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APPLICATICA FOR CONSTMCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 - 259.8810 <br />I DEMOLITION (I COMBINATION I l BUILDING Fi MECHANICAL I I PLUMBING SIGN <br />PROJECT ADDRESS 30(o G rule AAd� U)IA V EU�ET7 <br />JYVEn I/NL ApCPFcsG� /- �c/Ilrr zm PNONE <br />Tosco MItKY.c11 <br />MYL ADORES <br />IFNATN�T'p <br />CITY <br />)IP <br />MIONE <br />/ <br />yl o I ` <br />MCNRELTORDE5AV.N MAILADORF.S <br />Gry <br />ZIP <br />rNONE <br />S UM ADDRESS <br />Aar_vi aA klr- J Po gox <br />431 I-AWA44 <br />_wry �dy� <br />STATE LICENSE <br />�SyJ)b27-lyyb AMF�A3p1014 <br />QO, Np pICNE STATE LICENSEE <br />PlI1MBINO CONTRAClp1 N/ALADC11E54 <br />CONTRACT PEACE Of NORK 00- <br />HEATING SYSTEM: ❑GAS IIELECTRIC r <br />DESCRIBE %�N✓0RK AND EWANE ROOTAGE NIOLVEB <br />jK5w V5 E:XioND_�LE SI6N 3 /N+r/fl <br />CONTACT PERSON MO PHONE Ip. ^. <br />JMLN — <br />tic-+� (ozla' =72d1 vp F4t6 <br />�21 7 6 <br />HEREHEREFY THAT I HAVE READ <br />CERTKNOW TRUE AND CORRECT ALL <br />APPLICATION AND THE SAME TO <br />OF <br />PROPOSED usE DING —� G„5 <br />(j'f}S, STATIO rU <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />VF <br />AAUUTHORfY TO VIOLATE T. THL GRANTING OF AOR CANPERMITCELTHEPROVISION OF AS NOT PRESUMF TO IN/ <br />IFGAL DESCRIPnaN GF INaPERn ISIKRYI BELQNL111AllALN1NOCOREsI <br />LGT BLOCK GE <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 />CONTRACTOFIS LAW 1827 ROW AND 296.2GO WAC. <br />PAROELTA%10. MIMBER <br />(6 05Wa-20 <br />1 <br />7 Z/ Z�S <br />OOIISRNCTION OW LENDER NUMBER <br />_ <br />SXIGNANRE�� <br />�h <br />' <br />CITY BUSINESS LCENSE NO. <br />PLUMBING <br />FEE <br />MECHANICAL <br />NO. <br />TYPEOFEOUIPMENT <br />FEE <br />NO. <br />TYPE OF Fl%TURE OR ITEM <br />A/C—AMNOLG UNITS—H.P. <br />I—' <br />WATER CLOSET (TOILET) <br />FORCEDAIRSYSTEMS—B.T.U. AA E.A. <br />�_• <br />BATHTUB <br />HEAT PUMP <br />LAVATORY (WASH BASIN) <br />I <br />UNITHEATERS—B.T.U. M <br />SHOWED <br />CLOTHES DRYERS <br />KITCHEN 5.,JK 8 DISP <br />_ <br />DISHWASHE%1 <br />VENTILATION FATJ <br />LAUNDRY TRAY <br />RANGE HOOD <br />�� <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE IIJSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL $ <br />5 <br />i <br />I <br />PERMIT S <br />PERMIT <br />OTALFEE S <br />T <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK <br />REM SETBACK <br />SIDE SETBACK <br />PLANCIIECtNU�ME� FEE <br />9 <br />�� ♦�f <br />SVALU4A---- <br />RECOPTNO. <br />IF�E'ES <br />FEE <br />USE ZONE <br />LOT AREA <br />VACAIIISITE <br />G.-/ <br />FIVES IT NO <br />DIALDB:O <br />PLUMBMO <br />HEIGHT LIMITATION <br />NO M DNELUNO <br />SIZE 6 BLLG.9.1 <br />UNITS <br />MECNATIILAL <br />- <br />OCCUPANCY A, lY 51,TIS <br />O,,LLPANI LOAD <br />BASEMENT <br />GRwP <br />rrts II AD <br />AODI110MALPLMCHECX <br />FIREALMMREOD <br />REASON <br />0111ER <br />STATE BULGING5 NAME <br />PMWNWIKS <br />FIB, SPRINKLER REOD <br />REASON <br />Ty PE OF CONST <br />PLANS MI'POVEO BY <br />CITY Or Ey�gETT <br />LOCAL SALES <br />Q <br />TAX CODE IS 3105 <br />TOTAL <br />DAIE <br />/ <br />