> � METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW pREVENTERS ' / GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � <br /> i <br /> � GAS RANGE � <br /> ' S GAS PIPINC � <br /> � EXHAUSTFAN <br /> i <br /> � ' <br /> — � , <br /> � ' <br /> � <br /> SUB TOTAL S � SUB TOTAL S ' <br /> _ PERMIT S i PERMIT f � <br /> TOTALFEE _ � TOTALFEE S ---� <br /> FOR OFFICE USE ONLY: <br /> FRONT SETPACK REAq SETBACK PL�N CIIECK NUMBER FEE RECEIPT NO <br /> Z� ! � SIDESETB��c <br /> s �303 y�. ,c3 <br /> U!iE 20N l0T AREA VACANt SIIE <br /> �_� �Di� ,` FEES _ VALUATION FEE <br /> � l�rE5 I i NO — <br /> IIEIGII7UMITATION NOOFUWEIIING 9111LDING � <br /> ONIfS SIZEUiBIOGRI ��5 7 Z �.�� j '�� <br /> �)' I ZODZ .�.f. LIVM/(�t plUM61NG � <br /> 4 S.f. Gan��E _��; <br /> OCWV�NCV NO pr910PoF5 OCCUPANTl0�0 B�SEMEN� }— <br /> GROUP MECNnNIC4l i <br /> Q3 � � 2 N A nres i✓ -- —� � -- <br /> FIREAURMRE00 REASON A�OIIIONAlP1ANG11f.CN -- •�J ; �J� <br /> � Q <br /> FIflESPRINNIEp/REO'� HEASON ����ER � <br /> C"� � �/� n / STAEBI➢IDIqC5URC11ARGE �D <br /> TY , OFf,ONST PlANSAPPROVEOBY (/L ---- �-�._ <br /> J�, CITYOFEVERETT ruaiir.wonKs <br /> �'N LOCAL SALES --____._ _____�0;= <br /> u"iE 2 ZG 9S TAX CODE IS 3105 TOtAL G� / I � <br />