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APPLICATIA FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING yy SIGN <br />PROJECT ADDRESS: ( / , <br />13.,r„ f44A`-(7.ti.itl Po 9-9 Goo., SF L4 5,//60 Fee- 1;4z-17�o <br />OWNER MAIL ADDNESS CITY �2y" PHONE <br />VS NAilc 3oS- SE Ew..41 PAY♦Et L.A F-VIIII* 9$Zoy s,3- Sri- 4,(63 <br />TENANT MVI ADDRESS IT, <br />tip MpONE <br />ARGHTFjJCI pr DESIGNER MMI ADDRESS CTY D, MTCNF <br />/•JL (Y !u✓ co PD S K S265 !! .l..w. 5$046 779-1?1f 3S ,r ti o77c� <br />GENERAL CONTRACTOR MAII ADDRESS CITY/ 71, r1R)NE S,Ac[ SEI <br />MECHANICAL CONTRACTOR MAIL ADDRESS Clry hr PIgNE STATE LICENSE• <br />PLUMBING CONTRACTOR MAHAMIESS CITY Z'F pNONF STATE LIC:NSFA <br />9 2 .rs 0 O <br />CON,MCr FiIIL awBRR <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />NSCIABF WORN NO SQUARE FOOTAGE INMWO <br />74 <br />CONTACT MRSON AND PHONE NO <br />c ,- pt,0,511 <br />Z/7.5- 776- $/c, 3.5- <br />1 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 BE 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 />CONTRACTOR AD 296200 WAD. <br />PROPOSED USE OF BmLDIM7 <br />LEGAL DESCRIPTION OF MgrER1Y ISNGIm BELOV/ OR AMACH TWD COPESI <br />Lot BLOCK Or <br />See l7I 54 .I,L/ <br />rARCEL TAY IONUMBFn <br />/$2$0.S'-3- oy$ � pool <br />CON= LOAN L FNRFFI. ADDRESS. rELEPNONE KINDER <br />$$SKAM IL TYE DATE0741796 <br />CITY BUSINESS LICENSE NET T <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C-AIHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE - BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT sl <br />PERMIT S <br />TOTALFEE $ <br />1 <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FAONTVInACN <br />AFAR SFIOACK <br />SIDE SETBACK <br />MAN CIIECN NUMBER <br />rEF <br />nFCFIpT NO <br />115E lFF <br />tOI AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />_l <br />OYES D NO <br />BW R R <br />_ <br />IIEIG141 IMITATION <br />NO QfIUIq DW <br />SITE GF Wei <br />Um IS <br />MIIMBMO <br />OCCIMANCY <br />f. OUP <br />MI Y SIM$ <br />IX:CUNNI toAD <br />BASF4EN1 <br />4fCNANKAI <br />OFFS ONG <br />ADGInINAI. MANGNi CK <br />FIRESpPNKLERMOD <br />REASON <br />ODIEn <br />FIRE ALARM REO'0 <br />REASON <br />41� <br />S4IF MAOINI: SIIIKIMnLE <br />TYPE OF QINST <br />MANSAPPMWFDDY <br />CITY OF EVERETT <br />Mlnur.YWlnas <br />LOCAL SALES <br />— <br />TOTAL <br />- <br />—y— <br />DATE <br />TAX CODE IS 3105 <br />