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APPLICATI�.� FOR CONSTRUC'1 .ON PERMIT <br /> CITY OF EVERETf•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, V��A 98201 •259-8810 <br /> C DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL fl PLUMBING f-1 SIGN <br /> PROJECT ADDRESS �s ��`�'�j /J� <br /> vl <br /> OYMF� MAILPODRESS CITY ZIP PHO?lE <br /> hn�erl' .9�.r/,C�r' �Sd 1��.��ur �Cc� .G-a�r-e15� .�iJc1 9�a l 3 ,�.���87 <br /> TENANT IAAILADORESS CITY 21P PHONE <br /> ARCHITEGTOPDESIGNER MAILFDDRE55 CITV 21P PMONE <br /> ���s �tiu �� � , 3d�� (� ��s .�c r`�a�i �.�� v�� <br /> GENERALCONiRACiOP MA1 F��RESS CITY 21P PHONE STATEUCENSEM <br /> I Y�V � �� <br /> MECNANICALCONTRACTOR MAILADDRE55 CIN ZIP PHONE STATELICENSE• <br /> PLUMBINC�CONTFACTOR MAILAD�RE55 QN ZIP PHONE STATELICERSE� <br /> COYTRACT PRILE OF WORK <br /> Y�D G1L�J5Gf HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> DESCHI�WOOR;ANDDSOUARE FOOTAGE INVOLVEO _��/ �� CONTACi PEP50N AND PHONE N0. <br /> 7 f T <br /> D �vi�7 ''Yr�S/Q°`�Yl7G�`-' <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PFOPOSEDUSEOFBUILOING. / PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> `�I�L��J��-�Y�C � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIP710 oca P (SH�wr�BEl ORATTACMTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �QG�/l�G AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> LOT � BLOCN OF <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 THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTAX D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> q ao 3 O/a o/03 ll1 �-c.�'c.tic�-c,� 'f'�" �i'S <br /> CONSTRUCTION LOAN LENOER.AO�FESg,7ELEPHONE NOMBER X / '}�J,(n � <br /> SIGNA�PE DATE <br /> CITV BUSINE55 LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> 3 WATERCLOSET(TOILET) / � A/C—AMNDLGUNITS—H.P. � <br /> 'L BATHTUB ' FORCEDAIRor�fEMS—B.T.U. M E.A. ; <br /> � <br /> LAVATORY(WASH BASIN) I � HEATFUMP � <br /> Z SHOWER ( ' UNITHEATERS—B.T.U. M ' <br /> /• KITCHEN SINK 8 DISP ' i �CLOTHES DRYERS � � <br /> / DISHWASHER � VENTILATION FAN ' <br /> LAUNDP i TRAY ' � RANGE HOOD — � <br /> / CLOTH�cS WASHER � � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> QR!NKING FOUNTpIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS i GASFIREPLACE i <br /> � SINK(SERVICE—BAFi,ETC.) � GAS RANGE <br /> � � GAS PIPING ' <br /> i EXHAUST FAN � <br /> i ' <br /> � ' <br /> � ' <br /> � ' <br /> SUB TOTAL S ; SUB TOTAL 3 ; <br /> PERMIT S � PERMIT $ i <br /> TOTALFEE $ � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FPONiSETBACK REARSETBACR SIOESETBACK PIANCNECK . BER FEE � RECEIPTNO. <br /> 2o z�s' �'^; oFaw� s" /a 29�. � /.�2�a1� <br /> usEzoN LOTAFEA VACRNTSITE FEES VALUATION FEE <br /> i <br /> � f7YE5 O BUILDING 'J ' Z �C� <br /> HEIGNT LIMITATION � UO.TSF OWELLING 52E OF 9L RI � <br /> �I�S f' �-IV�Nr� AOVN•�F p�L'MBING � <br /> 67 S CLARA4E.. <br /> OCL�UPANCV NOAFSi0FIE5 OCCUPANTLOAU BASEMENT MECMANICRL � <br /> (Z'.3 7.- N P_ �� n Ho � <br /> FIREPLARMREO'0 REASON RO�I710NALPLANCHECK � <br /> i <br /> O OTHER i <br /> FIRE SPPINNIER REOD REASON � <br /> � STATE UUIl01NG SI/RCHAR[.E L �l C <br /> I <br /> TVPEOFCONST PlANSAPP�BV CITYOFEVERETT PUBLICWORKS � <br /> T <br /> LOCAL SALES � <br /> — onre�} 2� 95 TAX CODE IS 3105 70TAL � <br />