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APPLICATIG.� FOR CONSTRUC? �JN PERMIT <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERFTT, WA 9820 59-8810 <br /> I� DEMOLITION f 1 COMBINATION �l BUILDING MECHANICAL I l PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> awrv �^ rnnanoon�ss c�n Z1r f�. /r'�C � � � ZS `I I g � <br /> �j�„b� � r7 -�v �S� ���� <br /> l�� ���in��ess � �--_r�Q��+— r��oNe <br /> rE�r <br /> pRCHRF.CTORD MNLADORE55 GIiY 1�P PNONE -- <br /> G�"�ALCONTMCTOR LM,AIL�OOf1E55 CI1V 21P PIIONE STR7ElICENSE• <br /> .�/ �w� Z� i1 �C-r" <br /> ��T, Z�p PIIONC SiATE LICENSE <br /> MECN�NICAICONiRACTOR MAIL�DDRf55 <br /> PLUMPINGCONTR4CTOR MAILADDRESS C�iV 1�P P��ONE $1AiFLICENSE/ <br /> .►• <br /> CONT ACTPRICF.OF WOf1K HEATING SYSTEM: -_ GAS fl ELECTRIC fl <br /> DESCFI WOFN/�ND`Op FF GEINVOLVED CONiACTPEP50NAN�P110NE 0 <br /> \ C \ � <br /> � � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPIiCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILOING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED W�TH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIIXJOFPROPERttISHOWNBELOWORATTACH7WOCOPIE5) NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO 61VE <br /> �pT BiocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> 01HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OP THE <br /> PERFORMANCE OF NSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF T PROPER Y TO PERFOHM THE WORK FOR WHICH <br /> APPLICATI IS MA AND COMPLY WITH THE STATE <br /> CONTR TORS LAW RC A 296.20`AC. <br /> PARCELT��lf1.NUMBE� - �.` C�J 'J ('- <br /> �-S � Lf• VUZ.� ��i¢ � yl <br /> CONSTRUCTION LOpN LENDER.AODRE55,TEIEPHONE NIIMBER X �TE <br /> SIGNFT <br /> CITY BUSINESS LICENSE N0. <br /> PLUMBIN6 MECHANICAL <br /> NO. TVPE OF FDCTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM <br /> FEE <br /> WATER CLOSET(TOILEn <br /> � q/C—A/HNDLGUNITS—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS B.T.U. M E.A. � <br /> � <br /> — , HEAT PUMP ' <br /> LAVATORY(WASH BASIN) � <br /> SHOWER � UNIT HEATERS—3.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS ' <br /> DI��iWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ' RANGE HOOD ' <br /> CLOTHES WASHER WATER HEATER � <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> � <br /> � GAS FIREPLACE ' <br /> BACKFLOW PREVENTERS � , <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE <br /> GAS PIPING , <br /> , EXHAUSTfAN ' <br /> � <br /> ( � i <br /> � <br /> � SUBTOTAL S C ; <br /> SUB TOTAL S � <br /> PERMIT S /� � <br /> TOTALIFEE S � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: RECEiPrNo. <br /> PIANCHELNN � ER�� �t� <br /> FRONT SETB�CK REAP SETOACN SIOE SETBACN 2 <br /> l <br /> FEES VALUATIOH FEE <br /> USEZONE LOTAREA VACRNi51TE � <br /> i <br /> flYES fl !.O OUI�DI4G __ � <br /> i <br /> HEIGIITLIMITATION NOOfOWELLING SREOFBLW�TI � <br /> UNITS PLUMOING <br /> i <br /> OCCVPANCY NO 0�S70A;E5 OCGUPPNT LO/.0 BASEMEtlT MECNANIGAL � <br /> GROUP ❑vE5 ll NO � <br /> i <br /> RODI IIONrII PUN CNECK � <br /> FIREAURM{iE0'D �EpSON � <br /> i <br /> OTHER � <br /> i <br /> FIRE SPPINKLER REO'[l REASOY � <br /> STATE BURDINC SURGHptiGG � <br /> i <br /> TVPE OF CONST PlANS APPROVEO BY CITY OF EVERETT P�BLIC WORKS � <br /> LOCALSALES ; <br /> OA7E TAX CODE IS 3705 TOTAL <br />