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APPLICATI�.N FOR CONSTRUCI �ON PERMIT <br />CITY OF t=��cRETf • BUILDING DIVISION �C� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8"10 <br />❑ DEMOLITION f� COMBINATION f-1 BUILDING rl MECHANICAL I-J PLUMBING fl SIGN <br />P:70JECT ADDRELa _ i <br />arv ziv <br />ARCNITf.C' JRpE51GNER MNLAp0fiE55 Citt ZIP PHONE <br />S=`i,—,_ rL f�P,- <br />GENERALCON.'F.1C'fOR M.41LAD�PLSS CItV ]IP PHONE SIATELiGE45E� <br />n �,ih�Pl — <br />61ECNANICALCONTFACTOR MAILAODRESS �,ITV 21P PMONE SiATELICENSEr <br />!'J rd�1P` <br />PWMBINGCONTR�CTOR MAII�JDRE55 CITV ZIP PHONE STFTEIICENSE/ <br />OG <br />ANOSOUAPE <br />LOT �� OLOCK � OF. <br />�nrii'R 'Z� GO � J�Oi�J- <br />.....__...._��%U�-�is-6iv- o�i� <br />CONSTI7UCTION LORN lENOER. AD�RESS. TELEPHONE NI1MlfER <br />PLUMBING <br />N0. TYPE O� <br />WATER CLOSETi <br />BATHTUB <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />iiACKFLOW PREVENTERS <br />SINK ISERVICE — BAR, E: <br />HEATING SYSTEM: 1=1 GA� � ELECTAIC �O� k'�'� <br />CONTACT PERSON AND PMONE N0. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TN�S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TNE 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 CONSTRI�CTION. THA7 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 1827 RCW AND 296.200 WAC. <br />x��i 9 . ��- a/r �/a5�- - <br />SIGNFTURE DATE <br />GITY OUSWESS LICENSE N0. <br />MECHANICAL <br />FEE NO. TYPE 9F FIXTURE OR ITEM <br />� A/C—AMNDLP UNITS—H.P. <br />! FORCED AIP SYSTEMS — B.T.U. M E.A. <br />_ I SUB TOTAL S ; <br />j PERMIT S � <br />TOTAIFEE 9 ' <br />FOR OFFICE USF ONLY: <br />FRONT SETOFCN FEAR SET�ACK / SIOE SETBRCN PLAN CIIE� <br />� / � �. � <br />USE ZONF�,� � lOT RFFA VACANT SITE <br />�"J nves nN= <br />BWLDING <br />HEIGHTLIMITATION NO.OfOWELUNG SIZEOFBLCG?I. <br />� UNITS �r�„'i"p PLVMI3Mf <br />8 r8o•� a�. ,.;.►u � <br />HOAF <br />REF50Y <br />�V <br />f� YE5 :Q NO <br />uI� I <br />TVPEOFCONST PIAN$APPROVEDBY CITYCFEVERFI <br />� JM . LOCAL SALE3 <br />oATE 2 G' TAX CODE IS 3105 <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD I <br />FiREPLACE INSERT (WOOD <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL 5 � <br />PERMIT 5 � <br />TOTALFEE S ' <br />�'y��(i _i FEE • y,�/' RECEIPTN� <br />JG�/ i ,i i� <br />�— --� �/ <br />FEES 4ALUATION FEE <br />-�..r�n,. -- 9Cr'! — <br />NECMAhICAL <br />AODIPONAI PLAN CHECK <br />O: HR� <br />STPTE CUIL�ING SURGHAAF.E <br />Pl1BLIC W: RK$ <br />TOTAL <br />