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APPLICATI'~N FOR CONSTRUC'�ION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �./ <br /> 3200 CEDAR STREET• EVERETf, WA 98201 •259-8810 <br /> p DEMOLITION Cl COMBINATION �37 BUILDlNG ❑ MECHANICAL ❑ PLUMBING fl SIGN <br /> PROJECT ADURESS <br /> 5-�0 0� — /!r n.,, E/ I�F �vzY� /,Ji9 `'r,P10/ <br /> OWNEfl MAILMOBE55 Cltt 21P PFfON'c <br /> �A�WHt)1+'�E[ 3�� L-rul.vw�wn�Avec So;tclou 4�,>tte /.�is� s�i�Z- 3z. P- 3 � �� 0 <br /> TEN�NT MAILMIXIESS Cltt 21P PMONE <br /> ARCHITECTONDESIQNER MAILAOONE55 ��T�' I�P P�E <br /> GENERALCONIR�CTOR MAILADURESS CIIY IIP PHONE STA7ELICENSEI <br /> S � _� �c�iur-i� DAi�Yrla iao� 7 <br /> MECHANIr��pOhiRACTOR MAIIADDRESS Cltt ZIP PHONE STATEUCENSE� <br /> PLUMBINGCONTRACiOR MAILADOHE55 CIN 21P PHONE STAIELILENSE� <br /> GONTRACTPNICEOFWORN �v� a� � HEATING SYSTEM: JXiGAS ❑ ELECTRIC ❑ _ <br /> DESCRIBEWORKANDSOUAREFOOTA6EINVOlVEO . CONTACTPERSONANOPHONENO. <br /> l i1 nu i(/-iv /� -Sa � ��. Csr-Avr-s 3LP-3� �o <br /> UO s T 00'�c T�cr 20(, <br /> '� j �? r-� i,�.�� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � J� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORiiECT.ALL <br /> PNOPOSEU USE OF BUILDINO pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> S/N9�P -rd.rni�f� ��Si�vnacc � WORK WILL BE COMPLIED WITH WHETHEFi SPECIFIED HEREIN OR <br /> �Ecuoe �PTIONOFPROPERiY�SHOWNBELOWqiAT1ACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior�atocK oF S� I VF�Ni}a�A� pTHER 8T TE OR LIOCAL LAW REGULATING CONS�RUCT�ION OR THE <br /> FoaEST �/t�� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAUE AND I COMPLY WITH THE STATE <br /> PMCEITA%I.D.NUMO6R CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> O 1�1 - ��� - �O <br /> � <br /> CONS7PUCTIONLONILENDER.ADORESS.TELEPHONENUMBER x �� � � � <br /> SIGNA E OATE <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILEn � AIC—AIHNDLG UNITS—H.P. ' <br /> � BATHNB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> � <br /> � VATORY(WASH BASIN) � HEAT PUMP ' <br /> S WER � UNIT HEATERS—B.T.U. M _ ' <br /> OTHES DRYEHS � <br /> . KITC EN SINK&DISP � ' <br /> ' DISH SHER � VE ILATION fAN ' <br /> LAUNDR TRAY � RANG HOOD � <br /> CLOTHES SHER � WATER ATER ' <br /> URINAL ' WOC)D LT E � <br /> DRINKING FOUN IN i METAL FIPc CE(WOOC BURNING) i <br /> FLOOR DRAIN � FIP�-PLACE INS T!WOOD BURNING) ' <br /> ' G'�S FIREPLACE � <br /> BACKFLOW PREVENT S � <br /> SINK(SERVICE—BAR,E .) � �AS RANGE ' <br /> � GAS PIPING � <br /> � i EXHAUSTFAN ' <br /> � ' <br /> � <br /> i ' <br /> . i <br /> i <br /> SUB TOTAL S � SUB TOTAL 5 ; <br /> PERMIT S i PERMIT � <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: I,Q�(v �;1� _ <br /> FflONT SEiORCK RERq SETOACK SIDE SETBACK � PLAN Ck1E�K��10ER� FEE� /� /j p����T%�� <br /> 2U' s� p '� �� �� d <br /> use zoN �or�A�n VACANT SITE FEES VALUATION FEE <br /> ''7 i <br /> — ' ES Cl NO pUILDINO �8 � (p / i <br /> HEIGHTLIMITAT N NO.OFOWEWNQ SIZEUFBL i <br /> UNITS I 2 3��� <<��N' + p�VMBING �� <br /> OCCUI'ANCY NOAFSTONES OCCUP�NTLOND BASEMENT MECHANIGIL � ' <br /> 2 N�la ' <br /> �"�'3 nvEs o <br /> pOUIiIONRL PLAN CHECN � <br /> FIREALMMflEO'U REASON � <br /> O1HEP �/� /D � <br /> FIRE SPRINNIER REO'0 REASON �D <br /> STR7E BUILDING SVRCNARGE <br /> TYPEOFCONST. PlANSAPPROVEDBY CITY OF EVERETT PUB�IGWORNS /D� <br /> .�/. � � LOCAL SALES ; <br /> J!—'�J oaTe 2g 9S� TAX CODE IS 3105 TOTAL ' <br />