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APPLICATIOI_ FOR CONSTRUCTI� N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOUTION fl COMBINATION ❑ BUILDING MECHANICAL 17 PLUMBING fl SIGN <br /> PROJECTADDRESS ZG�� Q�,��f���� ���_ ���� ��p� <br /> i� <br /> OWNEFI v /�DOAESS CI�� 21P �V�I�-�- ( � 1 �/ `�O` �G�� —�IGG <br /> -T�, �v��N �5/� ZG sT <br /> tENANT M�L/iWRE55 CIiY LP P�E <br /> MCHITECTORDESiGNER MNLADDRESS CIiV 21P PIIONE <br /> 6ENEMLCONTMCTOR MAILI�DDRE59 LITY ZIP PMONE ST�TEUCENSE� <br /> EIECHyNCALCONTRACTOR MAILADDRESS CITY ZIP PMONE STATEl10EN5E• <br /> �J 1 <br /> PLUMBINfiCONTMCTOR MAILADORE59 CITY ZIP PMONE ST�TELICENSE• <br /> rvwce�K HEATING SYSTEM: GAS �ELECTRIC C7 <br /> 7 . <br /> pE9CRIBE WORN AND SOUME FOOTAGE INVOWEO COHTACT PERSON MJO PMONE NO. �7_�// <br /> Ci�rfAn1 2- � <br /> iA�L ��GOo �'TG� /UR�`� �/�S . <br /> M �/ I HEREBY CERTIFY THAT I MAVE READ AND EXAMINE� TMIS <br /> �(J�(./✓yt.0 � 7!L✓T APPL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSEDUSEOF BUILDINO PROVISIONS UF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> /�. WORK WILI BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br /> �pµpES�p�p7�pryp{ppppEqry(SMpWNBELOWORATTACNTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT B��K � AUTF.'JRITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORiZED BV THE <br /> OWNER OF TMIS PROPERTY TO PERPORM THE WORK FOR WMiCH <br /> APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> VMiCELTA%I.O.NUMBEN CONTRACTORS LAW 1827 RCW AND 29d2W WAC. <br /> , � ���7�5's <br /> CONSTRUCiION LOAN IENDER.�DDAE55.TELEPNOhE NUMBEfl `�-/� �%��t <br /> SI 'Ari1RN D�TE <br /> Cltt BUSINESS 110EN5E NO. <br /> PLUMBINU MECHANICAL <br /> Np, TYPE OF FU(TURE OR ITEM FEE N0. TYPE OF FI%TUHE OR ITEM FEE <br /> WATER CLOSET(TOILEn � AIC-AMNOLG UNITS-H.P. ' <br /> i � <br /> BATMTUB I FORCED AIR SYSTEMS-B.T.U. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER � UNIT HEATERS-B.T.U. M � <br /> KITCMEN SINK 8 DISP ; CLOTHES ORYERS � <br /> � VENTILATION FAN � <br /> OISHWASMER � <br /> LAUNDRY TRAV ; RANGE MOOD <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE <br /> ORINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> — � FIREPLACE INSERT(WOOD BURNING� ' <br /> FLOOR DRAIN ; <br /> BACKFLOW PREVENTERS ; GASFIREPLACE <br /> SINK(SERVICE-BAR,ETC.) � GAS RANGE � <br /> � z GAS PIPING � <br /> — , EXHAUST FAN ' <br /> i <br /> � <br /> i <br /> SUB TOTAL S ' SUB TOTAL S � <br /> PERMIT S PERMIT S � <br /> TOTAL FEE S � TOTAL FEE E ' <br /> FOR OFFICE USE ONLY: ��,PT� <br /> FEE <br /> FppN{yQTgKJ< PEMSETBALI( SIOESETBACI( fUNGMF,LN�IWBER, . <br /> N FEES VALUATION FEE <br /> USE 20NE LOTMEA VACANT SITE <br /> f1YES fl NO BUIlDINO � <br /> � <br /> HEIOHTIlMIT�TION NOOFDWEWNO bIZEOFB�DC✓���� i <br /> UNITS PIUMBINO <br /> OCLUPANCY NO.Of510WE5 OCCUPINTLOAD BASEMENT MECMANILAL �� i . <br /> GRWP ❑YES i' YO � <br /> — ADWiIONALPIANCNECK � <br /> FINEMARMREO'D REASON , i <br /> OTMEP <br /> i <br /> i <br /> FIRE SPRINKLER REO9 REASON � <br /> STATE BUIIDING SURGHMGE i <br /> 7YPEOFCONST. PUNSMPFlOYEDBY CITYOFEVERETT PUBIICWORI(5 � <br /> LOCAL SALES ; <br /> o�re TAX CODE IS 3105 TOTAL <br />