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APPLICAT10��1 FOR COldSTR�JCT.JN PER11lEIT <br />CITY OF EVE�iETT • DUILDING DIVISION �C^���� <br />3200 CEDAR STREET • EVERETi, WA 98201 • 259-8810 <br />f 1 DEMOLI7'ION � COMBINATION i i DUILDING 1 MECHANICAL f l PLUMBING rl SIGN <br />PROJECTADDRESS //� ��r ��rCi <br />OWNEn MAiIADIIn[55 aTv :in PIIONG <br />Lr� F d«�✓.� P��,Box ��� �v��u`�-- 9�a� �o� 3.� = y7a_s- <br />TENA!Ji RiAiLAppRf55 Q�Y ZIP PIIO4E <br />��t-�� �7es.9�� Rro � d� �ver��f- f�a�i �a� �58 a�a S <br />ARCMITCCTOR�ESGNEF MAILA��IiE55 QTV ]IP PNONE <br />�ri`� � iP-S p c� Ner <br />GENERALCOYTRACTOR MAil400RE55 CItV ZiP PIIONE STATELIGENSEx <br />/ <br />m[� Nnbnlbvrvinnl.NN MAILPO�FE55 <br />PLUMBIN CONTqACiOR AIAILADDPES$ <br />CONTRACT PPICE OF WORK <br />OESCIiIBE VJORN AND S�ARE FppTpGE INVOLyE[ <br />�7/.dp�B i cis-ii.�:i r�i <br />iUeu� �'o,�'sfi-- <br />_J//s �5� .C�f <br />P�POSED}�SE OF OUILDING <br />i <br />! %1 <br />LEGALOJE�SJCRIPT�IO'J OF PqOPEPtt ISHOWN 6ELOt <br />LOT � BLOCK � OF_ <br />S� ff7'T"/tc��� <br />PARGES��xr. N/ 4�� � �J r/ <br />CONSiRUGTION_Lp/�NLENOER.AODRESS.TELEPM( <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />� WATER CLOSET (TOILET) <br />BATH7U8 <br />LAVATORY (WASH BASIN) <br />� SHOWER <br />KITCHEN SINf: & DISP <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIL.G FOUNTAIN <br />fLOOR DRAIN <br />— BAR, <br />SUBTOTAL 5 <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK � REAR SE�TD7ACK � <br />' l� (,� <br />usezoyc,—' �orn�G� <br />r/ <br />` <br />�:EIR'T'IMITAiION NOOFOWEWNG <br />�� r. UNITS . <br />IYFNGY tiU 6.SIUW[S OCCUVANIi00 <br />,�,5 I N <br />�U�RMRcOD REASON <br />SPHINK✓LEPFEOD RE�SOY <br />YG J <br />OFCONST PLANSAPPfiOV <br />J� <br />� N DAiE Ii_� <br />� <br />uir ZIP PMOtiE SiATELICENSEM <br />CITY ZIP PIIpNE STATE UCENSE d <br />NG SYSTEM: f l GAS �ELECTRIC Cl <br />PER50Y AND PHQNE NO. . <br />' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO �E TRUE 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 CIVE <br />P.UTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />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 TI1E WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� q CONTRAC,j'ORS LAW 1827 RCW AND 296.200 WAC. <br />X <br />4ffV �USIYESS UCF'v5E N0. <br />MECHANICAL <br />FEE N0. TYPE OF FIXTURE OR ITEM <br />� A/C —NHNDLG UNITS — H.P. <br />� FORCED AIR SYSTEMS — B.T.U. M E.A. <br />—�_. <br />HEAT PUMP <br />UNIT HEATERS — G.T.U. M <br />i CLOTHES DRYERS <br />� VENTILATIGN FAN <br />' RANGEHUOD <br />—�— � WATER HEATER <br />' WOODSTOVE <br />i METAL FIREPLACE (WOOD BUFNING) <br />� FIREPLACE INSERT (WOOD BURNING) <br />' GAS FIREPLACE <br />� <br />GAS FlANGE <br />� GAS PIPING <br />� EKHAUSTFAN <br />SIO�ETAACN PLANCI)[�K�U�E � <br />/ 7L <br />vncn�vt iTe FEES <br />.IYES fl NO OUILDMC <br />jF �j����L.IVING 1' p�UM01NG <br />9 sa GaRn�E — <br />BASFMENT MECMANICAL <br />rvFs r� <br />�DDITIONAL PLAN CMECK <br />Ot11ER <br />STFTE OUILOMG SURCHARGE <br />CITY OF EVERET7 PU�UC WORHS <br />LOCAL SALES � <br />TAX CODE IS 3105 707AL <br />FEE <br />_'.___� _ <br />SUB TOTAL S � <br />PER'dIT 5 i <br />_ TOTALFEE S i_ <br />FEE�� RECpIIIC�/ <br />1 j <br />VALUATION FEE <br />Q T <br />J ' <br />i <br />i <br />(/' �] � (.): � <br />� <br />(/i_> � t 2-: <br />� <br />i <br />-T <br />�O�nv <br />i <br />L i i <br />i <br />1!7 i � �� � <br />� / / �l : % /' <br />