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APPLICAT14.�1 FOR CaNSTRUC7.dN PERMIY <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETf, WA 98207 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDP.ESS: G ✓ ��✓F '�� <br />�7�� � �l✓liA� I_'.o/ �"��:.(n�n <br />OWNEP M�IL�DDRE55 ��� � Cltt�� I�P �I�ONL <br />�wai ao�eAwee <br />awrctoiAL ecoa-�Lc Z7e7 eet,6Y A✓d~d/G �`✓`�`�r 9%Ce� <br />TENANT MAIIADDPE55 f.IIY l�P �uONE <br />A ��ANs �or�+r .7ic ..x �.e.ds ✓iEaJ .va �'c d✓�,e�>r �'82Q / <br />�qCNIT(GTd1UE51GNER M�II�DOfiE55 CIfY 1��` PnONF. <br />CENER0.CONTMG70R MNIADD{IE55 C11Y 1�1' PHONE $GTEUCENSE• <br />MECHQIIC�LCONTRACTOR MAIUDDRESS CITY 21P t/FL I�L� � P�' �NE $TATE I�CENSE • <br />z <br />.�_,,.-" _...� -�n..�.,,-..... ..nn6-n SAL'v w✓6 LT C tACo�w.� IJ,O t8i16 9o.-AiFP61'9CF <br />M�ILAWRE55 <br />WpqK�NO50UAREFOOTAGE1NVOlYED <br />�pi BLOLK OF <br />PARCElT6%I.D.NUMBER <br />LONSTRUCT�ON l0lW LENDEP. ADONESS, iEIEPNONE NIIMBER <br />PLUMBING <br />NO. TYPE OF FlXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP � <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTNES WASNER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETCJ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK REAq SETBACR <br />VSE IONE � ��T ��E� <br />HEIGNT LIMITATION <br />OLCUGAHCY NO Oi5 <br />GNWP <br />FIRE SPRINKLER flE0'D <br />FIRE AlAl1M PEO'D <br />TOTAL S <br />NIT 5 <br />\LFEE S <br />SIDE SETB�CK <br />I VAC�NTSIiE <br />❑YES ❑ NO <br />ZI� ' PHONE <br />HcATING SYSTFM: ❑ GAS ❑ EIECTRIC ❑ <br />eoenncr r[nsor+.v+o r�wr+e no <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SA1AE TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS TYPc OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oti <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCtL THE PROVISION OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER CF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATF <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X � � Q �!/ � � ��f���_ <br />SIGNATVRE ' <br />F�2�69� <br />Cltt BUSINES$ UCENSE N0. <br />NO. TVPEOPEOUIPMENT � FEE <br />FORCED AIR SYSTI <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYERS <br />��� <br />SUB TOTAL S � <br />PERMIT S � — <br />TOTALFEE S J l D �— <br />PlANC11ECNNUMBER FEF REf.E1PTN0 <br />s�goP <br />OWlDINO <br />NO OF DWELUNG SIZE OF BIDG/f.l <br />UNIIS PlI1�A01NG <br />OCCUPANTLO�D B�SEMENi MECN4NIf.AI <br />❑YE$ O �+0 — <br />�DDIIIONRI. �UH CMf.CN <br />RF.ASON <br />01NER <br />RE�SON <br />SiAIE BUIlDIN6 SIIf1GNnfiGE <br />PlANSAP v¢oer CITY OF EVERETT ruei�r.wor+Ks <br />LOCAL SALES <br />o�, r J U,'t 7 TAX CODE IS J105 TOTAL <br />