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� — <br />APPLICATIV�1 FOR CONSTRUCT�OI� PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • 259-8810 <br />fl DEMOUTION A'( COMBINATION f-1 BUILDING rl MECHANICAL r� PLUMBING fl SIGN <br />PROJECT ADDRESS <br />q6o/ Ev�/t yrrer�i✓ wi9,i , Evc-ir �7T i_ <br />OWNER MFRAD�RE55 ��T� Z�P �i��NE <br />yu- �F� w�tis �f z9 63a•,rl ✓.'f' ����FTr yeZ � ,3s-3 • � �3¢ <br />iENANT � MAILADDRE55 LITY ZIP PIIONE <br />D��/O F.vw..s.ro� �!lri�z�dr..r•�✓ �3r�"�•.•�v i'd�3Z T93'r/fi3 <br />ARGHITF.CTOROESIGNER MAILADORE55 QTY 71P PHCNE <br />(N�[ y�iy,�.rii✓.�r.v 78/2 Go[ ey E�e�r r il 9d 2 a/ �s 2• 2/J',� <br />GENE�IA�CONTR/CTOR AILAOD E55 CI1V 71P P110NL S�ATEIIC[NSF+ <br />%� if• N' C <br />MECHPNICALGONTP�CTOR MAILADDRE55 CITV 7.IP PHONE STATF.IICENSE� <br />PLUMBINGCONTRACTOR MAl1.AD�PESS ��N ZIP PHONE STATELICENSE� <br />GONINP41 YMIbt V1'vvnn <br />J o 00 � <br />DESCRIBE WONK �Hb SOUA(It FppTAGE INVOLVEU <br />%� � !�-i1^�i ,llR./� �9cL <br />jo�e P4./ <br />LOT <br />%/1 �'F�C N . <br />ION OF PROPERTY �SHOWN 9ELOW OH <br />_ BLOCK <br />� t6 J' / TC <br />LAti• <br />PARCELTA%I.D.NUMBEH �,t� f,�l,� �L�,N� <br />CONSiRUCTION LOAN LENOEfi. ADDRE55. TELEPHONE NUMBER <br />�E..-.� �-r d o o,. n- �c . _ <br />NO. TVPE OF FI%TURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY ('�VASH BAS�N) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHEH <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />CINK fSFRVICF--BAR. ETC.1 <br />FOR OFFICE USE ONLY: <br />FRONTSETPACN FEAR SETBACK <br />USE ZONE <br />IIEIGNT LIMITRTION <br />OCCUPANCY NO Oi 5�� <br />GROUP / <br />IRE ALAjiM fiEQ'O <br />�7E5 <br />FIRE SPRINKLER REO'0 <br />N�% <br />TYPE O� f,ONS� <br />V ' <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE $ <br />W T AFEA <br />NO OF DWELLING <br />UNI�S <br />OCCUPANTLOAO <br />RF.ASOY � <br />REACON <br />PL�NS j'�OVE00V <br />D /`� <br />� <br />r.TE �1- SO' i <br />S�OE SETBALK <br />HEATING SYSTEM: C i GAS �I ELECTRIC (1 <br />GO:.'TACT PERSON AND PHONE NO <br />/tilr �r.y.s, e-✓ •...� � rz • � � ,� <br />l�.f��y O/I�,t i.�-✓'a.�-- i9� c y/Tc�'cJ-r <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAIu11NED THIS <br />APPLICATION ANO KNGW 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 PFiOVISION OF ANY <br />OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED B'f THE <br />OWNER OF THIS PROPERTY TO PF.RFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 2?6200 WAC. <br />x rJ� � L.� ��'z e' 7-�' <br />SIGNATURE OATE <br />I CITYBUSINESSLICENSENO. _ <br />NO. TYPE OF I <br />q/p—WHNUW urviro—n.r. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT ? ndP <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />RANGE HOOD <br />VJATER HEATER <br />WOODSTOVE <br />METAL FIREPLAU <br />FIREPLACEINSEF <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE S <br />?L4NCIIECNNUMOER � FEE C RGCEIPTNO. <br />i�� �,�� >/O �� %/ <br />VACANT SITE <br />fIVES f1 NO pWIOMG <br />SIZE OF BLDGR.I <br />3 p PLWA�ING <br />0 <br />BPSE ENi � �fE�H�NICAL <br />f1YE5 NO <br />PbDI110N�L FL/ N CHf CK <br />onie� <br />s.me omirir+c sunr,��nnce <br />CITY OF EVERETT rumir, wonKs <br />� LOCAI SALES <br />TAX CODE IS 3105 TOTAL <br />i,00� <br />