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APPLICAT14.1 FOR CONSTRUCT .JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98207 • 259-8810 <br /> f� DEMOLITION �l COMBINATION f l BUILDING I� MECHANICAL � PLUMBING f l SIGN <br /> PROJECT ADDRESS <br /> O � - � , sat... <br /> �WNER MPILAO�RESS Cltt � ZiP PNON[ <br /> �'�,P�S ,uEOQav ��� yp�"��r,�y �A,e�vu.� 98d7/ ��3 tiys'g <br /> TENANT MAILApORESS CITV p�p PIIONE <br /> ARCHITEGTOP�ESIGNER IdAIL0.DORE55 CItV �ip PIIONE <br /> ! _. �(J /'i�.vC.T.PL�GT.b.C� '�C�-� LL�L��lL .�/G /l'J/¢lQf�LY.LLL� liU'f'l`GK/� 6.53'6J�—�a C'�U'-CL�-�J OZ�SG� <br /> GENE/Rq�p��� )���n MAIIADOR[55 CI1Y Zip pHON[ StATEIIC[NSE• <br /> / f /l.V/ IV� <br /> �/IECHpNICALC__ 0� NTR— q� MAILAUDRE55 Gtt 71P PIIONE STaTEIICF.NSE• <br /> \ <br /> PWMBINGCON1RAf;TOR MAILAppRE55 CIN ZiP PHONE STAiELICENSE� <br /> GONiRACT FPICE OF WORK � � <br /> HEATING SYSTEM: f 1 GAS W'ELECTRIC �I <br /> UESCFIBE WORN AND SOUARE FOOTAGE INVOLVEO CONTPCT PERSON r1NU PIIONE NO. <br /> /.oSr.L uJ / . Ar !d/.Ja7�1 <br /> !Ll.0 d �' .f/FL <br /> ^ EREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> TiY/� SL�.4!a-/L5C'�L-�'L � S"������F qppLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> aaoao Eo oF eui v+c ,���ofJ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOES irTio OFPROPERTV�SHOWNBELOWOFPTfACN7WOWPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior BLOCN of i� AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> /��r 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 VJHICH <br /> � � APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEITA%ID.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUCTION LOAN LENOER.RD�RE55.TELEPNONE NOMBER X ���O.+ILtD�CI 7�/�'�/(� <br /> SIGNATUFiE D T[ � <br /> pTY BUSINE55 LICENSG NO. � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPF•�OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � pJC—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> � LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS ; <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ' RANGE HOOD ' <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL WOOD STOVE <br /> ORINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPI_ACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS i GASf�IREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> � GAS PIPING � <br /> i EXHAUST FAN i <br /> � i <br /> SUB TOTAL $ ; SUB TOTAL S <br /> PERMIT $ � i PERMIT 5 i <br /> TOTAI FEE $ � TOTAL FEE 5 � <br /> FOR OFFICE USE ONLY: <br /> fRONTSETPACK pERR5FT8ACK SIOESETBALN PL�NCII[CK UMfI[R fEF PECEIP7N0 <br /> USEZONE IOiAFEA vncarvrsrte FEES VALUATION FEE///��� <br /> I IYES I1 NO J� i 1 ,/� <br /> OUIl01NG �� � — <br /> HEIGHT LIMITATIDN NO OF pWELLING SIZE OF OL�G�f I <br /> ❑Nlf$ PLUMpIN(i �� <br /> T <br /> OCGIIPANCV NO Oi StOa!ES OCGUPANf LOAD BASEMENi MECIInNICAL � <br /> GROUP �: <br /> IIYkS I1 NO - --- — <br /> FIREAIMMtiEO'D PF�SON MOIIIONAIPI.ANGI(CK <br /> �—_ <br /> OIHER � <br /> FlRFSPRINKLERREOD RF�SON ' — <br /> sTme ouiioimn suna�nnr.e ,.,n <br /> aJ�% <br /> Tmeorr,oNsr ainNsnrrnovennv CITYOFEVERETT �unur,wo�Ks <br /> LOCAL SALES �— <br /> nAtE TAl( CODE IS 3105 TO7AL G !�� <br />