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APPLICATIt.A FAR CONSTRUC7 �ON PERMiT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 C[DAR STREET • EVEPETT, WA 98201 • 259-8810 <br />fl DEMOLITION 9(1 COMBINATION �l BUILDING f-1 MECHANICAL � l PLUMBING (1 SIGN <br />PROJECT ADDRESS <br />cc/ i �l,1/�,�.� <br />owr+en Ma�aooness eitt zin r�wNe <br />Lr.rE E• B�,y�v.� �?cBoxaa�G �'ve�el7`— pd'ao.� da� -3SS-y 7�.5— <br />IENANT MAl1.ADDRE55 CITY JIP PIIONE <br />S�e �3 Oun�ti- <br />ARCHRECT OR OESIGNEp MPII. qU�tiE55 Gltt 21P PIIONE <br />GEN �ICONiR�CT R MAILADDRE55 �IiY <br />MEC 91CALCONTRAC OR MAILADDIlE55 CIN <br />IdPMGCONiRACTOR MAILAOORE55 CI7Y <br />GONTRACT PRICE OF WORK <br />DESCR� WORK� AND $Ol1A��TAGE INVO��a y� <br />S �� <br />��� i�a3�P���ys�i�., <br />y8d �Fr,�,� <br />�� US ;AUILDING <br />. <br />LEG4l0E5CR TION OF PRCPERTY (SXOWN 9ELOW Oq ATTACN TWO COPIES� <br />LOT =. BLOCN OF <br />;s ���,.�9 � 9�ia a�s'oo� <br />s. p. '� /Y 9� <br />P l TAX I. NIIMBER <br />�� � p�ia a�s�ai <br />CONSTqUCT10N t 04N 1 ENDEq. ADOilE55, TFLEPNONE NUMBER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />c�- BFQHTUB <br />LAVATORY (WASH BASIN) <br />/ KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTERS <br />S�NK (SERVICE — BAR, ET <br />21P PIIONL S1AT[ IICENSE • <br />HEATING SYSTEM: ( I GAS ➢CELECTRIC f-1 <br />�HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPEC!F�ED HERF_IN OR <br />NOT. THE GRANTING OF A PERPAIT DOES NOT PRESUME TO GIVE <br />AUTHORITY 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 BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT RS LAW 18.27 RCW AND 2962f0 WAC. <br />� ������ <br />AT E O � OAIE <br />CIT BUSINESSLIC[NS[NO <br />FEE NO. TYPE OFEOUIPMENT FEE <br />A/C — A/HNDLG UNITS — H.P. <br />; FORCED AIR SYSTEMS — B.T.U. M E.A. <br />� HEAT PUMP <br />� UNIT HEATERS — B.T.U. M <br />i CLOTHESDRVERS <br />� VENTILATION FAN <br />; / RANGEHOOD <br />I SUB TOTAL S <br />j PERMIT S <br />TOTAL PEE S <br />FOR OFFICE USE ONLY: <br />fRONT SEiPPCN� ) RF�R SFTCA('j� _ J SIDE SETBAC� � <br />v <br />USE 20NF /) LO7 P�1 A VRCANT SIiE <br />�`�/ 7�J fIVES f1h0 <br />NEIGNTLIAI�TATIGN NOOFOWELLING SIZEOfBLDGR� <br />bNliS <br />127y 7o Sf. <br />OCGUPANGY NO OfS�ORiES OCGUPAN7LOAD 9ASEMEN� <br />IIYES WNO <br />�� <br />� r�nNsni�ruovrnnr �}- CITY OF EVERETT <br />O'� LOCAL SAIES <br />_/•.� uAtE /�F�9� TAX COOE IS 3105 <br />WOODSTOVE <br />METAL FIREPLACE � <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE $ <br />rinNci�7,fC�n I re� � I aeceirrr�o <br />pUll�Mf, <br />riunmiar, I_�j� (.'i% <br />�-- <br />MEGIIANICAL _10 �;'1 <br />d0�IL10NRL f'LAN CIIff.N <br />— —�_ _. <br />Ot11ER � <br />� <br />STAIE OUIIOMC SIIRCIIAqGE — i j'. f <br />PIIPI IC WO�KG I <br />�j�_ia'->- <br />TOTAL x ,.},�% � �'J <br />