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APPLICrA710L� FOR CONSTFilJCT10N R�RMl7' <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 32L�0 CEDAR STREET• EVERETT, WA 98201 •259-8810 �T <br /> fl f'!cMOLITION fl COMBINATION �l BUILDING f-1 MECHANICAL rl PLUMBING fl SIGN <br /> PROJECT ADDRES� / (�/ � Q L�n I I l�t ��� �,�_— � <br /> X 7 (O n r v 1- <br /> .r, ,� <br /> Q�EI� MAII,ADORE55 CITY ZIP FHONE <br /> � 1�`��dl � d a,�1LC��i� �.//1�7- <br /> �feTT MAILACDPE55 CITY ZIP PHONE <br /> ARLHRECTOHUESIGNER MAILAD�RE55 CIiV ZIP PHONE <br /> ,G�NERALCONif1AGTOR MAILnODBE55 CIiY 21P PH04E STATELICENSE� <br /> X <br /> MECHANICALCONTRACTOR MAILAD�RE55 Clrv ZIP PHONE $TATE�ICENSE� <br /> PLUMBINGCONTRACTOR MAILADDRE55 CITY ZIP PHONE STATELICENSE� <br /> CONTflRCT FRICE OF WORN <br /> � �o HEATING SYSTEM: fl GAS f-1 ELECTRI� fl <br /> DESCRI9E WORK pN0$OUARc FOOTACf:INVOlVEO CONiACT�ERSON AN�f NONE N0. <br /> � ►����, b�r-4��-��� <br /> � � I HEREBY CERTIFY THAT I HAVE REA� AND EXAMINED THIS <br /> a r 5eo SEOF unoi . ' I APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Nd� �1 n V � Jl -r/ F1C I 7T)Y�G �C I Ir7 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> ` 6� Vv'ORK WILL BE COMPLIED N,'ITH WHETHER SPECIFIED HEREIN OR <br /> t�{;p� � 6p qq ERTY W B�ACHTWOCOPIES� <br /> I G�)�P' `y `� ����, NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLaCK_ oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY „��r�;� -�� <br /> OTHEH STATE OR LOCAi,LAW REGUL4TING CONSTRUCTION OR THE F'F"`: <br /> PERFORMANCE OF CONSTRUC?ION.THAT I AM AUTHORIZED BY THE a�"�r�''°�� <br /> GWNER OF THIS PROPERTY TO PERFORM THE §Y^AK FOR WHICH �� �� � �_ <br /> . _...._.:, ...,..: .., <br /> APPLICATION IS MADE AND I COMPLY WITH �iHE STATE <br /> aaaee�Tax i.o.Nun+aea — CONTRACTORS LAW 18.27 RCW At7D 296200 WAC. <br /> CONSTRUCTION LOAN LEN�EH,ADURE55.TELEPHONE NUMdER ^ �^ ( � n /� f/ <br /> �Lca v� <br /> GNATUPE DATE <br /> CITY BUSINE55 LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF�EQUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—AMNDLGUNITS—H.P. � <br /> BATHTUB ' FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> � � <br /> LAVATORY(WASH BASIN) i HEAT PUMP T— <br /> i <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS ; <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRYTFAY � RANGEHOOD � <br /> CLOTHES WASHER � WATER HEATER , <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAhV _ � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> � GAS PIPING � <br /> i Z EXHAUSTfAN ; <br /> � , <br /> i � <br /> � <br /> � , <br /> SUB TOTAL 3 '� SUB TOTAL $ T <br /> PERMIT 5 i PERMIT $ i <br /> TOTALFEE $ � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETOACK REAR SETBACN SIDE SETBALK PL�N CIIEC NlIMOER FEE RECEIPT N0. <br /> 7 <br /> USEZONE LOTAREA VACRNTSITE FEES VALUATION FEE <br /> fIVES fi NO pWLDING �O� �� i <br /> i <br /> HFIGHTLIMITATION NO.OFDWELl1NG S12EDF9LDG/fl <br /> UNITS p�pM�ING r_ � <br /> �C�UPANCY NO Oi StOFIES OCCUPANi LOAD B�SEMENT MECNnNICAL /—I <br /> fIYES il NO — <br /> FIREALARMREO'0 REASOY <br /> ADDI110N�L PI�N CHF.CK � <br /> i <br /> OTI{ER <br /> FIRESPPINKLERPEO'0 FE450N <br /> STATE BUILDMC SURG11nq6E !�D <br /> N <br /> iYPEOFCONST PlANSAPPROVEOBY CITYOFEVERETT ❑I�DiJC,WORKS <br /> LOCALSALES <br /> OATE TAX CODE IS 3105 70TAL 2 I�(� <br /> .__... __..-�--- ..__-_ '--,. <br /> � I - <br />