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APPLICATIO.� FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> fl DEMOLITION fl COMBINATION f-1 BUILDING fl MECHANICAL r� pLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> OWNER MAIL� ESS ITV ZIP pHONE -- <br /> rnrc �F n1✓s 6F�'� c /8L z k�ar/��F«� ������ff- �s� -�e s'8 <br /> TEN�NT ` /`- ���G�LA[H1RF55 GTY )IP p1/0NE <br /> � <br /> ��v\\. <br /> �RCNITF.CTOROESIGNE MAIIAD E55 QTv 71P PMONE <br /> GE RA CONTR� MRILADORESS �� '��� <br /> C11Y 71P P�IJ� J �"u SIAT[lIC[NSE� <br /> D2 Sa k _ .� ��.6t..�Je��— /`�i{o y S�o�'v� �/Sc c�9 .��lYyc%•�te �i/n/SA/.r'i 3 d�/� <br /> MECHANIC�LCONTRACTOR M�IIAD�RF.SS CITY � 717 PIIONE STATEUCFNSE� <br /> PLUMBINGCONiR�f.TOR MnILADURE55 CILY Z�P PHONE 57RTELICENSE• <br /> CONiR�CT PRICE OF WIXilf /�C �� <br /> �I HEATING SYSTEM: I I GAS �l ELECTRIC f l <br /> DESCRIB R�ND SOU�RE FppT�GE I VOLVED CONT�CT PERSON AND PHONE NO <br /> `3"���-�Lo <br /> S 7G �15 �� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT A�L <br /> PROVISIONS OF LAWS AND ORDINANCES COVEFNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> tEGQDESCRIPTIpNOFPROPFf�'�S'H�O�W7NBELOWORRTTA HTW pPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT � ao�e�ocK '�or ( J 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 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICA'lION IS MADE AND I CUMPLV WITH THE STATE <br /> PARCELT�%I NUMBER CO � bR�j AW 1827 CW AN Z96,ZOO WAC. <br /> �3�0 3�� � - � oc�c�z �/� a r si <br /> CONSTRUGTION LO�N LENDER.�ODRE55,TELEI'110NE NOMBER x <br /> SI �T E bATE <br /> CITY USMESS IICENSE NO. <br /> PLUMBIN6 CMANICAI <br /> NO. TYPE OF FlI(TUqE OR�TEM FEE NO. TYPE OF EWIPMENT FEE <br /> WATERCLOS[T(701LET) � A/C—A/HNDLOUNfTS—H.P. � <br /> BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATERS—B.T.U. M <br /> KITCHEN SINK d DISP ; CLOTHES DRYERS ; <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRV TRAV ; RANGE HOOD <br /> CLOTHES WASHEH � WATER HEATER , <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN METAL FIREPLACE IWOOD BURNING) ; <br /> FLOOR DRAIN � FIREPIACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTEFS � GASFIREPLACE ' <br /> SINK(SERV�CE—BAR,ETC.) GAS RANGE 1 <br /> /' GAS PIPING � <br /> �� � EXHAUST FAN ; <br /> � , <br /> � , <br /> � <br /> SUB TOTAL $ � SUB TOTAL $ ' <br /> � <br /> PERMIT $ , PERMIT 5 �— <br /> TOTALFEE $ � TOTALfEE $ � <br /> FOfi OFpICE USE ONLY: <br /> fRONTSETPRCK� ��. � RFnRSf.TPAC1( 51DESETB�CN l ftANC11EC NUMOffi fEF \ RECFIPiNO <br /> �/V 7d 1 Y� � `��7� �O.�v <br /> usEmr+e� �� ioTnnen vncaHrsre FCES VALUATION FEE <br /> _ i��ves r; No ouitnwr, G!e/� ' ; — <br /> HEIGIIT LIMIiATIOk / NN'rOF UWLLLING 92E UF BIOG�f I ; <br /> 57(� .$'f rwuoiNc � 1 <br /> OCGUPANCV NOOISID� ES OCCUPRNTL04U PASEMCNi �—±� <br /> GROUP `, A � MFCNnNICAL <br /> U�I ,�} I/.� IlYES (yN0 — - � <br /> i <br /> FlRE AURM fiEOD liGR$OY <br /> ADp1110NAL PI�N GIIf.CN � <br /> _' —�_"_ <br /> omm� � <br /> rme srmNw en nec- ar nc�N — <br /> srnie ounoiuc suncr+nnce _ �j/, ,�7 . <br /> imE or covst ri nvs nrrnovro nv #��� <br /> i1 CITYOFEVERETT runi�cwones 2(�y <br /> �/ �� LOCAL SALES <br /> �1L 'hl' „A,F, c� � c�� TAX CODE IS 3105 TOTAL <br /> V��'L� <br />