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APPLICATI&S FOR CONSTRUC41ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVFRETT, WA 98201 •259-0010 <br />DEMOLITION fl COMBINATION fl BUILDING (l MECHANICAL fl PLUMBING fl SIGN <br />PRo,�ECT ADDRESS <br />LO2 MPR� _der% ��kQt4 �C I, Wa <br />!VIVNER MYLATARESS CITY ZIP PNp1E <br />$Pck A. 1401 L4� <br />T <br />145 {S�YdD1AUSeW <br />TENANT ..L.TDPf.SS <br />f.11Y <br />PA <br />I'NGNE <br />3'�•7• fsboo <br />Slnwuz.a N C'ln'ak_ <br />_ <br />— <br />ARCMTECTGRCESAGNEN MA4 ADDRESS -- <br />"ToeLn, IcAotsA t5 241c, lBoo <br />Liry <br />Lwbt `s <br />IIp <br />SE <br />/�� HI4�WE <br />LLL_ AIb1L Wn 44DAz <br />MLAL <br />GENERAL CONTRACTOR MML ADON SS LL <br />CI`1 <br />SLIP <br />,L PHONE <br />LI SLAtEUCENSE• <br />'To00 µOPENS �l :mC- <br />MECHANICAL CONTRACTOR PAIL AGGRESS <br />all <br />ZIP <br />PHONE <br />STATE LICENSE <br />SAOAC� AS *00';- <br />PLUMBING CONTRACTOR ...'ADDRESS <br />CITY A <br />ll^ <br />PHONE <br />STATE LICENSE - <br />CONTRACT PRICED WORK <br />HEATING SYSTEM: I"I GAS fI ELECTRIC fl__ <br />OESCRIIaB�[WpMANC SWA EWl(.GE WVDVEG <br />6LP4noUTc.`ISLS'CLA-.�_�nLl[c. <br />CONTACT PERSON AN0 P'I lNO <br />�t�o b(Z-t4S-3c3� <br />-1 2EoLO EIc� G07+%rn SALE. <br />MIR 4Sz1-E476 PT.IQ 68D`fb2$ <br />LE-L1 <br />YG LL(,a - 4:AToi o$ - Se WE2 <br />O LSFDA)NY[T_ <br />I HEREBY CERTIFY THAT I HAVF READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS ANT: ORDINANCES GOVjE,�RNING'HIS TYPE OF <br />WORK VALL BE COMPLIED WITH WHETHER nPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGUL WING COI ISTRUCTION 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 3TATE <br />CONTRACTORS UWi 296.2W WAD. <br />X C `� <br />PROPOSED USE OP BRALDITFI <br />LEGAL DESIMPTION of KIDPERTY RENOWN BELGWgR ATTAIN TWO CMESI <br />LOPA 11 - 17 e.cc0l DD"CO GF PW&U,31S7 tV E <br />' <br />I'Y- <br />JC q5-o _ C 1 fi _ C, 1 I _ Obo3 <br />1ARCELTAAID NUIIBEA <br />CONS1.UC110NLO.NLENDETR. ADDRESS HLEPNCNEWIN.In <br />SIGNATURE O.rE <br />CIE I BUSINESS UCENS:. NO <br />PLIIMBING <br />MECHANICAL _ <br />NO. <br />TYPE OF FIXTURE OR ITEM I FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C-AMNDLG UNITS -H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />' <br />-� <br />LAVATORY (WASH BASIN) <br />--� <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS-B.T.U. M <br />_ <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />-�_ <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />BACKFLOW PREVENTEP.S <br />GAS FIREPLACE <br />SINK (SERVICE - BAR. ETC.) <br />GAS RANGE <br />ASPIRING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT E <br />PERMIT E <br />TOTAL FEE S <br />TOTAL FEF. S <br />_ <br />jNo c nul IT. <br />FRONT SETBACK <br />REAR SETB.ACR <br />SIDE SETBACK <br />PUN CIIECK I UMBER <br />SO <br />CEE <br />RECEIPT NO <br />USE zoNE <br />LOT AREA <br />v.c. <br />FEb <br />--VALUATION <br />FEE <br />OIXIDNCi <br />T <br />L <br />TRUES II NO <br />lIvES <br />IIE1OWLIUMANON <br />NO UT MELLING <br />UNIT, <br />sin O BIDG"I <br />PLVMBINO <br />GC%PANCY M D SIMCS <br />OCCUPANt LOAD BA,EMENT <br />NFCIIANICAL <br />DR, <br />TIYF, II NO <br />FIRE ALMM REDO <br />IIASUN <br />AOCATIGNAL MAN CHECK <br />I <br />GIVER <br />FRESPRINKLER REGO <br />RFASpI <br />STATE BUILDING SURCHARGE <br />TYPE OF F.ONST <br />PI ANS APPROVED BY <br />CITY OF EVERETT <br />me,K VOMITS <br />LOCAL "DALES <br />DATE <br />TAX CODE IS 3105 <br />TOTAL <br />