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APPLICATIOrI FOR CONSTRUCT.JN PERMIT� <br /> CITY OF EVERETT• BUILDI�'G DIVISION <br /> 3200 CEDAR STREET� EVERETT, \NA 98201 •259-8810 <br /> �l DEMOLITION i 1 COMBINATION I I BUILDING i 1 MECHANI�AL I � PLUMBING I 1 5;�N <br /> PROJECT ADDRESS <br /> 3 �� �. V �c�v� V 'L <br /> 0\4NER MAILADDR[55 C�iV ii� PNOYE <br /> U•�:1��'c�vr. 1-�_ 1'll�v�ci�a�� "���'r�. �?nlctii�c�/ Evere }-� 9fS9,vl 355- 'isSs <br /> IENANT MPII.ADOPf55 CIIY ` ZIP PIIONE <br /> ARCHITf.GTOR�[SIGNER MAILADURE55 LITV !IP PIIONE <br /> [[NCR�LCONiPACiOR MAILADDtiE55 Cliv ZiP PIION[ STATEIIC[NSE• <br /> o�,.��e� <br /> MECM4NIC/•LCONTRACTOR MAILAUORE55 f.ITV ZIP PIIOhE STATELICENSE� <br /> PLOMBINGCO47FACiOR MAILRDDRESS CITV ZIP FHONE SiAiELICENSE� <br /> CONIRACTi'RICEOF WORN HEATING SYSTEM: (� GAS fl ELECTflIC f7 <br /> DESCPI�E WORK AND 5 URRE FOOTAGE INVOLVEO CONinCT^O�SON AN�FIION[N0. <br /> C'P-rc7 0�� '�QS ' r <br /> i <br /> I HEREBV CERTIFY THAi I NAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> anoroseo use or smiowc C � � PROVISIONS OF LAWS AN�ORDINANCES GOVERNIN6 THIS TYPE OF <br /> .7 WORK WILL B[ COMPUED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGRLOESCRIPTIONOPPROPERtt�5H01VN�ELOWOHATfALNTYOGOPIES� NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE <br /> LOi__OLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAVJ REGUL�TING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW iB27 RCW AND 296.200 WAC. <br /> PARCE T/% D NUhIPGR / , � � <br /> / j �=L � 'C.S 'Z,'1i! , 5 �l I / /� O�fy 61/1iJ(d2�/di�«lil� <br /> CONSiflOCiiON IOAN LGNOER.PDDRE55.TELEPHONE NUMfIER T <br /> � DnTE <br /> CITY BUSME55 LICF45G NO <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIICTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE _ <br /> WATER CLOSET(TOILET) � AIC—AMNDLG UNITS—H.P. ! <br /> BATHTUA � FORCEDl�IR SYSTEMS—B.T.U. M E.A. i _ <br /> LAVATORY(WASH�ASIN) HEl1T FUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SIPIK P,DISP i CLOTHES DRYERS � <br /> DISHWASHER � VENTILA?ION FAN ' <br /> LAUNDRY TRAY RANG[HOOD i <br /> CLOTHES WASHER � WATER HEATER <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAItJ METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD�URNING) � <br /> BACKF�OW PREVFNTERS ; GAS HREPLACE _� <br /> SINK(SERVICE—BAR.ETC.) GAS RANGE ' <br /> GAS PIPING � <br /> � EXHAUST FAN _�_ <br /> � <br /> � � <br /> I T <br /> SUB TOTAL S � SUf3 TOTAL 5 __� <br /> PERMIT 5 i PERMIT 5 _ � _ <br /> TOTALFEE 5 � TOTALFEE 5 ' <br /> FOR OFFICE USE OPJLY: <br /> FRONT SEIDACK RCAR SET[iFCK SIDL SETBACH PI�N CIIECK NUMOER fE[ RECEO'T NO. <br /> use zaNe �ornnen v�cnNt srte FEES VALUATION FE_ E _� <br /> �lYES I1 NO ' 1 <br /> OIIILDINa � / i 1 <br /> _ i <br /> H[IGHTLIMIi/dION NOOFOWCLLPIG SIZEOFOIOGIf� � <br /> UNIT$ FLUTAORJG i <br /> � <br /> OCCUPANCY NO OFSiOPIB OCCUPANTLOAD 9ASEMENT M[CIIAMC�L � <br /> GROUP ❑Y[5 I7 NU � <br /> AD�I IiONAL PLAN GHECK <br /> f IRE AI�RM PEO'D REASON <br /> � <br /> OTH[R � <br /> fIRFSPRINNLERREOD AE�SON � <br /> STAI[OUIL�ING SVRCHARGE ��(� <br /> T <br /> TVPEOFCONST PLANSAPPPOVEDBV CITYOFEVERETT PUpUCWGRNS � <br /> LOCAL SALES ��— <br /> opt� TAX CODE IS 3105 TOTAL <br />