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APPLICATIe.N �OR CCldSTRUC'. _�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISIGN <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> rl DEMOLITION rl COMBINATION f� BUILDING �� MECHANICAL f� PLUMBING f, SIGN <br /> PROJE:T ADDRESS <br /> �! /O�O S,t=. EC/f'/�E7T ivI�JLL CG� <br /> OYlNER MAILAO�RESS CITV ZIP PHONR <br /> x Fi,�s�� .��',�;��s�ArE �i< �d�o �� �o .��r,���u w� ���,��-rr <br /> AIAILA�DRESS CITV ZIP PHONE <br /> TENANT (' �i � <br /> � �/ �� <br /> ARCHRFGTOROESIGN�R MAILA�ORESS <br /> Cltt 21P PHON'c <br /> CITV Z�p PHONE STATELICLNSEx <br /> GEN AFL CONTRAC70R M�IL AO�RESS ��a� � <br /> � �-r L��Ns>.�cicTlo,J f'0 /3� 3//3� �c's� I�/�3 G3�799� gTC6� bk'G� <br /> MECI'�NICALCONTR�CTOR MAIIA��RESS <br /> cm ziP � e� <br /> ��ry Z�p PHONE STATEIICENSE� <br /> PLUMBINGCONTRACTOF MFILAD�RE55 <br /> CO TRACTryPPICEOF WOFK HEATING SYSTEM: Cl GAS ❑ ELECTRIC C <br /> � Q� Q� <br /> DESCRIBEWO HANDSOUAREFOOIAGEINVOLVEO CONT�CTPERSONANDPHONENO <br /> ��c s;o�ev�o.�r �es;.;s�� En� �� �� X�oi�,v r�IA -i�o G3a-7Y�/ <br /> G'ox�'ST2u�ONF 2ooM A/� S:e,�RG� �M <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDI�G PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLIED WITH WHETHER SPECIFIF.D HEREIN OR <br /> LEGAIDESCPIPTIONOFPROPERTV�SHOWNBELOWORATfACHN�OCOPiE51 NOT. THE GRA�TING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR GANCEL THE PROVISION OF ANY <br /> �oT BLOCK oF OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TfiE <br /> � lG�- � �� �OS.3�-Q�O ��� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORht THE WORK FOR WHICH <br /> APPLICATION IS MADE AtJD I COMPLY WITH THE STATE <br /> CON/TF�/,CTOAS LAW 18.27 RCW AND 296200\ C. <br /> P�fiCELTA%I.D.NUMBER X��%""� � V`^A-� / <br /> 7� 7 <br /> CONST7iUCTION LOPN LENOER.ADORE55.TELEPHONE NUMBER � <br /> SIGNATURE DATE <br /> CITV BUSINESS LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYP�OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITE��1 FEE <br /> WATER CLGSET(TOILET) � A/C—A/HNDLG UNITS—H.P. ' <br /> BATHTUB ' FOF3CEDAIRSYSTEM.i—B.T.U. M E.A. � <br /> � <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> � UNIT HEATERS—B.T.U. M ' <br /> SHOW ER � <br /> KITCHEN SINK&DISP i CLOTHES DRYERS ' <br /> � VENTILATION FA�' � <br /> DISHWASHER � <br /> LAUNDRY TRAY ' RANGE HOOD � <br /> i WATER HEAI'ER ' <br /> CLOTHES WASHER , <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN i MET.'�L FIR'cPLACE(WO'JD BURNING) � <br /> � FIREPLACE INSERT(WOOD BURNING) ' _ <br /> FLOOR ORAIN � <br /> BACI:FLOW PREVENTERS � GAS FIRF_PLACE ' <br /> SINK(SERVICE—BAR, ETC.) � GAS RAIdGE ' <br /> � � <br /> � GAS PIPING � <br /> � <br /> i EXHAU�T FAN ' <br /> � <br /> � <br /> � <br /> i <br /> � <br /> � <br /> , SUBTOTAL 5 � <br /> SUB TOTAL 5 � pERMIT S T— <br /> PERMIT S � _ , <br /> TOTALFEE S ' TOTALFEE 5 <br /> I'OR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PUN CHECK NUMOER <br /> FEE RECEIPT NO. <br /> J i <br /> L /�vncnNts:*e � ES VALUATION FEE <br /> UCEZONE LOTAREA i <br /> � �S� � J <br /> ClVES fl NO B111L�IN3 � <br /> HEIGMTLIMITATION NO.OFDWELLIN� SIZEOFBIOG'TI. i <br /> UNITS J,I I� PLUMCING � <br /> I i <br /> O�C�UPANGV NOO�STOflIES OCCUPqN LhAO..) BASEMSNT M[GHAFlICAL � _ <br /> , N .2 � �ti=,�F 4 ���5 �C-��s ! <br /> 7 AOOITIONAL PLAN GHEf,K <br /> FIPEALARMPEO'0 �EASON _� � <br /> `1 i <br /> l O OTNER <br /> i� <br /> FlRE SPRINKI.ER REO'� REASON ��� �l <br /> �Ib STATEBIIILDINGSURCHFFGE I �._� <br /> i <br /> i <br /> TYPEOFCONST. PLANSAPPROVEDB' CITYOFEVERETT PU9LICWORHS � <br /> LOCAL SALES ��—;„ � ��"� <br /> �I I�I onre �, )"'��� TAX CODE IS 3+05 TOTAL ' ��- <br />