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APPLICATI(�nl FOR f.'ONSTRUC? raN PERIIAIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION fl COMBINATION BUILDING fl MECHANICAL r� pLUMBING �l SIGN <br /> PROJECTADDRESS 3/l9 Z-o Fn ba,��Q, <br /> OWNER MAILA�DBESS LITY ZIP PNONE <br /> w,71;�.�, c, ��Y�s- Po� as�� E��eEyr- 9�ao3 a-s�- - apf6 <br /> TENANT MpILqODRF.55 QTY ZIP PHONE <br /> APCHIT[CTOROESIGNER MMLADDRESS ��TM //IC�` 77UEqUOO <br /> ?"�¢y /�6/av�, �-1 9 a 3 ��.�l PL.w. �,��,�.s —�a n � o <br /> GENEf1ALGONTRACTOR MAILnOIlRESS CItV 71P PIIONE SfATEUCEuSE� <br /> 5a�� as �Go�� <br /> MFCHANICALCONTR4CTOR MAILADDPE55 CIN ZIP PHONE STAiELILENSE� <br /> PLl1MBINGCONTRa�TpR MnILADORE55 GITV ZIP PHONE STqTEUCENSE• <br /> CONTRACT PR�OF WORK //n <br /> �� � D UO , °° �7 7/ HEATING SYSTEM: f I GAS �l ELECTRIC <br /> DESCRIBE ViORK AND SOUARE FOOTnGE INVOI.VEO CONTACT PERSON AND PHONE N0. <br /> ifa E 4RYrnE�1� <br /> �o dE. � 7�!' 7� <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> PROPOSED IISE OF Bl/ll ING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALI. ' <br /> �7—a � PROVISIONS OF LAWS ANG ORDINANCES GOVERNING THIS TYPE 01= <br /> WORK WILL BE COMPLIED WITH WIiETHER SPECIFIED HEREIN OR <br /> LEGALDESCR{JIP110NOFPROPERN�IS/JNO/WNBELOWORATfACHTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI\�E <br /> LOTbv'.)- / v-S BLOCK 1�OF���£��'t'�hQ -d-T AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> ^J. //C� ��n n n� OTHER STATE OR LOCAL LAW REGULATING CON�TRUCTION OR THE <br /> / ��iC>ii/ PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ONJNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> L 3 9 - � Od ' d ,S' APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL lAX I.D.NUMBER CONTRACTORS LhW 10.27 RCW AND 296.200 WAC. <br /> CONSTRUCTION f O,�A/N LLFN�ER,ADORESS.7ELEPMONE NUMBEfi x ��F , t�+�-�- /O"���- 9r� <br /> r/ n (V L SIGNBTtIRE OaiE <br /> CITV BUSINESS LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> / WATERCLOSET�TOILET) � A/C—A/HNDLGUNITS—H.P. �— <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LP.VATOfiY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS- � <br /> DISHWASHER � �ENTILATION FAN � <br /> LAUNDRY TRAY ' / RANGE HOOD � <br /> f CLOTHES WASHER � � WATER HEATER <br /> � <br /> URINAL WOOD STOVE � <br /> _ DRINKING FOUNTAIN ; IdETAL FIREPLACE(WOOD BURNING) ; <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE ' <br /> SINK(SERVICE—BAR.ETC.) GAS RANGE � <br /> ; GAS PIPING � <br /> � <br /> � EKHAUST FAN ' <br /> , � — <br /> � , <br /> � , <br /> -�-- <br /> SUB TOTAL 5 `� SUB TOTAL $ ' <br /> PERMIT 6 � pERMIT $ , <br /> TOTAL FEE $ � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETPACK REAR SFTBALK SIDE SETPACK P��N CIIECN NUMBFR FEF RECfIPT N0. <br /> /G � Zo ' ,S � � r�7� , 1�/?/% <br /> use ZONe�7 tornaen vaenNr sirF FEES VALUATION FEE <br /> /�'� IIYE$ IiNO i <br /> — O1111�WG j Z� � �1 <br /> IIEIGNTLIMITATION_ NO.OFpWEILING SREOFBLIX;RI 1 <br /> L� <br /> �� uNirs 57� .�F Givii�G + vwMewc <br /> 57� S Ga � .�`7 <br /> OCCUPANCY NO 0[StORICS OCCUPANTLOAU BASEMENi I <br /> Gf10UP MEG�I�NICAI i <br /> �-f � � i <br /> " U"I G, IIYES i{AGO - <br /> FIqE ALARM REO'D RF�SON �DOIIIONnL PLAN CHf.CK /� !� <br /> --�—r <br /> O1NG9 <br /> FIRFSPRINKLERREO'D RFASON _ <br /> STAIE Ol11LDING SIIRCHAqGE '_�.�/1 <br /> ��� V <br /> ivreorr,oNsr ainNsar�vnqvEnov CITYOFEVERETT runiir.wonKs /.�li� _ <br /> `J� LOCAL SALES �'���-- <br /> , —/�,i „a,E Z S TAX CODE IS 3705 roint <br /> — — L� 7[1;�.:?— <br /> =-�f <br />