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APPLICATI�1 FOR CONSTRUC ►�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISIC'� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •�59-8810 <br /> I-1 DEMOLITION �l COMBINATION ('�f, BUILDING Cl MECHANICAI. �7 PIUMBINf� fl SIGN <br /> PROJECT ADDRESS J r- <br /> / JOO t�.C��G9�Yd i1c. " •� G'G,2c T7 <br /> OWNFR AILA�DRG55 � fY I'l/��;��� IP C, ��/C� PHONE s� �- ��j� ' �b// <br /> f�fla��ci%����--�-��.��L�NG���o,e. �oi-�T.��7 <br /> IENANT MMLA�DRESS Cltt ZIP �NONE <br /> ARCIIIT[CiORDE5IGNER MAILA�O�7E55 �Lf��G ��T� I / I 9�'7 fD�ONE <br /> ��.���s�..y D���c,� �u�e��� �%�rT ��.�Gi �.t�6 �S.� �12or✓ <br /> GENEP�LCONiRACTOR MAILADDR@SS CITV I.IP PIIONE STATELICERSE� <br /> ��p e�JG � � T�2`7/iYE� <br /> MECHPNICALCONTq�CTOR MAILADDRE55 CIiY ZIP PHONE STAiELILENSE� <br /> PLUMBINGCONTRACiOR MAILAODPE55 CIN ZIP PHONE £'ATELICENSE� <br /> % � <br /> CONTRACTPRICEOFWORK// /�� D7� HEATING SYSTEM: f.�GAS ❑ ELECTRIC ❑ _ <br /> DESCRIBE WORK�yD SOUARE FOOTAGE INVOLVEO CONTACT PERSON PNO PHONE N0. <br /> 2� S -f- JI'� � - <br /> ���7 � // i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORR=CT.ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS�fYPE OF <br /> � � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEF,EIN OR <br /> LEGAL,D�E�SCR�IPTIO/NOFPROPER7Y•�S�HOWNBELOWOFATTRCIiTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PF�.,JME TO GIVE <br /> �or�e�ocK J1�or �� �� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ��T C ,t •ti� .r� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � 7�� � L S�� _ �/ 1, APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ppqC LTAX UMBER � / CONTRACTORS LAW 1827 RCW AND 296 J00/�WA)C. _ <br /> � � �J �LiL/.l,I�`f <br /> CON T(7UCTION LOAN LENDER,AOOfiE55.TEL HONE NUMBF.R �TT X�" �� /�� �� �� � / � �� <br /> S� ��v . r ` _ �� SIGNRT OFTE � <br /> �yO/ /`�"�/l!r�/ //i` ;er-r' z CINBUS�NESSUCENSENO. _ <br /> /�, G �G��lFC4 GI/ .GL=/ <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF FDCTURE OR ITEM FEE � <br /> WATER CLOSET(TOILET) /� � A/C—AMNDLG UNITS—H.P. ' <br /> BATHTUB /'- ; / FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) / / � HEAT PUMP ' <br /> / SHOWER / � UNITHEATERS—B.T.U. M ' <br /> � <br /> KITCHEN SINK 8 DISP = � CLOTHES DRYERS � � <br /> � = VENTILATION FAN ' <br /> / DISHWASHER � <br /> LAUNDRYTRAY ; RANGEHOOD - � <br /> CLOTHES WASHER /� � WATER HEATER — ___ ' <br /> URINAL ' WOOD STOVE : — <br /> DRINKiNG FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; I GAS FIREPLACE � <br /> SINK(SERVICE—BAR.ETC.) � I GAS RANGE ' <br /> � GAS PIPING � <br /> ; EXHAUST FAN I�� ' — <br /> . � <br /> � <br /> i � <br /> � � <br /> � <br /> SUB TOTAL ffi � SUB TOTAL S �� <br /> PERMIT 5 i PERMIT 5 � <br /> TOTALFEE S ' <br /> TOTAL FEE S ' <br /> /�/� <br /> FOR OFFICE USE ONI.Y: <br /> FRONT SE�(IACK RE�R SETBACK / SI�E SETOACK �IAN CMECK Nl1M0ER FEE <br /> � RECEIPTNO. <br /> '/ � ��- . y� / L/l�'-�<�`� �/-,'/ /'..� � l /I ��l <br /> ,. � � <br /> SEZ - LOTAREA vncnNtsite FEES VALUATION FEE <br /> �J � <br /> � f7VE5 ❑ NO OUIL�ING 3 Q,S / / � GC� <br /> � <br /> HHGNTLIMITATION / NOOFOWEWNG SIZGOFOIDGRI / � <br /> UNITS 'z 3/ S/� L/Vl�,j4 pLUM01NG <br /> �� .+� � 5 Ci ta[..5 � <br /> OCCUPANCV NOAGSiORIES OCCUPANiLOAD OASEM�EN�T MECMANICAL � <br /> GROq`IP ,Z � � IN'PES fl NO /�/ iUA� <br /> F '� ADDITIONAI PLAN CHECK <br /> FlREAIARMREO'D REASON /� <br /> � O�NER J'�� /� l L-i i <br /> � <br /> fIRE5P11INNLERREO'0 REASON STAlEOUILDINGSUPCHARGE / !�i�� <br /> � � <br /> TVPEOFCONST �'lANSAPP O�DOY CITYOFEVERETT �'UBLICWORRS ,��� <br /> LOCALSALES J./, ; i <br /> unte / ZJ`��95 TAX CODE IS 3105 TOTAL �• � �✓ <br /> —� N rv�l 1'� ��) � � <br />