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APPLICATI� N FOR COIdSTRUC'. �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, Wq 98201 • 259-8810 <br />Gtl DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL p PLUIIABING ❑ SION <br />PROJECT ADDRESS:I. 901 Lombard Everett idA 98201 <br />Gverett Communitv Co• llet;e 801 Wetmore Gverett idA 98201 388-9513 <br />DWNER MRII.�DORE55 <br />cin ,,,, _.._.._ . <br />IAAII. <br />f.IIY <br />r��oe�e <br />A11C111TECT Oq OESIGNGq M�II ADpqE55 ' <br />GItt 711•-'--"----'" puONF <br />�wner <br />c[Nenu :o�rtnecTai M�n �onness ---- ------ —._-- <br />- r.nr nr ������.��: _'-------- <br />MECIIANIC�ICONIHACIOR MAIL�DDRE55 ��ry <br />T�� ����N� $GfE IICENSE � <br />P111A1NING CON1RAf.7pp lAql FI)OBES$ CIIY �---- <br />���' PIIOHk STAIEIICENSE• <br />OESCRIBE WORN AN� SOUARE fOOGGE INVOWEO <br />PROPOSED 115E OF tlUILDINO <br />S,�'� <br />1 EGAL DESCRIPiION OF PROPEflTY (SIIOWN BELOW OR ATi6GH TWO COPIES) <br />LOT BI.00K OF <br />5938 180 001 0005 <br />PMCELTA%I.D.NUMBER <br />CON51fllICiION t OAN LENDEO, ADDpE55. TElEP110NE NUMBEIi <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) �T'—� <br />�- BATHTUB � <br />LAVATORY(WASHBASW) � i <br />SHOWER � <br />_ KITCfiEN SINK 8 DISP � <br />OISHWASHER —;— <br />LAVNDRYTRAY � <br />� <br />CLOTHES WASHER , <br />URINAL ;— <br />ORINI(ING FOUNTAIN � <br />_ i <br />FLOOR DRAIN --;— <br />BACKFLOW PREVENTERS � <br />_ , <br />SINK �SERVICE — BAR. E7C.1 ��— <br />=J�_ SUB TO7AL S <br />� PERMIT S <br />I TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />fflONi SETPACN qEAfl Sf.TB�CN ' SIDE SETB�CN <br />IISE 20NF. �p� Al1EA V�CA!!1 SIIE <br />_ nves ❑ Nu <br />IIEIGIIT UMITAlION NO OF OWELLING SIZE Of UlIX'iq I <br />UNI I$ <br />t%:COPANCY NO OfS10Fq5 pCCUPA <br />GOOUP <br />FIBESPRINKLERqEO'� RFAS(N! <br />FIREAIA(IMOEO'0 RF�50N <br />IYPE OF f,OUST ni n��c • <br />❑YK ❑NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX COOE IS 3105 <br />NEATING SYSTEM: ❑ GAS p ELECTRIC ❑ <br />CONT�Ci Pf.O50N AN� PMONE ND <br />Mark Stewart 388-9513 <br />I IIEREDY CEfiTIFY TFiAT I 1{AVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TPUE ANO CORRECT ALL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PqE5U61E TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVR;ION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTflUCTION OR THE <br />PEFlFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITfi THE STATE <br />CONTRACTORS LAW 1B. CW'AN 296200 WAC. <br />x �/n / , <br />C�lY< � � , .l' ��k'-t 5/16/97 <br />SICNAIURE DATE <br />CITY OUSMF:SS IICFN$C NO <br />OFEpUIPMENT � FEE <br />A/C — A/HNDLG UNITS <br />FOFCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT IIEATERS <br />CLOTHES DRYERS --� � — <br />--- ' <br />RANGL' HOOD �---;— <br />WATER H[ATEIi � — <br />� <br />WOOD STOVE T—�- <br />i <br />MEfAL FIREPLACE (WOOD BURNING) � <br />FIflEPLqCE INSERT (WOOD BURNING) � <br />GAS FIREPLACE ;� <br />GAS RANGE i — <br />GAS PIPING ! — <br />PIFNCIIGCMfl114F11'!1 --�fEf <br />�� � <br />_ ___FEES__ <br />nwinmr, -- -- <br />1'IIIA11114f. _-- — <br />MEf,I1�N1l=AI ------ <br />M101110NA� PI�NGIlCN <br />Up�Fll <br />9RIL IIIO1111111:S1i11f:lUliGl—�--- <br />I'111111f WpON� �� �— <br />TOTAL —_ ___ ____.._ _._ ___ <br />SUB TOTAL E <br />PERAIIT S <br />TOTALFEE E <br />RFf.EIPI NO <br />