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APPLICATIONI FOR CONSTRUCT.ON PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COMBINATION fl BUILDING I-1 MECHANICAL t� PLUMBING fl SIGN <br />PROJECT ADDRESS <br />OWNER M�IL�OORESS CItt 21P PIIONE <br />John West 5234 5. 4th Avenue �PA Everett 98203 252-9659 <br />IENANT M�IL�ODPE55 CITY ZIP PHONE <br />ARCHRECTORpE51GNER MAIL�DDRE55 LIiY ]IP PIIONf. <br />GENEPPLCONTMCTOR MAILADDRE55 Clrv 2i� ��IONE STAtEL�CENSE� <br />,Tohn West 5234 S. 4th Avenue IiA Everett 98203 252-9659 <br />MELNANICALCONTFnCTOP MRILRDDFESS CIiY ZIP PNONE STATELIGENSE� <br />PLUMBINGCONTF�CTOR M�ILAODRE55 GTY 21P PHONE STRTEilCENSE� <br />Robinson P1be..INc. 607 SE Everett Mall Way ��26, Everett 98208 355-6171 ROBINP�272C2 <br />LOT' <br />WORK �NU SOUARE FOOTAGE INVOLVED <br />TWO COPIES) <br />BLOCN <br />CONSiRUCTIONLOANL[NDER.ADORESS.TELEPHONE NIIMBER <br />FlXTURE OR ITEM <br />SHOWER <br />KITCHEN SINK S DI: <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />SINK <br />SUB TOTAL S � <br />PERMIT $ i <br />TOTAL FEF $ � ' <br />FOR OFFICE USE ONLY: <br />FRONTSETP�CN REAR SETBPCK SIOESETBACK <br />USE20NE LOTRREA l'RCRNi51TE <br />fIYES fl NO <br />HEIGHT LIMITpTION ��0. OF OWELLING 52E OF BLDGRI <br />UNIiS <br />OCCUPANCY <br />GROUP <br />OATE <br />J�N <br />f1VES Il NO <br />HEATING SYSTEM: f 1 GAS fl ELECTRIC f� <br />GONiACT FERSON AND PHONE NO. <br />I HEREBY CEFiTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CO�!AECT. ALL <br />PROVISIONS OF LAWS AND ORUI�ANCES GOVEHMING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Ofl <br />NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br />AUTHOR�TY 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 />CONTRACiORE LA .27 RCW AND 296200 WAC. <br />x � � � S�z/OG� <br />SIGNRTUPE ��t <br />GITY BUSM[SS LICENSE NO. <br />�IECHANICAL <br />NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER _ <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />F�REPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ <br />PERMIT S <br />TOTALFEE $ <br />PLAN CIIECK NUMOFR <br />—i i <br />B111l�ING <br />PLIIMpING <br />MECH�NICRL <br />AOUIIIONAL PL�N CI�ECN <br />oT��En ('Lg Heads) <br />STNE DUILOWG SURLIIRRGE <br />GTY OF EVERETT ruour, wor+Ks <br />LOCAL SALES <br />TAX CODE IS 3105 707AL <br />FEF � PECE��TNO. <br />20 <br />