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APPLICATIOrI FOR COWSTRiJCT�ON f�ERMii�/ <br /> CITY OF EVERETT• BUILDING DIVISION {!CA���� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 � <br /> fl DEMOLITION fl COMBINATION n BUILDING f� MECHANICAL �1 PLUMBfNG f I SIGN <br /> PROJECT ADDRESS <br /> L�/o8 �/3a �Nwoo� �i-' <br /> owNen `MAqqDJ� ss rHor+e ,/ <br /> G�� E' BL��✓{. /•d �OX>p���0 �l��/�2��nr p�ao� �O� C��S-7 /c�.s— <br /> 1ENANT MA�qDGRF55 CITY IIP PHON[ <br /> ARCHrt[CT OR 0951GNER MAII ApOFE55 GITV 21P PHONE <br /> �.yiy/E /1's �i�ll.U£lT <br /> GFNEnatf,oNrnncto8 •falForrEc_c` C�Ir Zm pNo4G SrATEIICENSE. <br /> MECNpNICALCONTRI.CTOR MAItADDRE55 GiV JIP P{IUNE STAiELICENSF• <br /> PLUMBINGGONiRAf,iOR M4ILADDtiE55 CITY IIP PHONE STALEIICENSE• <br /> CONiRM1CT{'qlC�a]F WORN <br /> ��'d290 � HEATING SYSTEM: f I GAS rl ELECTRIC f l <br /> �ESCRIBF WORN NJO SOUy�FOOTAGE INVOLVED ,,L CJNiAGT P 50� ND PIIONF NO <br /> �Xf'�er�eR //��F ���F !�U ..¢ � a70 ,GG_,�'7vf" <br /> �! <br /> f%RE �r✓ r9-� m/'�" � E r <br /> �j�f� � /��S I HEREBV CERTIFY THAT I HAVE RE.�D AND EXAMINED THIS <br /> f`ROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.qLL <br /> D���X PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIEf1 WITH WHETHER SPECIFIED HEREIN O� <br /> LEGO.LDESCRIPTIONOFPROPERTYISMOWN9ElOWpRATTACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �Ot eiocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM;�UTHORIZED 8Y THE <br /> OINNER OF THIS PROPERTY .TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANu I COMPLY WITH THE STATE <br /> PARCELTP%I.D.NUMBER CONTRACT RS LAW 1827 RC/W AN�296.200 WAC. <br /> CONSTqUCTIONLOANlEND7R,pDORE55.TE1EP110NE NUMBER <br /> � �` //����� <br /> SIG E �� � OAiE <br /> C BUSIWESSUCENSENO <br /> PLUMBING MECHANICFL <br /> NO. TYPE OF FI)(TURE OR ITEM FEE NO. TYpE OF EOUIPMENT FEE <br /> WATER CLOSET!1 OILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB ; FORCED AIR SYSTEI,�S—B.T.U. M E.A. � <br /> LAVATORY(WASH�ASIN) i HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS <br /> _ DISHWASHER � VENTILATION FAN i <br /> LAUNDRY TRAY RANGE HOOD � <br /> CLOTHES WASHER i WATER HEATER <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> F'_OOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> _�FL01N PREVENTERS ; GAS FIREPLACE ' <br /> _� SINK �SERVICE—BAR,ETC.) GASRANGE <br /> � � GAS PIPING <br /> __J_ EXHAUST FAN <br /> — <br /> _ ' <br /> i <br /> SUB TOTP.L 5 ' SUB TOTAL 5 <br /> PERMIT 5 PERMIT S i <br /> TOTALFEE 3 � TOTALFEE 3 � <br /> FOR OFFICE USE ONLY: <br /> IPONTSFTPACK REMSfiB�CH SIpE5ETB4f,K �lANC11ECNNUM LSi GfF RECFIPiNO <br /> ��i O� <br /> usezoNe toranEn vnearvisrtF FEES VALUATION FEE <br /> fiyF.$ fl NU i <br /> — ouiinn�r. . �/ �.-� � . �. ;�'.,) <br /> NEIGIIiLIMIiATION NOOFDWEIUNG SIZEOfBLUG?I — <br /> IlNltg <br /> vw�doinc <br /> —� <br /> OCCUPANCY NO 0{S��A�6 O(:CUPANIlO>G BRSEMEN7 <br /> GROUP MEOf4NICRL <br /> i <br /> fIVES fl NO -- <br /> FIqEPIAPMREOD RFA509 /DDIIION4I.PLANCNfCK <br /> _�_— <br /> O111ER <br /> i <br /> (IRF.SPBINNIER REO�D RFAFON — <br /> ST�IE OUIl01NG SURCHARGE � <br /> IYPfOfCUNSi t+��NSAPPPOVEDDY <br /> CITY OF EVERETT rn�ur,wonHs <br /> LOCALSALES — — —� <br /> �;AiE TAX CODE IS 3105 TOTAL ' <br />