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APPL.ICATIC 7 FOR �UNSTRUC7 _ JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOUTION fl COMBINATION I-1 BUILDING �7 MECHANICAL fl PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> �, "`.` /� s�- <br /> i/3��- _� l�,• <br /> OWNEA'�n, hIqILADDRE55 <br /> VIiVIQ ,�� C CIiY ]IP PIIONE (� <br /> AZ.�.I{�Q Crl IS�� 3. IZ 18-13(qA1rC 1G"1�EC� #J� ZI-rj(�O; 4 ZUL O Z. � u � .5 / <br /> TENRNT MNLAODRESS ��n. _\,_ �Q <br /> PHONE <br /> ARCHITLCTOROESIGNER M�fiA0pRE55 CIiY Zlp <br /> PMONE <br /> LURo c.�N�'t y .� ��2.�� � t, ro6 k'1.k1-nad 58oI �1 Zo (i }}Li4�S6 <br /> GENERnICONTR�GTOR MAILpODf[55 �iiY A IARo rr nAC'i.� <br /> Z�� PIIONE STATE LICENSE/ <br /> if��r�ti;au NaxT' ��a <br /> MECHANICAZCONTR�CiOR ILRDDRE55 ��ry Z�� <br /> n PHONE STATE Lll SNSE� <br /> �v kl T�i)G�-M �C r'A 5 � ' <br /> PLUMBINGCONTRnCTOR MpiLpppqEg9 CIiY <br /> Z�� PHONE STATE IICENSE� <br /> CONTqqCT PPoCE OF W011K <br /> HEATING SYSTEM: pa GAS ❑ ELECTRIC ❑ <br /> OESCRIBE WORK AND SOU�RE FOOTAGE INVOWEO �ON1�CT PEIi50N�ND PIIONE H0. <br /> � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> S -� � PROVISIONS OF LAWS AND ORDINANCES GOVERNI�G THIS TYPE OF <br /> LEGAl0E5CPIPTI(�OFPROPERtt�SMOWNBElOWO11ARA 117WOCOPIE51 �'�'ORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br /> ,�, NOT. THE L.iANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or�_�_s�ocK or S � �r: " �at AUTHORITV TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I CCMPLY WI1H THE STATE <br /> PARCELTA%I.O.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUCTON LO�N LENDER,ADDRE55,TELEPIIONE NL'MBER x �� Q�c�� ij ��, --� <br /> � _J /`J <br /> SIGNATUAE �� OQE <br /> QTY BUSMESS LICENSE h0. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR I7EM FEE <br /> WATERCLOSET(TOILET) � A/C—AMNDLGUNITS—H.P. , <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN)_ , HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP _ ; CLOTHES DRYERS � <br /> DISHWASHER ' <br /> � VENTILATION FAN � <br /> _ IAUNDRI TRAY ; RANGE HOOD � <br /> CLOTHES WASHER ' <br /> URINAI ' 1 WATER HEATER , <br /> ' WOOD STOVE � <br /> DRIIJKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) ' <br /> FLJOR ORAIN ' <br /> � FIREPLACE INSERT(WOOD BURNING) i <br /> BACKFLOW PREVENTERS ' GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) 1 GAS RANGE � <br /> � <br /> ' GAS PIPING <br /> i EXHAUSTFAN � <br /> � <br /> i <br /> � <br /> _ � � <br /> _ � <br /> SUB TOTAL S � SUB TOTAI $ � <br /> PEFiM1T S i PERMIT $ � <br /> TO"ALFEE $ � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONT 4CK / REAfiSETBA� / SIDESE7BACK PlANC1�C NIIMrO✓ � FEE�� J (^ RECE�%O� �� <br /> ( ' J j <br /> usezoNe tornnee VACANTSITE FEES VALUATION FEE <br /> � ` / nres n No om�on+c � <br /> HEIGFITLIMITATION � NOOFDWELLING SIZEOFBLD6RI. � 38 J�J'd i ���J <br /> UNtTS /JJ,3 SF L/vi✓o f <br /> 'fZ5 �" G p.c. rtuuoiva ' r� � , > _ <br /> OCCUPpNCY NOAfStOPIES OCCUPPNTLOAD BASEMENi � <br /> �� P� MECIInNICAL . <br /> i . <br /> �7 �,� ❑YES NO ���� � � ' <br /> FIREAIMMBEOD fEASON ADDITf04nLPlANCNECK � <br /> i <br /> OTNER � <br /> FlRE SPRMKLER REO'D REASON �� � i i� �� <br /> STqTG OUILDMG SURG1qRGE i i, , <br /> rrvFoccor�sr rinHsnrrnoyeoor �ITYOFEVERETT nuoucwonns � „ . <br /> ��� �j%v� LOCAISALES �� �_� <br /> onre Z� " TAX CODE IS 31Q5 70TAL il� �'� � � ;-� <br />