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APPLICATION FOR CONSTRUCEON PERMIT <br />CITY OF EVERETT I BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 1259-8810 <br />Tl DEMOLITION Fl COMBINATION lit BUILDING III( MECHANICAL W PLUMBING f 1 SIGN <br />SAdc A. 01,11 19.o1 - L (1- 4T St trr;tu. Ca *er. " Rbn l2 Z45- 4cG4 <br />TENANT MAIL ADDRESS CITY ZIP PRO, IE <br />PWAININGCONrRACTOR MAILACORESS CITY ZIP PHONE STATE LICENSE <br />CDT ACT PRICE OF Y:ORR <br />1 00 000 <br />HEATING SYSTEM: CI GAS X ELECTRIC Ll <br />OEBCRIRE WORN SQUARE FQUTAOE INVpVEO <br />CoA: GTau!-T +xw .N,iE 6.::�a' <br />w+� <br />CONTACT PERSON ANp P11CRE Eq <br />h�cKE TbrD o(<:,., 'I LaS•3u 31 <br />Q51 sq FT cEELcl& Pw T o pArsRA r <br />lnBL EiSV• 6fl76 le6iz tAIs- 1,78 <br />1 HEREBY CERTIFY THAT I HAVE. READ AHU EXAMINED THIS <br />APPLICATION AND KNOW THE SAM _ TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER APECIFIED HEREIN OR <br />NOT. 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 />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />S 4 t, <br />A11n n �\ / <br />bFPF lG Io <br />LEDALOESCRIrHO.1 oc R ISIK)WV BFLGA OR ATTACH TAD COPIES) <br />LOTS ll'l2 IROCI 0 Il D-00 OF Poazulmr Dll/ <br />vAT10EL Tu Ip NUMBER <br />54 0-018-o�i 0oo3 <br />CpISTRU:TION IO+H IENOFR. AGGRESS. TELEPHONE NUMBER <br />Nc,u� <br />IGNATUTLE DA,Ea <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AHNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />I <br />OWEFt <br />UNITHEATERS-3.T.U. M <br />KITC SINK 3 DISP <br />CbQTHES DRYERS ' <br />DISHWASHER <br />VEN TION FAN <br />LAUNDRY TRA <br />'d„ <br />RANGE 0 <br />CLOTHES WASHER <br />WATER HEATED_ <br />URINAL <br />W000 STOVE <br />_ <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (MD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (W BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />_ <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: J` V/, / '� <br />FRONT 5ETSACN <br />PEI"SFTBLCIK <br />SIDE SETTACN <br />PLAN CNECI, RUNDLn/y.. <br />FFE 7� <br />RFQ IPI NO <br />USE zpx <br />LOTAREA <br />v+cANr SITE <br />FEES <br />VALUATION <br />EE <br />DUIIDING <br />�/ <br />Z/ 577 <br />^T^l <br />a Isr/ <br />SpX <br />rIYES .f•rhYl <br />HEIGHT UMRAPON <br />NO OF OMLUNG <br />LINOS <br />SHE C' BL p � ,,.�yy-- <br />.��' IO/�I Cr` <br />'/NA <br />"UPIRMG <br />I <br />GEC ANC] rONSIORfS <br />CCCUU;NI. LOAD <br />BASE ENI <br />MECN+InCAL <br />GO <br />- J.7. <br />/l 1 -1 <br />fIYES rl W <br />ADDITIONAL PLAN CHI <br />FI AIDS.REGP <br />REASON <br />�iS <br />CIt/ <br />OhDIUgNLG <br />OTUEn <br />FIRE SPRINKLER RED G <br />REASON <br />Na <br />STATE SHIPPING SURCHARGE <br />TYPE OF CONST <br />PLANS PPMwEDBY <br />CITY OF EVERETT <br />PIRCIAO1d5 <br />,J <br />V� 1 n <br />LOCAL SALES <br />9 <br />wTE� .?1- 4 <br />TAX CODE IS 3105 <br />TOTAL <br />Isa <br />