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APPLICATION FOR CONSTRUCTION PERMIT <br />�W <br />CITY OF STREET <br />- E • BUILRET ING. WA DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259.0810 <br />1-1 DEMOLITION f I COMBINATION I I BUILDING MECHANICAL fl PLUMBING Il .7IGN <br />PROJECTADDRESS 14-Nora_ S.E.5.�. �VP.Ye-1� l}'1alt l,�?,� AJ1 <br />OVIN MuurynEs cln zp• PNGNE <br />1erv4 <br />1�j �11 ld LhMUC1 Mall lYtt1, 3p 1, IYtI„g t, 55you <br />ILNAN! MNI. AnMnEs cnr Hnr rrroNE <br />_ GTC7 140� 5F. N 111 a wl, #VA Cve.,�e+l- gSj0,j ___ <br />NX]I1111:11HIIX:YINn I' MNI NNXII!ii V III. IYK1N11 <br />GENERAL CONTRACTM MNLACDRESS CITY EIP PNDNC STATE LICENSE <br />MECHANICALCONTRACTO!, MNLACE"Ess CRY ZIP PITONS STREDLENSEX <br />UZI(i !S4 �tin6 jvlC. IU21 SW.1UI ita.w,\ Su'It 10V 9AII? %134 26L 9V194`9 twljrd[Ni%go <br />PIUNpING [ONIN(L,011 MAIL ADDRESS ICr, ZIP PHONE STATE LICENSE <br />l:UN111M:11'11I1:I. U1 WUIIX //77 <br />"1 . C 5U.'v I HEATING SYSTEM: I 1 GAS rt FLFCTRIO f I <br />OESCnIBF.Vg mnfCU F.FOOTAGEINVOLVEO <br />CONTACT PINSOII AND PNONF. NO. <br />TI III hrfenr,A, ILA) UYt <br />E,II Cj'ebSa& :�GL< &,54 3340 <br />I•St2ki QUCt •. G(IIITt \>flnf Ct( Oj <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 9E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR CTORS LAW) 27 RCP AND 296.200 WAC. <br />(, <br />X %..�.1� A c e 5 -:16. c� <br />PnoroSFDUSE Gr nunGl� <br />LEGALDESCRIPTION OF PROPERTYISIIONM BELOTMON ATTACH PAID CORES) <br />LOT BLOCK or <br />PASICELTUMNOMBER , <br />� } I <br />�ELEPHON 01 Ei <br />CONSinUCOON LOAN IENOE R <br />SIGNATURE ^ I(�^ DATE <br />A <br />CRYBUSINESSLKENSENO. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />NC—AMNDLG UNITS —H.P. <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK E DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />_ <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR BRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />PREVENTERS <br />GAS FIREPLACC <br />_DACKFLOW <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />_ <br />GAS PIPING <br />,i <br />EXHAUST FAN <br />_ <br />SUD TOTAL f <br />PERMIT E <br />SUB TOTAL E <br />PERMIT E <br />TOTAL FEE S <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />FRONT fir TRACK <br />REM SETBACK <br />SIDE SETBACK <br />NANCDECKN TIER <br />r <br />rCE <br />RECEIPT NO <br />USEZONE <br />LOTAnr,A <br />YACANT SITE <br />IIYLS II NO <br />Ytt. <br />VALUATION <br />FEE <br />TURBINE, <br />NEIGRT LIMITATION <br />NO. OF OWCWNO <br />UNITS <br />SRE Or OIONrI <br />PLUMBING <br />OCCUPANCY To M SRANfS <br />Bnpur <br />OL-CUT'ANI LOAD <br />BA[IMENf <br />IIvrA IIrHI <br />MrCNANICAL <br />i— <br />ADp11ONALMANCITCCK <br />— <br />- <br />FIREALARMREOO <br />REASON <br />BRIEF, <br />FIRE. SPRINKLER REDO <br />FIFASOY <br />STAIC TIILLDING SIIP.CI IMGF <br />TYPE OF COAST <br />PIANS MPROVED <br />Rere <br />CITYOF EVERETT <br />LOCODE IS 31 <br />TAX CODE IS BIOS <br />PlaurwORXS <br />TOTAL <br />— <br />