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-� ^ <br /> APPLICAT16.1 FOR CONSTRUCT.JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> C7 DEMOUTION fl COMBINATION (-1 BUILDING fl MECHANICAL \f� PIUMBING f� SIGN <br /> PROJECT ADDRESS <br /> r o� � C�2��..r> Avc� ���rs�'f' , °l So�l 25�t ' i g 3 y <br /> OWNER MAILRODRESS Cltt ZIP PHONE <br /> T'onD �iq✓rs/���' IOS� �b1 Ni►ui SI'. S- � �jp�sY1� �2 �73d� <br /> ��N�� ��/NLA� Lltt 21P i'110NF !� ��� �l-� ! ��� � <br /> C Y/ <br /> ARCHITECTOROE516NFR MRILPOORESS GITY ZIP PNONE <br /> GENER�LCONTRACTOR MAILAD�RE55 GIIY ZIP PHONE STAiELICENSE� <br /> MECHRNICALCONTRRCTOR MAILADDRE55 CIN ZIP PHONE STATELICENSE� <br /> PLUMBINGCONTRACTOR MAILAD�RE55 CIiV 21P PNONE STAIELICENSE� <br /> CONTR�CTPRICEO� HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> u�_ <br /> DE CRIBE WORK AND SOURRE FOOiAGE INVOLVEO GONTACi PERSON ANO PIIONE NO. � <br /> �i CT,��oN s�'ew-� -I'o <br /> ��t�Y2 .A��o�i `7Soo <br /> A� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDINO �J��r n�T/�/ �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> /� <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEQALUESCRIPTIONOFPROPERTY�SHOWNBEIOWORATTPCHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> tor BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIP:3 CONST CTION OR THE <br /> PERFORMANCE OF CONSTRUC ON.THAT I AM A RIZEO BY THE <br /> OWNER OF THIS PROPERTY O ERFOR TH RK FOR WHICH <br /> aPPLICAT�04 M AND I COMPL THE STATE <br /> PPRCELTN(I.D.NUMBER CONTRACT AW . RCW D'LBB.ZOOW . <br /> CONSTRVCTONLO�NLENDER,AD�RESS,TELEPHONENUMBER x .� � �� �` <br /> /�/"pI�/L� SIGNFTURE DATE <br /> CITY BUSME55 LICENSE N0. <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF flXTURE OR ITEM FEE <br /> WATERCLOSET(TOILET) � A/C—AMNDLGUNITS—H.P. � <br /> BATHTUB ; FOflCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY ; RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' ' WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> ' GAS PIPING ' <br /> i EXHAUST FAN � <br /> � � <br /> SUB TOTAL 3 ; SUB TOTAL S ; <br /> PERMIT S � PERMIT S � <br /> TOTALFEE 5 ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBRCK AEAq SEiORCK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT ND. <br /> use zoNe LOT�REA VACANi SITE FEES VALUATION FEE <br /> � <br /> �ves n r+o euiioiNr ; <br /> HEIGHTUMITATION NOOFDWEWNG SIZEOFBLOG�fI. � <br /> UNITS PLUM�ING � <br /> OCCUPANCY NO OFSTOPIES OCCUPANTLOAD BASEMENT MECMRNICAL � <br /> GNOUP <br /> 17Y[5 (7 NO � <br /> FIREAURRIREO'0 REASON ADDIPONRIPUNLNECK i <br /> i <br /> OTMER i <br /> FIRE SPRINKLER REO'D REASON � <br /> STqTE BUILOING SURCNPRGE � <br /> TVPE OF CONST PLANS APPROVEO BY CITY OF EVEREIT PUBLIC WORKS i <br /> LOCAL SALES ; <br /> oATE TAX CODE IS 3105 TOTAL � <br />