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APPLICAT14r�1 FOt� CONSTRUCT oON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISIGN <br /> 3200 CEDAR STREET• EVERETT, WA 98201 �259-8810 � <br /> ❑ DEMOLITION fl COMBINATION fl BUILDI��G �I AI�ECHANICAL �l PLUMBING f l SIGN <br /> PROJECT ADDRESS � / I p JJ <br /> ( GL� <br /> OWNEN� I 1 � 1 , � MAILaO�E'S � ,^ , I /`���'� .7 ��/ �✓E�� �NON[ <br /> ( !�I ��/�� <br /> 1NT MAILAOORESS CITY /� ZIP �� ` U� PHONE ���— � �� <br /> 1 � <br /> iL �. <br /> ARCHRECT OR OESIGNER MMl.AOORE55 CITY ]IP PHCNE <br /> GEFE�AL GONTR�GTOR MnILAfDRESS CIIY 21P PIIONE $iATE LICENSE� <br /> MGCH�NICALCONTRACTOR MAIIA�ORE55 CIN lIP PIIONE SIATFLICENSE+ <br /> PLUMBINGCON7NA�inq MAILADDRE55 Cltt ZIP PIIONE $iATELICENSE• <br /> CUNTMCT PRICE OF WOP,K <br /> HEATING SYSTEM: I_l GAS �7 ELECTRIC (� <br /> DESCRIBE WORI D Ol1ARE FOOTAGE INVOLVEO GONTACT PERSON nND CHONE NO. <br /> � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE AND COrIRECT ALL <br /> PPOPOSED VSE OF BUILOING pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR � <br /> LEGALUESCRIPTIONOFPROPEPTYISMOWN9ELOWORARACHT4000PIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCN oF AIITHORiTY 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 BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PAflCEITP%I.D.NUMBER CONTRACTORS JL�AW 7827 RCW AND 295200 WAC. <br /> CONSTRUCTION LOAN LEN�EA.ADDPESS.TELEPNONE NUMBER ,� `-✓�/ �{JCN fl"v"�Y� —^ . <br /> SIaNATURE D�TE <br /> CITY BUSINESS UCENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> � WATEFiCLOSET(TOILET) � A/C—WHNDLGUNITS—H.P. : _ <br /> BATHTUB ; FORCEDAIRSYSTEMS--B.T.U. M E.A. ; <br /> LAVATCRY(WASH BASIN) HEAT PUMP ' <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> � <br /> KITCtIEN SINK&DIGP � CLOTHES DRYERS _ �_ <br /> DISHWASIIER � VENTILATION FAN ' <br /> LAUNDRY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � � WATER HEATER ' <br /> URWAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNI�IG) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) y_ <br /> BACKFLOW PREVENTERS � GASFIREPLACE � <br /> T <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE <br /> � GAS PIPIN6 � <br /> ; EXHAUSTFAN ' <br /> �� <br /> � i <br /> SUB TOTAL 5 ; SUB TOTAL 5 <br /> PERMIT 5 i PERMIT S � <br /> TOTALFEE $ � TOThLFEE $ ' _ <br /> FOR OFFICE USE ONLY: <br /> fRONTSETPACK RE�RSFTOACN SIDESETBnCN PI�NCNECKNUM�FR FEF RECEIPiNO <br /> usemr+e iornaen vacaruiSire FcES VALUATION FEE T_ <br /> I�VES �1N0 / � <br /> �UILDMG <br /> IIEIGIITLIMITATION NO.OFpWEILING S2EOFOlDG?I � <br /> UNII$ � <br /> PLUMOiNG � <br /> --r— <br /> UGCUPANCY NO OiS�ON[5 OCCUPANTLOAD BASEMENT ' <br /> Gf�OUP MEC��ANIC4L <br /> fIYES II NO i <br /> FiREALARMREr � RFFSOY �DD�110NN.PLANQ�F.CK _ <br /> i <br /> OTNEfl i <br /> i—– <br /> FIRfSPiiINKLERREO'D AFASON i <br /> StATL ONI�IYG SUqCH�RGE ;��� <br /> TYPEOFCONST PL�NS�PPROVEOOV CITY OF EVERETT PUflIIf,WORKS <br /> LOCALSALES <br /> onrE TAX CODE IS 3105 TOTAL <br />