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� <br /> APPLICATIt.N FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION f-1 COMBINATION fl BUILDING fj3 MECHANICAL f� PLUMBING fl SIGN <br /> PROJECTADDRESS ��Og' ��G'f�/,�JDOG� AUe , <br /> OWNER ' / MAILADORE55 CITY ZIP PHONE <br /> O�» CT� /'Av=i: y,�U����Ha/Oa���e CUeI'e7� 9�'ZU.3 2 S Z- S ,30 �j <br /> iENANT MnILA00RE55 CITY Z�P PNONE <br /> ARCNITECTOR�ESIGNER MAILADDfiE55 CITY 21P PNONE <br /> GENER4LCONTRACTOR MFILqODPE55 CI7V ZIP PIIONE STATELICENSEY <br /> �/9�i' <br /> �CHANICALCONTRACTOR MAILAD�PE55 CIN ZIP PHONE STATELICENSE� <br /> PLUMBINGCONTRACTGR MAILADURESS CITY 21P PHONE STATEUCENSE� <br /> CONTRACT PRICE OF WORIfro <br /> �B1�O — HEATING SYSTEM: IYf,GAS ❑ ELECiRIC ❑ <br /> DE�S�C�I�B�E RK AN�SOUARE FOOTRGE INVOLVED i CONTACT PEFSON AND Pf10NE NO <br /> �/t t�u� lo d S G �- <<w. r ` ZS Z_-S 30 3 <br /> .� <br /> r I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED oF euaoivc r APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ��� PROVISIONS OF I.AWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LDESCRIPTIONOfPROPERtt�SHOWNBELOWORATfACNTWOCOPIES� NOT. THE GRANTING OF A PERMIT DG�S NGT PRESUME TO GIVE <br /> �ot BLOCN ar AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL 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 /> APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTAX ID.Nl1MBER CONTRACTORS LA 1827 CW AND 296200 WAC. <br /> CCNSiAUCT10N LOAN LENDER,ADDRESS.TELEPHONE NUMBER � � si'� <br /> G TUPE pAiE <br /> CIN BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATERCLOSET(TOILET) � q/C—AMNDLGUNITS—H.P. � <br /> BATHTUA ; FORCEDA�RSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP i <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRYTRAY ; RANGEHOOD ' <br /> CLOTHES WASHER � � WATER HEATER � <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> ' . � GAS PIPING ' <br /> i EXHAUSTFAN i <br /> i i <br /> � i <br /> � � <br /> � i <br /> SUB TOTAL S � SUB TOTAL 7 � � ; <br /> PERMIT S i PERMIT S /,S� <br /> TOTAIFEE S � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK PEAH SETOACN SIDE SETBACH PIAN CkIECK N/U-M ER]�] FEE RECEIPT NO. <br /> U� / / <br /> usezor+e �otanea VACANTSITE FEES VALUATION FEE <br /> nves n No oi�i�oiNc � <br /> NEIGHTI.IMITATION NOOFDWELUNG SIZEOF�IDGRI. � <br /> UNITS p�UM�ING i <br /> OCCUPANCY NO OFS70FIE5 OCCUPRNiIOAD BASEMENT <br /> GROUP MECHANICAL � <br /> ❑YES Il NO � <br /> FIRE AURM REO'0 REASON AUDIiIONAL PLAN CMECN i <br /> OTMER � <br /> i <br /> FIRE SPRINKLER AEO'D PEASON � <br /> STAiE OUILDMG SURLMARGE i <br /> TYPEOFCONST P�J�NS�PPRpVEDAV CITYOFEVERETT �'��OIICWO(iK5 � <br /> LOCAL SAIES , <br /> on7e TAX CODE IS 3105 TOTAL I <br />