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APP'LICATIOrI FOR CONSTRUCT.JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• �;VERETT,WA 98201 • 259-8810 <br /> C� DEMOLlTION fl COMBINATION fl BUILDING N MECHANICAL f� PUJMBING �l SIGN <br /> PROJECT ADLRESS <br /> OWNER MnILADDPE55 Cltt 21P PMONE <br /> �-�i�1�.�Lt,�►��C �-�-cZ� t��`� S� —J'�,��91�c�3 3��-���-z <br /> TENANT MAILAODRE55 CIiV 71P �ONE <br /> PRCNITFCTORDESIGNER MAILAD�RESS G� Z�P PHONE � ��0��� <br /> � �,�� �-SC[Yrn il� c� C � ll����t/�� � C. � <br /> � Y.F3 l�-� �S�ATE LICENSE/ <br /> ENERPLCONTRPCTOR MAILp�ORE55 LITY ZIP PHONE <br /> ��r�� <br /> MECNANICALCONTRACTO M/�ILADI1RE55 CITY ZIP PNOhE STATEUCENSE <br /> PLVMBINCaCONTRACTOR��M/���OORE55 CITY 21P PHONE STATELICENSE� <br /> I�II`� <br /> CONTA�G�VRICEOF WJRN HEATING SYSTEM: f�GAS Cl ELEGTRIC 17 <br /> i <br /> DESCRIBE WORK AN�SOUAfiE FCOT4 E INVOLVED CONTPCT PERSON AND PHONE N . <br /> � .5 �e c.� - _ v - <br /> � � � - � CAC�S <br /> I HEREBY CERTIFY THAT I HAL'c READ AND EXAMINED TH�S <br /> APPL�CATION AND KNON'THE SAME TO BE TRUE AND CORRECT.ALL <br /> �'ROPOSED USE Uf BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCRIPTIONOFPROPERTV�SHOWNBELOWORATfhCHTWOGOPIES� NOT. THE GRANTIPIG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT eiocK ar_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF 4NY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.711AT I AM AUTHORIZED BY THE <br /> OVJNER OF THIS PROPERTY TO FORM THE WORK FOFi WHICH <br /> APPLICA'fl S DE COMFLY WITH THE STATE <br /> CONT TORS LAW . ND 296200 WAC. <br /> PARCELTA%I.D.NUMBER ` <br /> b�0 S�n -f� (�_ <br /> CONSiHUCTION LOAN LENO-�.ADD(iE5>,TELEPHONF NUMBER x qTE <br /> SIGN <br /> LITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FI%TURE OR lTEM FEE NO. TVPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) <br /> � A/C—A/HNDLGUNITS—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. 'fd E.A. i <br /> � <br /> LAVATORY(WASH BASIN) _ � HEAT PUtAP ' <br /> � UNIT HEATERS—B.T.U. M � ._ <br /> SHQWER � <br /> ' CIOTHES ORYERS ' <br /> KITCHEN SINK&�ISP ' <br /> � VENTILATION FAN '_ <br /> DISHWASHER � <br /> � RAN3E HOOD � <br /> IAUNDRYTRAY � —� <br /> , WATER4IEATER ' <br /> CLOTHES WASHER � <br /> URINAL ' WOOD STOVE <br /> � <br /> DRINKING FOUNTAIN � i METAL FIREPLACE(WOOD BURNING) � <br /> � FIREPLACE INSERT(WOOD BURNING) ' <br /> FLOOR DRAIN � <br /> ' GAS FIREP�ACE ' <br /> BACKFLOW PFEVENTERS � <br /> � <br /> SINK(SERVICE—BAR,E7C.) � GA5 RANGE <br /> CiAS PIPING� <br /> ; EXHAUST FAN ' <br /> � <br /> ' — i <br /> i � <br /> i <br /> � <br /> � <br /> SUB TOTAL S i S'1B TOTAL S i <br /> PERMIT 5 PEaMIT S � <br /> � <br /> TUTAIFEE 5 ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: AecEiarNo. <br /> FRONTPET�ACN RfM5ET0ACR SIDESETBACK PIANCHE NNUIIOEP PEE <br /> FEES VALUATION f�EE <br /> USE 20N2 �07 AREA V/.CANT$ITE i <br /> �1VE5 n NO OWLDING � <br /> i <br /> HEIGNTLIMITATION NOOFOWELLING 512EOFOLOGRI. � <br /> UNIiS PLUMOING <br /> i <br /> � <br /> OCCUPANCV NO OFSi0RIE5 OGCU�'�NT�OAO O�SEMGNT �,1ECHANICAL � _ <br /> GROIIP f]YES Il NO � <br /> � <br /> ADDI710N4L PLAN CHECK i <br /> FIRL ALARM REOD RG6SON -' � <br /> i <br /> OTHER � <br /> __ � <br /> FIRE SPRINNLER REO'D REPSON � <br /> ST�7E OUILDING$URCHMGE � <br /> i <br /> traeoFcor+sr rur+snrrnoveoev CITYOFEVERETT ruoucwor+Ks � <br /> LOCAL SALES � <br /> onre TAX CODE IS 3105 TOTAL L_ <br />