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APPLICATIth FOR CONS7 RUC7&N PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET - EVERETT. WA 98201-257-BB10 <br />DEMOLITION COMBINATION X BUILDING _-I MECHANICAL ❑ PLUMBING " SIGN <br />PROJECT ADDRESS aO 7 A4,gl14S8 X LAN E <br />TYNIlI MAL AODNLS5 CITY IIV IT— (r25--ZS9-4 /9 <br />Min. f-M/qS r'12.4/✓K W/LSon' 40_ -VrA//NLSBy [ONE <br />TENANT AIAILADORESS CITY zo "HO"IE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY IR <br />MNE j�,0_ 9.,3,5-'_ 7930 <br />R-BELL cO/V <br />57-AV G T/D/Y 39,99y <br />2SZ 6LL ST- <br />A % E, AR u/v 6Te/% 4vTf- 9NBZZ3 <br />GENERAL CONTMCTOA <br />MA%AOLPESS <br />CITY ZO <br />'THVIE STATE LCENSE- <br />SAM E <br />AS ABOVE <br />MECHANICALCONiRACTOR <br />MAE ADDRESS <br />CITY ZF, <br />MroVE STATE LICENSE- <br />FYUMBITIG CONTRACTOR MAILACORESS CITY ZIP PINE STATE LICENSE - <br />COMPACT PR F IWCt <br />NCOCV <br />HEATING SYSTEM: [] GAS ❑ ELECTRIC ❑ <br />DEscmBE KCIIR ANO SOWPL FOOTAGE NNOVCD <br />K/TGNEN 222,5 SQ.PT, "NEW LnnR <br />C W ON TACT PERSON AND 1'NO214 <br />�- ELL GO S /T.!/G /ONCLRRRY) <br />ado cAL+nv - en z6o <br />3Go - q3S- 7930 <br />pLa>/¢ q:v L+ -IX raQ ES L-V'A- B<AMP <br />w t, r aN !-ND Spl<' Ne-r,s F <br />PRONE•D USF OF BVIOIF4 <br />_si.vyLE FAN1 /L� n+FS/DC-NCE <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 LOCRL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296 200 WAC, <br />i <br />NATQC��3 D+Te <br />L COAL OESCRIPYTON a PNOPFNTY hIKM'NBELOACBATFn"HTWO COPIES) <br />LOT _ BLOCK __ of <br />LOj 4 , BAY V/ E W ADD, TO C-VC-W L-%T <br />PAEICa iAx R D MMBEn <br />00388 O0000 Ao <br />CONSINUCTICNlD4N L[NDFN. AppPE$S. iEIERICNE MIMBFP <br />CITY BUSJ' ESS LICENSE HO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A'C - A'HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />MEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />i <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINALp <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />1 <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />I <br />SINK (SERVICE - BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />SUB TOf:L S <br />I <br />SUBTOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTALFEE S <br />TOTAL FEE f <br />FOR OFFICE U^%E ONLY: <br />FRONT SCiDALN <br />F <br />REAR SETBACK <br />rJU./�v A <br />SIDE SETBACK <br />/ <br />1R/WC Rt NU"RotA <br />0 <br />FEE �l' <br />RECENT NO <br />USEZONE �� <br />LorMW <br />vAC.WIBITE / <br />OYES ENO <br />FEES <br />VALUATION <br />FEE <br />SLALOM <br />HECHT LIMITAT A <br />�l <br />NO OFOYWU <br />IHIT$ <br />WE BLWTI <br />16 /. OAJ <br />RU481Ni <br />O ONVMY HOT OFSTDRE$ <br />OCCUPAM LOAD <br />BASE.L.11 - / <br />OWE$ fVFO <br />MECHAW4 <br />ADDITIONAL PLAR CHLC <br />FOE SPPMKLER PEOD <br />REASON <br />OTHER <br />FREALARMREOD <br />' <br />REASON <br />STATE W ILL4M$UIICHARM <br />TYFE OF COHST <br />-AlDATE <br />PLANS DR 1 <br />23 / <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />NBLIC BDPAS <br />TOTAL <br />