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APPLICATII..+I �OR CONSTRU�Cti .ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERET�, WA 98201 • 259-8810 <br />f7 DEMOLITION �': COMBINATION � BUILDING f�l MECHANICAL I l PLUMBING Cl SIGN <br />PROJECTADDRESS �y0� �0���� <br />��Q�. <br />OWNER MAILADDRE55 CITY ZIP PHONE <br />�ho.��a5.� t1.>>1r;1b iv�01 (s�rr`v�cAc�-aUe. E�u��t �%i?U3 3� j� CG>��, <br />iENANT MAILAppRESS CITY 21P PHONE <br />�An1� <br />ARCHR[CTOROESIGNER MAILAU�qESS CITV ZIP PIIONE <br />Sq m6 <br />GENERALCONTRACTOR MAILAD�PE55 CITY ZIP PHON[ STATE�ICENSEn <br />5 /-�ri1 E <br />MECHANICALCONTF�CTOR MAILAO�RESS CITV ZIP PHONE STATEUCENSEY <br />N �� A <br />PLUMBINGCONTPFCTOR MAILA�DBESS CIN ZIP FNONE STATEIICENSEM <br />N/� -- .- <br />SOUARE FOOTAGE INVOLVE�. <br />��n�11 � ��"' <br />LEGAL �ES RIPTION OP FFOPEF <br />LOT _ BI.00K _ <br />PAFCELTA%I.D.NUMBER <br />�e1\� <br />BELOYlOFP <br />CONSTRUCTIONLOANLE�DER.ADDRESS.7ELEPNONENUMBFR <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET <br />SHOWER <br />KITCHEN SINK 8 DI� <br />DISHWASHER <br />�AUNDRYTRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ET <br />Two coaiEsin- <br />FEE <br />SUB TOTAL S � <br />PERMIT S � <br />TOTAL FEE 3 I ' <br />FOR OFFICE USE ONLY: <br />FRONTSETOACK REAR SEi�ACK , SI�ESET�AC <br />�! / � � <br />USEZONE LOTAREA VACANTSITE <br />� � rl YES ' fl NO <br />HEIGMTLIMI1ATIpN NO OFUW[LLING SIZEOFOLUG/Tl. <br />/1 /1 UNITS , � � i ,,, � _ <br />NOOFSi0RIE5 OCCUPANTLOAD BASEMEN7 � <br />I � I �/1 ❑YEs A�o <br />I^RGO'D PEASON - <br />V <br />K^LERREO'D REASON <br />V <br />)NST PlANS APPRQV��Y <br />J <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM: ❑ GAS �ELECTRIC f7 <br />GGM�CT PERSON AND PH1ON1E�NO. 1 ( Q <br />�✓1n.4. n S l,�7CNJV' J� �� C.' �DY rJ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />�JOT. 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 />PERFORMANC� OF CONSTRUCTION. �fHAT 1 AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC70RS LAW iB27 RCW AND 296200 WAC. <br />rA ��iu.� � 1��.A.vw� � ZI �� `cl� <br />�G�-UFiE DAfE <br />CI?Y 9USINE55 �ICENSE �:0. <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />A/C —A/HNDLG UNITS — H.P. ; <br />FORCED AIR SYSTEMS — B.T.U. M E.A. � � <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOUD <br />WATER HEATER <br />METAL FIREPLAGE (WOoo euHn <br />FIREPLACE INSERT (WOOD BUR <br />GA5 FIREPLACE _ <br />GAS RANCaE <br />GAS PIPING <br />EXHAUSTFAN <br />I PLAN <br />i <br />DUILOING <br />PLUMOING <br />M[CHANICAL <br />A�DITIONF� PLAN CHECK <br />OTMER <br />STATE OWLDING SURCHd!!CE <br />PUBLIC WORKS <br />TOTAL <br />SUB TOTAL S <br />PERMIT S <br />�, �S <br />FE`�� RE�iia <br />