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APPLICAT11rN F(l�i COI�ISTRIUCI.ON P►EI;MIT <br />CITY OF EVERETi • BUILtIING DIVISION � <br />3200 CEDAR STAEET • EVERETT, WA 98201 • 259-8810 <br />/ <br />1-1 DEMOLITION - COMBINATION CI BUILDING Ll MECHANICAL L� YL.UMBING ❑ SIGN <br />PROJECT ADDRESS <br />TENANT <br />�i���LO l L�� L.CGtI�/l� ��� `�'�� <br />MAILAODRESS CITY LP PHONE <br />��s�n y7/d fh�ln� L„ �'�-,�ri` 98"�3 ��6 ) 3 s'3 -SS-t�o <br />�cvn�veacreruurv UF Pf1oPEFTV jSMOWN BELOW ORARACH <br />LOT BLOCK OP <br />�,-,t 3 �f s,O� aa-93 <br />PAqCELTAXID.NUMBER <br />3%�C�, o�d _O Sl^03O`l <br />CONSTqUCTIONLOANLENDER,FODRESS.TELEPHONENUMBER <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET <br />BATHTUB <br />KITCHEN SINK & <br />WASHER <br />DRAIN <br />_ SINK <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />3Go Gsa2-.5� 76 <br />1 HEREBY C[RTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFlDINANCES GOVERNING THIS TYPE OF <br />WOriK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF q pERMIT DOES NOT P(iESUME TO G�VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOM OR THE <br />PERrORMANCE OF CONSTqUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR CJHICH <br />APPIICATION IS �L1ADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18�27 RCW �pID 296200 WAC. <br />—O/5 3c^5— __._ <br />CITY BUSINESS LICENSh NO. <br />MECHANICAL <br />OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br />NC —A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEq <br />WOOD STOVE <br />METAL FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />SU� TOTAL $ <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FNONTSETBALN / RE�R SETBPCN <br />USEZONE LOTAREA <br />,L -Z <br />HEIGIiTLIM1TAT10N ^� NO OFDWELLING <br />vCJ UNITS <br />OCCUPANCV NOAFSTOFIES OCCUPANTLOAD <br />�' I� I DATE <br />/ SIDE SETBACK p�pN <br />VACANTSIL: � <br />❑vEs n No <br />OUILD�NG <br />F BL�G/f I <br />7Y S/� GIVI/J�1 "F PLUMOING <br />� s,= Gaaa��. <br />IASEMENT <br />� � MECMANICAL <br />❑VES y�fJp <br />ADDIiI(`NPL PLAN CHECK <br />OTNER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT rueucwonKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />FEE <br />PERMIT $ <br />TOTAL FEE 5 <br />� I RECEIPTNO. <br />c <br />