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APPLICATI(=, .:1 FOR CONSTRUC'i .JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �C��/ <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: Sd�o �wLE72 AV� GVE2'�� `I�'� � <br /> ONMER M�ILAWRE55 CITY IIP PNONE '���` ���S <br /> i►'l i�K�4eZ- 2 I,�A�v�oV� <br /> TENANT M�ILAODPE55 GIIY 71P PIIONE <br /> ARLHITECTORDESIGNEN MMIADORE55 CIIY 71P �HONE <br /> GENERMCONTRAGTOq MAILADUNESS <br /> GIIY I�P ��IONE $GTEUCENSE� <br /> MECNMlIG�LCONTpACTOH MAIL�DDHE55 Citt IIP PIIONE STATE IILENSE• <br /> p��i,1g�1�CpNTpAC10R MAIL�OORESS Lltt IIP PHONE STATELILENSE� <br /> �Q���T�����K HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br /> pE 9E W011N 11 SOU�NE FOOTAGE INV D ���FCT PERSON�NO PNONE NO <br /> �^ �p � (yoR �U17 .�'P-• <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vnoroseo use oc eutdna PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> (.{,Ot(.�,E r` WOAK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �E�µpES��rypT�p�ppp�qpEpry�51qWNB IOWONATTI�LNTWOCOPIES) NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO G1VE <br /> `oT BL�K �_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> PNiCELTA%LD.NUMBEP _ n <br /> �p1$tpUCT10N LOAN lE1.DER.l1DM1E55.TELEPHONE NUMBER " "�/�"""-'/��"' � �/�f� <br /> SIGN�T RE O�TE <br /> CITY BU9NESS 110EN5E NO <br /> PLUMBIN6 MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TY,"E OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn � NC—A/HNDLG UNfTS ' <br /> BATHTUB ; FORCED AIR SYSTEMS � _ <br /> UVATORY(WASH BASIN) � HEAT PUMP ' <br /> � UNIT HEATERS � <br /> SHOWER � <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS ' <br /> DISHWASHER � RANGE HOOD � <br /> UUNDHY TRAY ; WATEF HEATEF ' � <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' MEfAL FIREPLACE(WOOD BURNING) ' <br /> � <br /> DRIPIKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOR DRAIN � GAS FIREPIACE � <br /> BACKFLOW PREVENTERS ; GAS RANGE � <br /> SINK(SERVICE—BAti.ETC.) � GAS PIPING ' <br /> � EXHAUST FAN � <br /> i � <br /> � � <br /> � <br /> i � <br /> � <br /> SUBTOTAL S i SUBTOTAL f � <br /> PERMIT S PERMIT S � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: necem�No <br /> iqONT5ET8ACK REARSETBACK S��ESETB�CR PlANC11EGKNUMBff1 <br /> ree <br /> USEZONE IOi�RE� <br /> V�LANTSITE FEES VALUATION FEE <br /> ❑YES ❑ NO OUrtDIN6 <br /> i <br /> HEIGHTLIMITATION NOOFOWELUNG 52EOFBlIX:RI � <br /> UNIiS Pl11MOM6 � <br /> i <br /> OCCUPANCY N00�5�(�f5 OCLUP�NTIO�D BASEMENT MfC1uNICei � <br /> GRIX1P ❑vE5 ❑ NO <br /> �pD1110N�L PUN CIIf.GN , _ <br /> FIPESPRINKLEflREO'0 REASON � <br /> omen <br /> _ ;�� /� <br /> FIPEAIMMREO'� RE�SpN Si�lE0U�l01NG51111C1�Af16E __ : J ( J <br /> p�� <br /> TYPEOFf.ONSi - PLnNS�PPnOVEoeY CITYOFEVEREIT ruaur.wonKs __`_ <br /> LOCALSALES � j <br /> o��E TAX CODE IS 3105 70TAL <br />