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APPLICATILA FOR CONSTRUCT wON PERMIT <br />CITY OF E• BUILDING DIVISION <br />3200 CEDAR STREREETT A EVERETT, WA 98201 •259-8810 <br />Fl DEMOLITION I I COMBINATION V1 BUILDING AT MECHA L !lkkPLUARING Fl SIGN <br />PROJECT ADDRESS r J <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Lurtfl ,�ol?<��I zBZo �'��0/1 cFi47 �itir 980� /2r1 7� <br />ZIP <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />Q!5-/9f1 LYnf5 f%/S /",, -, Eye-&W ✓1U3 ("zoe4 <br />GENERAL NTRACTOR MAILADDRESS CITY zip PHONE STATE LICENSE <br />14A e�9y�� 1.4�1[/s �FZO GT �I�Gk. wJcu� -1do37 (zr6� 7`767`� �Ll C Try MECHANICAL CON TRACTOR a i ADDRESS CI ZIP PITONS STATE iICENSEA <br />El et %'� y7Yl�a�iw �[/7 2020 �1.[clr4kyL��h�v/ � 5! lP0,j7_,,?070 ECTEL I/04H <br />PLUMBING CONTRACTOR MAILA iESS CITY TIP PHONE q STATE LICENSER <br />2620 1-1-[Oli1-cA1 (YIInu.LL✓yeti% �. '.)7!'i/-�%LO r ..l u. <br />CONIRACT PRICE OF WORK <br />UvoocL.) f, (, ,A �/ :„ <br />"'iTI <br />HEATING SYSTEM: I I GAS I ELECTRIC I I <br />DESCRIBE #iORK AND SOUA E FOOTA E (GLVED <br />CONTACT PERSON AND PHONF O <br />B! NA/t �/'f� !✓�LA'L <br />2 U/tn //qv (7GL+J 787-6700 <br />2676 u L /! '1 r I f�/1 N/ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 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 GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />F CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />PERFOZFPROPERTY <br />OWNETO PERFOR THE WORK FOR WHICH <br />APPLIMADE I CO Y WITH THE STATE <br />CO TAW 18.27/R ND 296 WAC.CONS:)t,9ONLOA[T�LENDER, <br />PROPOSED USE DF BUILDING <br />6=17 go ! ��`�' //> <br />LEG AL DESCJVPTION OF PROPS (SHOWN BELOW OR ATTACH TWO COPIES)/ <br />LOT �BLOCK OF - C G+ <br />PARCEL TAXI D NUMBER <br />A ESS TELEPHONE NUMBER <br />/fl"L / z f/T/G1 <br />SIG A U E DATE <br />// T L�• s/y-,OW7 <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. OF EQUIPMENT FEE <br />_ NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) '; <br />I <br />_TYPE <br />A/C —A/HNDLG UNITS —H.P. <br />' <br />1 <br />BATHTUB // <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) ) <br />I <br />HEAT PUMP <br />I <br />SHOWER / <br />' <br />UNIT HEATERS — B.T.U. M <br />' <br />KITCHEN SINK d DISP <br />Z <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />; <br />RANGE HOOD v <br />; <br />CLOTHES WASHER <br />I <br />WATER HEATER v- <br />I <br />URINAL <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />; <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />I <br />' <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL E <br />; <br />SUB TOTAL $ <br />PERMIT E <br />I <br />PERMIT $ <br />TOTALFEE S <br />' <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: / <br />FRONT SETflA <br />REAR SETB!CK j <br />SIDE <br />/ <br />PLAN PLAN CII� NUMBFFR� <br />FEP <br />RPC.FIPT NO <br />&10. <br />USE ZONE /TG�//�J <br />TOT AREA4/ <br />vacAttl l/SN <br />IYE. <br />FEES <br />VALUATION <br />FEE <br />r— <br />!//�- <br />I 11 NO <br />BUILDING <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDGRI <br />3 <br />UNITS <br />(j )( C [•VaJLA 4- <br />PLUMBING <br />/✓L <br />G 466 <br />— <br />OCRCANCY NO Oi SIORI! i <br />OCCUPANT LOAD BASEMENT <br />MECHANICAL <br />\ <br />� <br />1,11,4')YES R✓ND <br />ADDIIIONAL PLAN CIIFCK <br />-- <br />i <br />FIREALAAR//y REOT <br />PFASON <br />OTHER <br />1 T .6 <br />FIRESPRI IERREOD <br />Q <br />REASON <br />STATE BUILDING SURCHARGE <br />- <br />, <br />TYPE OF CONST <br />PI ANS APPROVED BY <br />j/') <br />CITY OF EVERETT <br />PIIDIIc,YORKS— <br />/ I <br />.r�fy <br />AY> - <br />LOCAL SALES <br />JL. -/J <br />RATE l <br />TAX CODE IS.,105 <br />TOTAL <br />/L <br />