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APPLICATICyN FOR CONSTRUC'� ION ERMIT_ , °`"""'" ' <br /> , ,.n , TO BE COMPLETED IN INK—PLEASE PRINT <br /> cnvod ,lUl I % ; � <br /> everett HEATING SYSTEM: i�GAS i]ELECTRIC 'J _ <br /> 6UILDING DEPARTMENT �MITFI r�t� � <br /> 259-8810 " J <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br /> O�YNLR MAILA[1�P[SS CIiY ZIP PHONE <br /> H City of Everett 3200 Cedar Street Evcrett 98201 259-8848 <br /> � h1 11lNNt MMLADDRE55 CITV ZIP PIION[ <br /> G � yC Same as Owner <br /> M puCNiIECiORDE5I,N[❑ hIRILA��PE55 GITY Z�P PMONE <br /> � � � Mithun Partners 414 Olive Way, Suite 500 Seattle 981D1 623-3344 <br /> � n GFN[RALCONTRACiOR Mr1RADOFE55 CITY ZIP PHONE LICENSE� <br /> o � O LG/YlFK/n�_.L.f/ i6�� E�s•r��r,er Auc f- r'..�°- �8� z 3��iizS � c.n,p�� ti`av� C� <br /> �V M �0 vLCn�lLCALCONiR4Gi0l1 MRILADOBE55 WTY 2iP PHONE LILENSEt <br /> y y M <br /> C Z � p�Ty 21P PNONE LiCLNSE� <br /> p] O �'ipMpINGGONTRACTOB M�ILADDPESS <br /> H <br /> M N R CtA550F\'IORK <br /> H � X NEW �. ADDITION . � ALTERATION REPAIR � . DEMOLITION WOODSTOVE/FRPL INSERT � ��. BUILDING RELOCATION <br /> y CUNiACi PEFiSON FND PHONE NO <br /> 2' M <br /> �o y y cor+rancrrraceoFwonK Estimated $S00>000.00 JOhfl NOb18 Clt of Everett 259-8848 _ <br /> R O y OESCRiOE\YORKANDSOtInREfOOTAG[INVO�V[ <br /> Fire Station/Eahibit 9883T324 S.f. _D�� o,...+�,.tiu nt;+h n Dartnorc 523-3344 <br /> � �y ta rnoPoseouseotewiowc I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS <br /> p y Cl ty of Everett Fi re Stati on No. 4 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �ecn�oeseaiv*ior+oFvaoreaiv�sHowHoe�o�voanrrnenFouacoaiesi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WORK WILL BE COMPLFTED WITH WHETHER SPECIFIED HEREIN OR <br /> ior GLOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> LeB al deScilptioR attached AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> 5920 Glenwood Avenue 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 /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTORS lAW 1827 RCW AND 296200 WAC. <br /> SIGNAiUP[OF CONiR\GiOR Oii AUTHOHIZED AGENT �ATE <br /> PHOJECTApDAESS �� � <br /> APPI.ICRNiSCiiYpl15ME55LiCEN5E1:0 ANOBUSMESSNAME <br /> 5920 Glemaood Avenue, Everett lJA <br /> i � PLUMBING MECHANICAL — <br /> L' <br /> _I N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOU�PMENT FEE <br /> WATER CLOSET(TOILET) � AiC—NHNDLG UNITS—H.P. <br /> 1 BATHTUB FORCED AIR S`!STEM1IS—B.T.U. M E.A. <br /> �� LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> 1= SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHEF RANGE HOOD <br /> � LAUNDRY TRAY ; WATER HEATER <br /> i I-' CLOTHES WASHER i MO qD F ROEPLACE&CHIMNEY <br /> URINAL � � <br /> DRINKING FOUNTAIN i FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> 1� ; GAS PIPING � <br /> _ BACKFLOW PREVENTEFiS <br /> i � � ;700FDRAINS—RAWLEADERS � EXHAUSTFAN ' <br /> . SINK(SERVICE—BAR,ETG) � <br /> u � — <br /> � ----:— <br /> ��1� <br /> ii - <br /> � SUB TOTAL S SUB TOTAL S <br /> PERMIT § PERMIT S <br /> 1�' TOTAL FEE 5 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> 14iONi5R�'K REARSE�K' SIDESETOACN� P�On f.NRt,OC��j F�C� �\ �`-- �Z `-'`-'� <br /> J L <br /> use�zJone iornnen VACANTSITE FEES VALUATION FEE <br /> /� — I � BUI�DING Lj�/J,�y'1�l.� - �� ' �� " <br /> IYPf Of COqfS.PLLOWABIE tYPE 01 ..i.RC1Ulil Q:Cu cr Na G�O�tiuu•:;ue�:s -t-��-1 �—�— <br /> � N cna�v PLUh1BING <br /> SIZEOFOLIX'i NO.OF�flIES 9ASEMENT O MECHANICFL _ <br /> lo � _i 2 � 3��1� 3d <br /> ' OCCUPANGYlOAO FIRESPRNKlER5RE00 HEIGIIiUlAiLAiION ADDITIONALPLANCHECK I <br /> 1 <br /> W� OTHL(i �. <br /> REASONFORSPRMNLERS —�'. T <br /> STATE BUILDING SURCHARGE --�--7_� <br /> 111iAnEAV PLANSAPPROVLDUY CITYOFEVERETT PUBIICWORN$ .�',_ � �) � <br /> r LOf AL S4LES ,, �� <br /> � ���i ,•�TAX C'J�E IS 3105 torn� - <br /> .`)> 1._�G�(i <br />