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. APPLICATI�..� FOR CONSTRUC7 .dN PERMIT <br /> CITY OF EVEHETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> i <br /> ❑ DEMOLITION fl COMBINATION � f-1 BUILDING ❑ MECHANICAL Cl PLUMBING ❑ SIGN <br /> PROJECT ADDRESS <br /> So� �S - � �. � C I�l f��.�� E S r�F� �- <br /> OWNER MNLADDPF55 C IIP prypyE <br /> � "'� �. �i y\�' c ! c) /� <br /> 1ENANr ��Y°C`�ZOf�G�i�'�-_.1i !Lk �Sa..' 1i�oNou iiH 1�� l�.�o b b.� �S <br /> MAILA�ORE55 CI ZIP PMONE <br /> ARCMIfECTOR0E51GNEp MAILADD^nESS CITY 21P PMONE <br /> SR,�.� � ,�,F �- r o ab�.a�- <br /> CENERALCONiRACTOR MAILAODf1E35 CIiV IIP PIIONE STATELICENSEN <br /> MECHANIC4�ONTRAf'OP MAILADDRE55 CITV ZIP PHOKE STATEUCENSE� <br /> PLUTABINGCONTPACTOR MAILADORESS CI�V ZIP PNONE STRTEUCENSE� <br /> . CONTR�CT PRICE OP WOFN <br /> Q� HEATING SYSTEM: C�O ELECTRIC ❑ <br /> � DESCRIBE WORK ANO SOUARE F AGE INVOLVED CONT �pID W}pF�E N0. <br /> � t f� � <br /> / YJ� <br /> .' ��� �3�3 I HEREBY CERT�FY THAT 1 HAVE READ AND EXAMINED THIS <br /> PROPOSEDUSE OF BUILDIN6 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LDESCRIPTIONOFPROPERTY�SHOWNBEIOWORATTACNTWpCOP1E5) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � ior_,�,�BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI LAY!REGULATING CONSTRUCTION OR THE <br /> �fjy 1 t�\D�1 f t'��t ��Q IY ��ti� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> �S `- OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � O�q 'C�O `V C��o O O APPUCATION IS 'tv1A AND 1 COMPLY WITH THE STATE <br /> P�RCELTAX I.D.NUMBER CONTRACTOR R AND 296200 WAC. <br /> CONSTRUCTION LOAN LENOER.ADDFESS.TELEPHONE NUMBER x ��a� - <br /> SIGNAT E OATE <br /> CITV BUSINE55 LICENSE NO. <br /> PLUMBIN6 MECFiANICAL <br /> NO. TYPE OF fl%TURE OR ITEM FEE N0. TVPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB / ; � FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) / � i HEAT PUMP , <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> � KITCHEN SINK&DISP � ; CLOTHES DRYERS i i <br /> DISHWASHER � � VENTILATION FAN � <br /> LAUNDRY TRAY ; / FANGE HOOD i � <br /> / CLOTHES WASHER / � WqTER HEATF� ✓ i <br /> URINAL � WOOD 5TCVE � <br /> DRINKING�OUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � <br /> SINK(SERV�CE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING ' <br /> � EXHAUSTFAN � <br /> � i <br /> � i <br /> _ � � <br /> � i <br /> SUB TOTAL S ; SUB TOTAL 5 �� ' <br /> n i � <br /> PERMIT 5 � PERMIT 5 � � <br /> TOTAL FEE S � TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACN REMSE70ACK SI�ESEi RCN P�ANCH U F.t� F[E ✓ RECEIPTNO. <br /> �J � � 3� /E+ � � � ����CJ y0' ,��-) /C'c> � <br /> usezor+e LOTAPEA va NrsiTe FEES VALUATION FEE <br /> / � f7YES f1 NO OUILDING �;27'j �pQ /j�J � � l� <br /> cL <br /> HEIGHTLIMITATION NOOFUWFLLING SIZEOFBLOG?.I. � <br /> UNITS / / � / ��MOING � <br /> T <br /> OCCUPANCY NO.OFS70PIE5 OCCUPAN� RD BASEMENT /fG� <br /> G�l1P � � � MECIIRNICAL � <br /> ❑YES NO � <br /> IREAURMREO'D REASON ADDITIONAIPLAVLH9CK `� <br /> " � O1NER .L �I%Y) � � <br /> FIRE SPRIyg�ER REO D REASON ���L�� <br /> 7 STATE OWL�MG SUOCNAPGE �JC� <br /> TVPEOFCONST PLANSAPP �EDOY CITYOFEVEREiT PUBLICWORK$ 1�) � <br /> ;�/ r1 LOCALSALES � <br /> ��� onre �`� —�: _ i' TAX CODE IS 3105 70TAL �'' O ; — <br />