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APPLICATII,A FOR CONSTRUC7 .dN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ OEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br /> PROJECT ADDR�E-SS: � v L <br /> S/J�N,O�liP- /�/ � e� � �.�� LP� �/�i�V� c'Z/7 O�/1�'7 <br /> ONRIER M�11l�OpiE55 <br /> "�� <br /> TENANT YMLAOIXIE55 CITY ZIP 7HONE <br /> •��� <br /> �RLIMTECTO{ipE51GNEH MqlA0�RE55 CITV IIP PHpNE - <br /> —__ <br /> GENERAL CONTMGTOR LADORE55 GtTY IIP pNONE $fATE LICENSE� <br /> � <br /> 1nRc��r.�r� e.x�r' tG �' l�s rt�eno,�' l�k �� (�cu� 3� y� ,9eu.J�roti1 r,/E- �'Fi23 <br /> MECNANIGILCONTR�CTOR M/UL�WilE55 CITV ZIP PIIONE STAfELICENSE� <br /> `�- ��2��q� �l 2 r�m�2��/nl., <br /> PWMBMMaCONTRACTOR M�Il�00RE55 CIIY IIP PHpNE STATEIICENSE• <br /> . CONTR11tl PR�CE OF WORN <br /> � 7 . � HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> � � � UESCRME Y/piK AND Sq1ARE FOOTAfiE INVOLVED �j�,� CONT�CT PERSONAND PHONE NO <br /> �� CL2 J/r—iC� <br /> �- �✓ � /� - 3S 5 <br /> .' - � � I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br /> - - o use oF e�niaric APPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> � � WORK WILL BE�COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �� lEGl1L0E5LiNPT10NOFW10PEFN(SHOWNBEIOWpiATTACNiNqCOPIES) NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> : ioT e�ocK oa AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER F�THIS PROPERTY TO PERFORM TI1E WORK FOR WHICH <br /> APP ATION IS MAD AND 1 .�OMPLV WITH THE STATE <br /> PNILEL TNf 1 D. P �7 CO RACTORS W , 7 qC A 296200 WAC. <br /> v hG — �G(j i <br /> CONSiRlICT10N IOAN IENDEP.�DORE55.TELE1MqNE M�M9ER X � —�� <br /> S��T� OATE <br /> CITY BU$INE55 LICENSE NO <br /> ���� MECHANICAL � <br /> NO. TYPE OF flXTURE OR tTEM FEE NO. T11pE pF EpU�pMEHT FEE <br /> WATER CLOSET(TOILEn � A/C—MiNDL6 UNfTS � <br /> BATHT�B ; FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 6 DISP � CLOTHES DRVERS ; <br /> DISHWASHER � RANGE HOOD , <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE , <br /> URINAL � MEfAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT(�YOOD BURNING) ; <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GAS RANGE � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING , <br /> ' IXHAUST FAN � <br /> � � <br /> � <br /> � , <br /> SUB TOTAL S ; SUB TOTAL f ' <br /> � <br /> PERMIT., S i PERMIT f � <br /> TOTAIFEE S � TOTALFEE 5 � <br /> FOR OFFICE USE ONLY: <br /> iNON�SETBACK REM SEiB�CK SIOE SETB/�CI( PLAN CIIECK NUMBER fEF NECF.IPT NO <br /> Z <br /> USE ZONE l0T�RE� v�cu+r S�rE FEES VALUATION FEE <br /> ❑YES ❑� BUItUIHC �/�� i— � <br /> � <br /> HEIGMTIIMIT�TION NOOFOYVE�UN6 SIIEOFBLIXiRI � <br /> I1N�75 <br /> PIUMBING � <br /> � <br /> OC�Y NO Oi SfpbES OCCUPANT 10�0 B�SEMENT MECII�NIG�L i <br /> OYES ❑NO � <br /> FlRESPqINKlE0flE0'D REASON ADD1710N�LPUNCNF.CN � <br /> � <br /> _�i-- <br /> O7NE11 <br /> FIqE AIMM PEO'0 REASpN <br /> STAIEBWl01NG5U11C1UfiGE — [ �� <br /> rrre a r.or�sT PI�NS�PPROVED BY CITY OF EVERETT �UBI If.WOPNS <br /> LOCAL SALES —�— .. <br /> D�IE TAX CODE IS 3105 TOTAL - \ <br />