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!7R^M:CITY OF EVERETT BLDG.DPT TO:96824289 GFP 10, 1996 4:13PM #783 P.04 <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, VIA 98201 •2S9-8810 7 ' <br />❑ DEMOLJTION O COMBINATION 9 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIC <br />PROJECiADDRESS: 3o, 5 S.t EUGi{.4+1"'LLI( WAY <br />MAILAUOICSS CITY TIP HgNF I zvG ): i,'35 35 �S <br />(I l e� �,c r S �Y- _ ' sr 33 Y.� 5.M :1 l• , r-�5ca7t tf J,4 _ �I 1 5 r ,: N /�, — ►... <br />AACNTFCTORAGF,STGMEn. MAN ADDRESS CITY I / lip PRONE <br />ce�iEAil� i 4 M�. 4010 Lid- (.�/F i�i 1�1U ,_..V��/�AIL ADDRESS C41Y ^�tL'LG�- � -4mIq&U 3 tzLyi) g2q-09Po <br />ONF STATE LICENSE IT <br />MECHANICAL CONTRACTOR MAKADOIESS CITY lip PHONE STATE LICENSF. IT <br />PLUMW4C�CVCM ���/�� � CITY zip PHONE STATE LICENSES <br />CONTI1ACT mutt OF WORIt - - — <br />•�. <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />OESCq WDOW IUD SWAnE FOOTAGE 1ryVOlV4y, <br />ln}2 "?-r- �Umv �l kar n <br />CDNi:CT CT F How NEI — <br />c7�ln..LlJtinP_I �mCS{-tr <br />I IIEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THI <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT At <br />PROVISIONS OF LAWS AND ORDINANCES 60YERNWO THIS TYPE'() <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN (I <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ON <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF Aft <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR T!1 <br />PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY TI I <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHIO <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STA7 <br />CONTRACTORS LAW 1527 RCW AND 296.200 WAC. <br />X <br />PlgPocFo USE o,f,q�a»� <br />1{ f AL u s rAA- — <br />F c <br />LEwLOEscAIPTIONarRorERTrEMIDWIIEFLOYILTa•nACNTMroGOPIESI <br />LOT ELocK .OF <br />tjy <br />/l <br />ll'L OS - 3 -043 -,oeeq& <br />PATICEL TAX I.D. NUMDER <br />CONSTRUCTION LOIN IENOFR. ADDRESS. TELEPHONE NIMSER <br />- <br />SIGNATURF DATE <br />CITY BUSINESS LICENSE NO, <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OP EOLRPMRmT <br />FEE <br />WATER CLOSET (TOILET) <br />_ <br />A/C — AIHNiDLO UNITS <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS <br />; <br />LAVATORY (WASH BASIN) <br />1 <br />_ <br />HEAT PUMP <br />' <br />SHOWER_ <br />' <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />; <br />CLOTHES DRYERS <br />RANGE HOOD <br />DISHWASHER <br />I <br />LAUNDRY TRAY ^� <br />WATER HATER <br />CLOTHES WASHER <br />I <br />_ <br />WOOD STOVE <br />i <br />URINAL <br />' <br />FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />i <br />_METAL <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />_ <br />GAS FIREPLACE <br />i <br />BACKFLOW PREVENTERS <br />; <br />_ <br />GAS RANGE <br />; <br />SINK (SERVICE — BAR. ETC.) <br />I <br />GAS PIPING <br />I _ <br />' <br />E(HAUSTFAN <br />� <br />I <br />1 <br />T.. _ <br />I <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />_ <br />PERMIT S <br />TOTALFEE S <br />' <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: <br />SFTSACK -- I FICAR SETBACK <br />14EIGIlT LIMITATION NO OF DWELLING <br />UNITS <br />OCCUPANCY NO Of STONES OCCUPANT LOAD <br />GROUPA- I 7 <br />FIRE SPRINKLER REO'D <br />/UO <br />REASON <br />FIRE ALARM REO'D <br />REASON <br />P19 <br />TYPE OFF COOAANSST <br />PIANIS 1 <br />JFAJ <br />DATE <br />SIDE SFTPACK <br />LJYEJ u NU <br />I PIANEWY/MCNDIAIIEq <br />BUILDING <br />SIZE OF NBLD2GRI <br />_^ !7q —r/- <br />PIUMBING <br />BASEMENT <br />DYES )W NO <br />MECHANICAL <br />ADDITIONAL PLAN CHf.CK <br />OTHER <br />STATE BUILDING SUnCHAnGE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />runncwnRKs <br />TOTAL <br />0 <br />