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-- ,-�. <br /> APPLIGATI��.�1 FOR CON�aTRIdCti .aN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION Dt COMBINATION L] BUIIDING ❑ ME�CHANICAL Cl PLUMBING ❑ SI aN <br /> PROJECTADDRESS 4732 c4e•�woop avc <br /> EVERE7t, ,:✓A. �8203 <br /> ONTlER MPILRDDPE55 CITV ZIP PHONE <br /> DAwpf XNRcq W.9ssowr j303 7"' ST, EVERtTT q820t (2oc ) 252- 3338 <br /> TENANT MAILAODRE55 CITY 21P PHONE <br /> ARCMITECTORDESIGNEF MAILAD�RE55 CIN ZIP PHONE <br /> GENEHALCONTRACTIXi MFILADDRE55 CITV ZIP PHONE STATEUCENSEY <br /> NENfty wAsso� ,�,o, �ox 55 qpNq 95sZZ (2oc) 748• &93.3 <br /> MECHqNICRICONTRACTOP MAILADORE55 CITY ZIP PHONE SUTELICENSEY <br /> PLUMBINGCONTRACTOR MAILAODPESS Cltt IIP pNONE STATELICENSEr <br /> q�tTS P�JMDWG /OZ AJE L7 <br /> C✓�Yet uDtFE ,S�,WNOM�SN 95290 �Lob)33:�•S63? nRTSpZ *' I23d0 <br /> CONTRACT PRICE OF WORK - <br /> i495�' ,er..,�a�.�r r+x .��+ .. HEATING SYSTEM: 6a GAS ❑ ELECTRIC ❑ <br /> OESCRIBE WOPKAND SOU�RE FOOTAGE INVO�VED CONTACT PERSON AND PHONE NO. <br /> SP��r LEULL TWU STDRy DP�it� oa r.pR�A �,,ncsoN CZOG) 252- 3335 <br /> No.,C / /600 S.F. ���r�a AR�q <br /> 2100 SF po;A� I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSE�USE OF BUILDING APPLICATION AND KNOW THE SAM=TO BE TRUE AND CORRECT.ALL <br /> RESI DENCG PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEO�LDESC:RIPTIpNOFPRpPERN�SMOWNeELOWORRTTACNTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or 3 e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> �OT � OF (' EYER r 7-93 �ERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THF <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WFi;CH <br /> RCCORO[A IN VO L . 42 OF SUNVEYS Pp6E jj7 APP�ICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELT�U(I.D.NUMBER CONTRACTORg LAW 1827 RCW AND 296200 WAC. <br /> SoS�-000•042- 0605 I <br /> CONSTRUCiION IOAN LENDER,�DDRE55,TELEPHONE NUMBER X ��.y�v� <br /> � EdERETT Mt�TURL mA0�5o.J 3Q/jNGN SIGNRTUPE �qie <br /> 672[ E�cY6P.EEaJ �.1qY �✓C/ZE7'7� 98203 <br /> � to,) 353 - �sso CITVBUSINESSLICENSENO. <br /> PLUMBINO MECHANICAL <br /> . NO. TYPE OF fl)(TURE OR ITEM FEE NO. TYPE OF FlMURE OR ITEM FEIE <br /> WATER CLOSET(TOILEn ' � A/C-AMNDLG UNITS-H.P. �— <br /> �- <br /> BATHTUB - ; � FORCED AIR SYSTEMS-B.T.U. M E.A.- ; <br /> LAVATORY(WASH BASIN) - � � HEAT PUMP i <br /> � SHOWER � UtJIT HEATERS-B.T.U. M ; <br /> � KITCHEN SINK 8 DISP _ ; � CLOTHES DRYERS ' <br /> � <br /> � pISHWASHER � VENTILATION FAN � <br /> UUNORY TRAY ; � RANGE HOOD � <br /> CLOTHES WASHER i � � WATER HEATER ' i <br /> �— <br /> URINAL ' WOOD STOVF. � <br /> DRINKING FOUNTAIN i METAL FIR_I'LACi!NOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS PIREPLACE ; <br /> SINK(SERVICE-BAR, ETC.) � � GAS RANpE � <br /> _ ' GAS PIPING +_ <br /> � EXHAUST FAN /// � <br /> � i <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL $ �- SUB TOTAL $ p �D O <br /> PERMIT $ � PERMIT $ � <br /> TOTALFEE S � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: -V� /� •� _ „�yLpCCL� 71/h',1)/L/ <br /> FR04T�� � REAR�BRS'.K� SIDESETBA� J PLANCHECK UM��R FE6��� A� RE ��%�.J / <br /> � L �% � �/ / �' <br /> usez E LOTARE VACANTSITE FEES VALUATION FEE <br /> � d� � IlVES fl NO BUILUING �'� ��✓ 3� <br /> NEIGNT IJMIT NO OF DWELUNG SIZF OF OI.OGRI. � <br /> UNITS �j�3 S�� Gq��(. f P�UMBING �) i <br /> �jr- <br /> ROUPANCY NO.OFSTONIES OCCUPANT OAD BRSE MECIIANICAL (JjQ s O� <br /> 12-3 � 1 T.1 � 11� � <br /> FIREAIARMREO'D AEASON ADDITIONALPI.RNCHECK ��-- <br /> � <br /> �� <br /> O pT11ER � <br /> FIRE SPRINKLER REO'D REASON � <br /> � STATE UUILDING SURCHARGE � i!���) <br /> TYPEOFCONST i'lANSAPPROVEDBY CITYOFEVERETT �UBLICWORK$ �iL�� <br /> �J N LOCAI SALES � - <br /> �-h1 onre � i-1 y TAX CODE IS 3105 TOTAL 7/ 7 ' <br />