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APPLICATIt�iV FOR �ONSTRUCT�ON PERMiT� <br />ClTY OF EVERE i f• BUILDIP:a OIVISION <br />32Q0 CEDAR STREET • EVEf�ETT, WA 98201 • 259-8810 <br />fl DEMOUTION fl COMBINATION fl BUILDiNG rl MECHAN!CAL �� PLUMBlNG f l SIGN <br />PROJECT ADDHESS _ _ _ _ � � _ _ _ � <br />M�IL <br />OR <br />ciTv <br />21P <br />71�' <br />� <br />GENERNL CONTRACTOR AILR0��G5S CIiY 21P PHONE SiPTE IICENSE / <br />�s�--arT�-G�:zrre,�s �`-�vor-S-�o/�-�sff�v�--y�srJ� cas.—��r��rT� <br />tl.ECHpNICALCONTfInCTOR MAILADOPGSS CITY ZIP PHOYE STATELICENSF• <br />PLUMBINGGONiRACTOR MAILADORG55 GIT1' 21P PHONE STATELICLNSE� <br />SOIIARE <br />( <br />l07 _ BLOCK <br />tC / S i � /L% <br />�_. <br />WN BELOW OR ARAGN <br />>� 07 � cv� .2.Fr RGc� o; <br />C��vG/�.y �Fi�,�. S' � � <br />PARCELTA%I.D.NUMBER <br />/'�7 � Srr�_-� Z ^ dC7�'^ c�i �iU� <br />WNSiRUCT10N LOAN LENDER. ADDtiE55. TELEPMONE NUMBFR <br />PLUMBING <br />TYPE OF <br />CLOScT <br />LAVATORY (WASH BA: <br />SHO W ER <br />KITCHEN SINK 8 DISP <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SINI( (SERVICE — <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />PRONTSETPACK PEAA SFT6�CK $IOE SETBACK <br />l/5E ZONE <br />HEIGNT LIMITFTION <br />OCCUPANCY NO( <br />GiiOUP <br />FIPE ALARM PEOD <br />FIRF SPi11NKLER fil <br />HEATING SYSTEM: f 1 GAS �l ELECTRIC f� <br />CONTACT PERSON ANp PIIONE NO. <br />/�iz7—i�GL�' fl� G'/-�/�ti'' CG <br />�.SJ 3 `YCvo�---r JG�.Y J� �.7 ( "i� <br />I HEREBY CERTIFY THAT I HAVE READ ANC EXAMII�ED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEP. SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI. THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFFORMANCE 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 1827 RCW AND 29 WAC. <br />x /z �'v/�'``>� <br />SIGNA7URE �ATE <br />CITY BUSWLSS UCENSE NO. <br />MECHANICAI <br />NO. TYPEOFE�UIPMENT FEE <br />A/C—A/HNDLGUNITS—HP. �— <br />—�FORCED AIR SYSTEMS — B.T.U. M E.A. ; <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE ( <br />FIREPLACE INSEflT <br />GAS FIREPLA( <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT 5 <br />TOTALFEE $ <br />PLANCIIECKNUMDER IFEE IRECFIPiNO. <br />LOTAREA VACANi51TE <br />�1VE5 f i NO ppll�ING <br />NOOFDWELIING SIZEOF9LOGRI <br />UNIIS PLUM9ING <br />OCCUPANiLOI� BASEMENT MECHr1NICAL <br />�IVES I1 NO <br />{ifA50Y ADDI110NAI. PLAN C��F.CK <br />OtHER <br />t�FACON <br />STATE OUIIDING SUlICIIAfiGE <br />PIANSAPPROVEDAY CITYOFEVERETT �uni�r,wonKs <br />LOCALSALES <br />o�TE TAX CODE IS 3105 TO7AL <br />