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APPLICATIOrI FOR �ONSTRUCT .JN PERMIT <br /> GITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 •� <br /> rl DEMOLITION �7 COMBINATION I�l BUILDING fl A7ECHANICAI. il PLUMBING fl SIGN <br /> PROJECTADDRESS /� � �� �tL// l�/ � <br /> OWNER Ma�ADORE55 Cltt ZiP � PHONG <br /> �(-/_uG L r�/r_ ,�Am�c �jr� _,ii� A:,� ;f_�n;7r �.,n �na .� .��i �ii, o <br /> IE/NA�NT MAILRbURE55 CITV ZIP PHONE <br /> l�'6�ifur,�.. .=/1 /000 5�= ��-�Li.ci1 �N'rl iili. IF�r:/,l/]" i./�. <br /> ARCNRECTOROE IGNER MPILACJRE55 CITY 71P PHONE <br /> / <br /> GENEpALCONTR4CTOP MAIIAD�(iE55 CRV ZIP PHON[ FiATEtIC[NSE� <br /> � � �,,,�� r� ��n�,_i�,,, r�.. , �6�,,-- �� ��,_ ,,� �„-,,;,,,, ,� �,,� »� � � U � _ <br /> MECHANIGALCOYT7P4—LTOP / MAILpDDRESS f.ITY ZIP PHONE STAiEiI ENSE• <br /> �U�k�,Il .�lL-;9/i�r�/T//_ ����� ' ��:f?_ l��Ji�cca7 ��i, �7G ..'Y>����;i/ Ev��%✓h�„�,��< _ �sC <br /> PWMBINGCO4TRnf,TOR MAILADORESS CITY 21P PHONE STATELICENSE� <br /> GON ACT PRICE OF nORK <br /> �j�J�,"O HEATING SYSTEM: f l GAS �l ELCCTRIC f 1 <br /> DESCRIBE WORK ANO SOl1ARE POOTAGE INVOLVED WNTACT P[CSON�ND PHO1NAF�10/ /� <br /> �•_L / s'/��.l.,l/�✓V' •:/)�� . �. �� � � � . <br /> �� i <br /> i��i.:_�G �Z+�(_;d i/., ���'.J i—� � <br /> I HEREBY CERTIFY THAT I HAVE RFAU AND EXA�IINED THIS <br /> APPLICA7'ION AND KNOW THE SAME TO BE TRUE AN�CORRECT ALL <br /> PROPOSED U /E OF Bl11LDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> � i '-F WORK WILL 6E COMPLIED W11H WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCRIPTIONOFPAOPERiVISHOWNBELOWOFATfACHTWOCOPIES) NOT. THF. GRANTING OF A PERMIT DOES NpT PRESUME TO GIVE <br /> ior e�ocK oF AUTHORITY TU VIOLATE OR CANCEL THF PROVISION OF ANY <br /> OTHER STATE OP LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CO�STRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORIC FOR WHICH <br /> APPIICATION IS MADE AND I COMPLY WITH THE STAT[ <br /> PARCEL TA%I D.NNABER CONTRAOTORS LAW 1827 RCW AND 236200 WAC. <br /> CONSTFUCPON LOAN LENOER,aDDRE55.TEIEPMON@ NUMOER x�j/��/r�7���J �/�� : /' /�f 7 � <br /> SIGNATURE� DATE <br /> LITY 6US�NE55 LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE QF EQUIPMENT FEE <br /> WATERCLOSET�TOILET) � A/C—A/HNDLGUNITS—H.P. �— <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) i HEAT PUMP <br /> SHOWER � UNIT HEATERS—B.T.U. M <br /> KITCFIEN S�NK 8 DISP i CLOTHES DRYERS <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY � RANGE HOOD � <br /> CLOTHES WASHER WATER HEATER <br /> URINAL � WOOD STOVE <br /> URINKING FOUNTAIN i METAL FIREPIACE(WOOD BURNING) i <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD BUFINING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE i <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE <br /> � GAS PIPING � <br /> i EXHAUST FAN i <br /> i � <br /> i � <br /> i <br /> i <br /> SUB TOTAL $ � SUB TOTAL 5 � <br /> PERMIT $ i PERMIT 5 / .� � <br /> TOTAI FEE $ � TOTAL FEE S � ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSFiflACN PE/.RSF.TOFCK SIDESETBnCH PLANCIIECKVUMOfR fFF RF.CFIPiNO. <br /> �. . <br /> use zoNE totnraEn VACr1NT Sli[ FEES VALUATION FEE <br /> �- <br /> IIYE$ �I NO OUIL�ING � <br /> - i <br /> HEIGHTLIMITAfION NOOFDWELLING SIZEOFBLDGRI <br /> UIlIIS <br /> PLUNOING <br /> -�_ <br /> OCCUPANCV NO Of510RiE5 OCCUPANiLOPD BASEMENT � <br /> GROUP MECHI.WCAL <br /> IlYES fl NO <br /> FlREALAf1MREOD RfA50N �D�pIONPLPl4NCHF.CK <br /> �'_ <br /> ou�en ; <br /> FIRF.SPPINNIERRFOD FFASON -- <br /> STAIE 9UILOING SlIRC11nRGE <br /> ivaEorr,o�+sr m.nNsnr�noveoor CITYOFEVERETT runnr,wonKs <br /> LOCAL SALES ------ —��— <br /> o�tE TAX CODE IS 3105 TOTAL � <br /> -- —'-- <br />