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APPLICATI1..�d FOR CONSTRUCI .ON P�RMIT <br /> CITY OF EVERETT• EUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-88 i� <br /> ❑ DEMOLITION ❑ COMBINATION JSd BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS /9D� Lc�1+� ,�+.,-o� <br /> �yy�q n /�MAILAODRESS Cltt ZIP PHONE <br /> JeryW l: Y'ct^'�er 33l16 s� .Tts F� ��, ��� �i� cJa 5'���y � 22-6260 � <br /> TENANT MML�DDRE55 <br /> CI ZIP PNONE '� <br /> �--_ <br /> ARCHIiECTOR0E51GN'eR MAILFDORE55 CIN ZIP PHONE I <br /> $Q.nf_ <br /> GENEFlAL CONTRACTOR MAl1.4CJf1E55 CITV 7.IP PHONE STATE LICENSE• <br /> S4�M� Z�p PHOhE STATE LICENSE Y <br /> MECHANICALCONTRACTOR MAILADDPESS CITY <br /> ..�� <br /> PLUMBING CONTRACTOR MAILA�DRESS CIN ZIP PHONE ' STATE LICENSE t <br /> �� <br /> CG..TRAGTPRICEOF WORK HEATING SYSTEM: U GAS ❑ ELECTRIC ❑ n a�� <br /> /� �DO <br /> DESCRIOL WORK ANO SOUAFE FOOTAGE INVOWED GOYTACT PEFSON A�lD PHONE NO. <br /> � Ya � <br /> I FiEREBY CERTIFY THAT I HAVE READ OND EXAMINED TH�S <br /> APPLICATIOh ANO KNOW THE SAME TO 8E TRUE AND CORRECT.ALL <br /> PROPOSEDUSEOFPUILD�NCa PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYP2 OF <br /> �.^ 7�Z176N't � r/Gos WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCPr.i�PTIONOFPROPE n'IS��� e;ow�/��cHi�COPIES��r . AU�THORITYTOTVIOLAOTEAOR CANCELETHE PROVS�ION OF AINY <br /> LOT �`� o��K�.J��— OTHE;1 STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> /� �� " PERFORMANCE UF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �JI�I K -- OWNEH OF THIS PROPERTY TO PERFORM TI1E WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE S'fATE <br /> CONTRACTORS LAW 1827 RCW APID 296200 WAC. <br /> PARCELTA%I.D.NIIMBER / ^ n <br /> CONSTiiUCTION LOAN LENOER,AOORESS.IELEPHONE NUMBER � `- �� ��E ^`�^� t <br /> �1�n� SIG RE <br /> CI7Y BUSINESS LICENSE NO. __ <br /> PLUMBING n MECHANICAL <br /> NO. TYPE OF FIXTURE CR ITEM FEE NO. TYPE OF FIXTURE OR ITCM <br /> FEE <br /> i q(C-AMNDLGUNIT:,-H.P. ' <br /> WATER CLOSET(TOILET) — <br /> � FORCEDA�RSYSTEMS-B.T.U. M E.A. i <br /> BATHTUB ' � <br /> LAVATORY(WASH BASIN) � HEHT PW,IP <br /> SHOWER � UNITi1EATERS-B.T.U. '�A � <br /> ' CL'JTHES DRYERS ' <br /> KITCHEN SINK&DISP ' <br /> � VENTILATION FAN � <br /> DISHWASHER ' <br /> � RANGEHOOD ' <br /> LAUNDRY TRAV ' <br /> CLOTHES WASNE ' <br /> WATER HEATER � - <br /> � WUOD STOVE � <br /> URINAL � <br /> ' METAL FIREPLACC( OD BURNING) � <br /> DRINKING FO NTAIN ' <br /> i FIREPLACE INSE (WOOD BURNING) ' _ <br /> FLOOR DRA N ' <br /> BACKFLOW PREVENTERS ^ ; GASFIREPLAC ' — <br /> SINK(9ERVICE-BAR, ETC.) � GAS RANGE � - <br /> � GAS PIPI , <br /> � <br /> EXHAU FAN ' <br /> � � <br /> `" � <br /> i ' <br /> � � <br /> � <br /> % . SUB TOTAL 5 � �_ <br /> � SUB TOTAL 5 i PERMIT S � <br /> PERMIT S ' � <br /> - TOTAL�EE $ ' TOTALFEE S <br /> FOR OFFICE USE ONLY: *��� ����� � " � " '� � <br /> PLAN CHEC NUMBER EE G� RECEIPT N <br /> FRONT SETBAGK pEAii SGTOACK ' S1DE SETAPCK i J�?— �� <br /> �C � S�c�. yJ�V�yyf /J� �9�r. � � G � FEE / VF.LUATION FEE _ <br /> USE ZO LOT�EA VACANT SITE q /'/� i � <br /> ` �^ , ❑YES .P�NO OUILDINC+ �� $r._/ `� � <br /> � <br /> HEIGHTLIMITATION / UNj SF�WELIIP:G SREOFBL�GRL p�UM81NG � <br /> Zl g'L F ; <br /> MECHANICAL � <br /> OCCUPANCV NOAFSTOFIES OCCUPPNTLOFD BASEMENT _ <br /> GRGUP , I/n ❑YES � NO � <br /> -� �u ADDITION4L PLAN CHECN � <br /> FIRE PIAFM REO'D REASON � <br /> i <br /> No a.��E� _ � _ <br /> , <br /> FIRE SPRINKLER REO'D REASON � � f) <br /> STATE�CIL�ING F��SCHARGE �✓� <br /> _— � <br /> TVPEOF�ON�T _ pLAhS�PPROVEDBV CITYOF :`.�-•"•F� PUBLICY/ORVS � <br /> J �-1 LOCr,LSA!_ES — ��� 1� <br /> �-�� OATE,� v/�3'S TAX ::ODE IS 3105 �TOTA! <br /> - --- '1 <br />