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APPLfCAT11,i�l �OR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> C7 DEMOLITION Cl COMBINATION �'NBUILDING n MECHANICAL r pLUMBING fl SIGN <br /> PROJECT ADDRES� <br /> OWNER MIIILADDRE55 CI7Y ZIP PHONE <br /> �lo � �l C�fi��!-,h. � _ 49(vo �(u Sl • � �� �Sf�i3 �66 z5� ?/d "7 <br /> 7ENA MqLADDRESS CITV �� Z�p PNONE � <br /> ARCHITECTORDESIGNER MIIILAD�RE55 CITV Zm PNONE <br /> GENEiUL CONTi1ACTOR MNLAODRE55 CIIV ZIP PIIONE STATE UCENSE/ <br /> MECNANICnLCONTRACTOR M�ILADDRE55 Cltt ZIP PHONE STATELICENSE� <br /> 71UM81NGCONTRRCTOR MAILADORESS • CITY ZIP PHONE STATELICENSE� <br /> CONTRAGT PRIGE OF WppN <br /> �JvS HEATING SYSTEM: fl GAS fl ELECTRIC fl <br /> DESCPIBE WORK AND SOUAPE FOOTAGE INVOLVED CONTACT PERSONAND PHONE NO. <br /> N ar� — S <br /> � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> PROPOSED USE OF BL'IIDINO APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> N µ� WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL SCRIPTIONOFPqOPERTY�S1/OWNBELOWORATfALHTWOCOPIES) NO7. THE GRANTING OF A PFRMIT DOES NOT PRESUME TO GIVE <br /> �or,�._e�ocK oF ���� SI-. AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIQN OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> . OWNER OF THIS PROPERTY TO PERFORM TH[ WORK FOR WHICH <br /> . APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> a�Ree�T�ve�.o.NUMeeq - CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> IODCo � nC7�� 000 y �y�, <br /> CONSiRUCTION LOAN IENDER.ADDRE55.TEIEPMONE NUMBER X ///i s .1�,C1Y • i.,,.� ,��..�,�L, �Gj"J Cv <br /> SIGNA E D�TE <br /> CITY BUSINE55 UCENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—A/HNDLGUNRS—H.P. � <br /> BATHTUB ; FORCEO AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK&DISP � CLOTHES DRYERS ; <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD ' <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 ; GASFIREPLACE ' <br /> � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING ' <br /> � EXHAUSTFAN � <br /> � i <br /> � i <br /> i � <br /> i � <br /> SUB TOTAL $ � SUB TOTAL $ ; <br /> PERMIT S i PERMIT $ i <br /> TOTAL FEE $ � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACN� � REAR SETBACK / Si���R `�f PUN CIIECK NUMBE�ir FE���/�� REGEIPT NO. <br /> ! G% Jv� c <br /> use zo E� l0T aREA v�c�rvr s FEES VALUATION FEE <br /> I�� fIYES fiNO OUIIDING 5 O� 3�7' i — <br /> HEIGI L�MITATI , / NO.OFDWEILING SREOFBLDGRA. i <br /> UNIfS C,/ P�UMOING � <br /> � r j <br /> CROUP^NCY NJOi$IOPIES OCCUPANT�OAD BASEM NT � � MECHANICAL i <br /> u+ � f1YE5 A7r+0 i <br /> FIRE AURM REO'D REASON <br /> ADOITIONAL PLAN CHF.CK � <br /> OTHER � <br /> � <br /> i <br /> FIRESPRINNIERREO'D IiEACON � <br /> $TAIE OUIIDINC$URCNMfsE i /� <br /> TYPEOF(;pNST PLANSAPPROVEOOY CITYOFEVERETT �UBLICWO�KS � <br /> --� � LOCAL SALES -t— <br /> ���J �ATe 3 /2 {o TAX CODE IS 3105 7oTAL ' � <br />