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1 <br />APPLICATI.,,N FOR CONSTRUC110N PERMIT <br />CITY OF EVEF?ETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ DEMOLITION ikl COMBINATIOh �1 BUIL.DING f� MECHANICAL f l PLUMBING fl SIGN <br />PROJECT ADDRESS ^(jv� <br />Jr5 <br />OWNER MPILpDDfiF55 <br />}1N 1 ti�r'Y -G .1 ��� Lr LLIoT T <br />TENANT MAILAp�RESS <br />CH//° <br />ARCNIT[CTOPpE51GNEq MAI�qpORE55 <br />r 2 I 3 ti N� Ca cn-No <br />,� �+� i�� <br />CIiY ZIP PH <br />7/`��'� E <br />ZIP <br />cnx ZIP PNONE <br />�L- c"�i-iefr7, !r� 5d'zc <br />��N � <br />UL6'� ZJ/O—�/Q <br />zse-9yso <br />� -�- ---�-�--��--- 21P PMONE STRTELICENSEM <br />/✓A�'a�i�� Z30ui/ <br />MECH�NICALCONTqACTOR MAILADDRE55 CITV ZIP PIIONE SiATELICENSE� <br />nn�� �.3F��,��� 3Y1� ki?�HFir E�c�r�r 9rw� zsy-1�� A�v/_=ss��6sJ�3 <br />PLUMBINGGONiRqCTOP MAILADDFE55 CIiV ZIP PHONE STATELICENSEx <br />_" ' � ^ <br />/ d O V � <br />pE5CPI0E WORK ANO SOUARE FOOTAGE INVOLVED <br />or <br />C�YPr'�k �S SW ) Ec.(� <br />a�r+�tiwhs w�,.now <br />PROPOSED USE OF BU LUINC <br />I �/,. �!w <br />ioT /s�G 1 G eiocK � oF I`E/?o y C Ai✓N <br />Co�f F�RSr flni��iF�=r- '7'u hLl"hi"TT <br />�/� C 0 ���1L(� 5• (% <br />PFRCELTA%ID.NUIdBER �� <br />��.� � o"] O/ S 000 S <br />CONSTRUCTION IOAN lENOER, ADDFESS, TELEPHONE NOMDER <br />cK�P <br />PLUMBING <br />k0. TYPE OF FI%TURE OR ITEM FFE <br />`I� WATER CLOSET fTOILE71 <br />& DISP <br />TRAY <br />WASHER <br />JG FOUNTAIN <br />DRAIN <br />.OW PREVENTERS <br />ERVICF—BAR �7 <br />FEE <br />FOR OFFICE USE ONLY: <br />FRONTS[TP4CN R[AR SETpACK SIDESETOACK <br />USE ZONE <br />H[IGHT LIMITATION <br />OCCLIPqNCV NO ( <br />GROUP <br />FIRE ALARM FEO'D <br />FIfiE SPRINKI FR RI <br />lOiAFEA <br />NO OF OWftIING <br />uHrs <br />OGCUPFNTLOAD <br />VACRNT SITE <br />IlYES fl NO <br />52E OP O�DGRI. <br />❑vEs n No <br />HEATING SYSTEM: ❑ GAS fSYELECTRIC r] <br />CONtACT PERSON AND PHpNE N0. <br />�f��R y ,�� �a�ca � : , _ � y -� <br />I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE iRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />AFPLICATION IS MADE AND 1 COMPLI' WITH THE STATE <br />CONTflACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x_�--ae_-�.. C� % 1-YC"'1 1- l -9 � <br />sicN une onre <br />CITVpU51NE55LIC[NS[NO. � ��J Z <br />TYPE OF FIXTURE OR ITEM <br />A,'C — A/HNDLG UNITS — H. P. <br />FORCE� AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DFYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEA7ER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />tiAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CIIECN <br />�� <br />Bl1ILDING <br />PWMDiNG <br />AiEC11RNICAL <br />A�DIiIONAI PLAi! CH[CK <br />OTHER <br />srare ounowr. � ��n�nnce <br />GLANSAPPROVEDBY CITY OF EVERETT PU�IIC WORKS <br />LOCALSALES <br />onre TAX CODE IS 3105 TOTAI <br />TOTnLFEE <br />FEE I AECEIPTNO. <br />r•� <br />