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LCr('� Z. <br /> ,� <br /> APPLICATIt,r�l FOR CONS'TRUCI .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, Wq 98201 •259-8810 � <br /> ❑ DEMOLITION �l COMBINATION � BUILDING fl MECHANICAL fl PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> ioZzj i�t�r���� „ - � - C <br /> �N?!ER MAIL�D09E55 CITV 21P PIION[ <br /> �E(1) �sil�[Af�l� �_�!`!G�� � J�4ITF� .�'f l'l�'{AF[ � 17�v1 i o C �) �lG /nl � �07-G> 7��/VE;1�' <br /> 1EN11NT '\ MA�LA�ORES CITY IIP Cl/O E <br /> �{�� L���.rtrti� j_r'�(�'i �L�Jl?t)G R��.1l�FdL� q'n7[�� � - i � <br /> ARClIITECTORUESIGNER M�II.ADORE55 CITV Tlf+ 1`IIONE <br /> '>flt-(F, fY� AR'111"c'. _ /'4 – IF/LOl7GK <br /> f.ENEMLCONIDALTOq M�IL�WqE55 QIY pIP pIIONG STATELIC[NSE� <br /> t-{rxz��G..� {-1FRr1ti�� '�(�nr �1 ('` csl �t) f Y iiii��nc�11 lsL� 7�{� 5R�O <br /> MEC�IANICALCONTRRCTO M�T7— ILADpqE$$ Cltt l.lP �— p��pqE�� STATE LICEN$E� <br /> � i�.•4Rltivr 9�i� qC7�` i�e �,(� A/t11nN7�'uLy-L� `��I.��65�.�� g�Avl�.�r�.c1L'L7 <br /> PWMBINGCONTRMTOR M�ILADDB 5 QIl ]IP PIIONE STAiEUCENSE� <br /> CONTMG!PpICE OF WORN <br /> �(�� '}��• HEATING SYSTEM: ■GAS fl ELECTRIC I-1 <br /> DESCRIBE NIMK�ND SOUARE FOOTAGE^�YOIVED CONTACT t'ERSON AND PNONE NO. <br /> _L4S�'-� n�=�� s – E' ;�- 4�-��— <br /> � <br /> �j � � �2 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEO USE OF BUILDIN(S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER Sf ECIFIED HEREIN n'i <br /> �cr��oesc TIONOFPROPERTY�SHOWNBELOWORATT�CHTWOCOP s1 NOT. THE GRANTiNG OF A PERMIT DOES NOT PRESUME TO u'IVE <br /> �oT��e�ocK oF � 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 AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCEIT�%I.D.NUMBER CONTRACTORS lAW 1827 D 296200 WAC. <br /> CONSTRUCTION LUMI IENDER.AD�RE55.TELE%IONE NUMBER �� � , <br /> t �,,N•r ia�r, - _ ^� S 94 x �, E !v- /C� -�S <br /> D�TE <br /> l.>nH Ft=1GE2 <br /> � CIiY BUSiNE55 UCENSE NO. <br /> � PLUMBIN6 MECHANICAL <br /> NO. TVPE OF Fl7(TURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> Z WATER CLOSET(TOILEn � NC—AMNOLG UNITS—H.P. � <br /> BATHTUB ' ( FORCEDAIRSVSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � 4EAT PUMP , <br /> �-- SHOWER � UNIi HEATERS—B.T.U. M � <br /> KITCHEN SINK 6 DISP ; CLOTHES DRYERS ; <br /> _L DISHWASHER � VENTILATION FAN � <br /> — LAUNDRYTRAY ; RANGE{i00D ' <br /> CLOTHES WASHER � WATER HEATER � <br /> — URINAL ' WOOD STOVE � <br /> — DRINKINQ FOUNTAIN i METAL FIREPLACE(WOOD BURNING) ; <br /> — FLOOR DRAIN � FIqEPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING ' <br /> _ <br /> � EXHAUST FAN � <br /> — — � <br /> � � <br /> — — —T— <br /> � � <br /> SUd TOTAL $ � �J6 T!)TAL 5 � <br /> PERMIT S � ?EHMIi $ � <br /> —•— <br /> TOTAL FEE S� � TOTAL�EE $ � <br /> FOR OFFICE USE ONLY: <br /> FRd1T SETP�CK RGAR SETRACK SIUE SETBACK i PUN CPEC<NUMAFR FEE NECEIPi NO <br /> ��� �0� /V l:'.�:-� ��/i ''�� <br /> USEZONE � LOtAqEA v�c�Nrsite � FEE VALUATION F[E <br /> /C S <br /> 7 7 YFEs n r+o q��itniNc 76 ZG^O Q I <br /> HEIGIITLIMITATION � NOIXDWELLING SR OFBLDfRI <br /> uNirs � 1�47SFL�v�.�4t �21 <br /> 410 S GAR G i'����amNc _ J <br /> OCCUPANCY NO p�SIORIES OCCUPAI.f LO�D BASEMENI { <br /> f.RpUP � A1EC114NICAL <br /> a�s U , i �„E� � o — , <br /> , <br /> FIREAURMREO'D I1F.ASON M1DDIiION�LPI.ANC��F.LK <br /> _ __�_ <br /> D*IIEq i <br /> FIRFSi'RINNIERPE00 REASqN � <br /> � <br /> SiNE pUIlOINC SURCH4RC[ —� `/� <br /> TYPE OF f.ONST PLAN$APPfiQVF.q BY ��-C11 <br /> `�T_ CITY OF EVERETT rum ir,wonrc< i�� _ <br /> LOCAL SALES <br /> �–� on+e 5 TAX CODE IS 3105 TOTAL JL � � <br />