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APPLICATI%.N FOR CONSTRUC%.ON PERMI0�ff <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 C EDAR STREET • EVERETT, WA 98201 • 259-8810 <br />Fl DEMOLITION F-I COMBINATION 446ILDING MECHANICAL PLUMBING I I SIGN <br />PROJECT ADDRESS r <br />O R /Ioro' oMall ao0Sntss ... <br />1 <br />T PNANT fi^t__--^^ MAILADDRESS CITY 21P PRONE <br />aNl.��ltlAAl tl�.l yVII UC]1yl'�C,/ � ��� /��� /�/ ��/Ii /� / ^O Y/v�4 -��GG� /� '• ��C�`'' /�l L <br />SPATE I.ICF W6E 0 <br />MECHANICAL CONTRACTOR MAILADDRESS CI ZIP PHONE STATE LICENSER <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE STATF. LICENSE II <br />CONTRACT PRICE OF WORN <br />54I7,1 0 <br />HEATING SYSTEM: fI GAS fl ELECTRIC n <br />DE R E WORK ANDS TAGE INT /, i <br />CONTACT PERSON AND PHONE NO. <br />(A/YV/ <br />o <br />- <br />/� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />/C�, <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />PROP SE OF INIQ <br />0 /%yG <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL PROPERTY (SHOWN BELOW OR ATTACH IWO COPIES) <br />�D.EES,CRIIP�Jq,NuF <br />D/F <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT �01'� /K/_ <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />BY THE <br />-T <br />PERFORMANCE OF CONSTRUCTION. THAT 1 A1.7 AUTHORIZED <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICA N IS MADE AND I COMPLY WITH THE STATE <br />�%� / <br />CONT C RS LAW 18.27 RGW AND 2n6.200 WAC. <br />�f <br />PARCEL TA%ID NU ER <br />- ©o ooi3� <br />PITON UMfl 'LJ /f <br />CONSTRU NLQ LEN 1 RESS El <br />DATE <br />L_ /j J���S/' <br />JGNAlI1RE <br />CITY BU51NESS LICENSE NOAll- <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE _ <br />NO. TYPE OF FIXTURE OR ITEM FEE —� <br />WATER CLOSET (TOILET) <br />---r <br />A/C — AMNDLG UNITS —H.P. <br />' <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS —B.T.U. M E.A. <br />I <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />' <br />t <br />SHOWER <br />UNIT HEATERS -- B.T.U. M <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />' <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />' <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />' <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />� <br />GAS RANGF <br />- <br />GAS PIPING <br />I <br />EXHAUSTFAN <br />JAL$ <br />S <br />I <br />I <br />SUBSUBTOTAL <br />$TOTAL <br />PERPERMIT <br />FEE S <br />TOT <br />' <br />run urru c LAac vivL <br />FRONT SETBACK <br />vw <br />PEAR SEQ CK <br />SIDE SETBACK <br />PLAN CHECK NUMB ) <br />MUO <br />T"E <br />RECEIPT <br />(/� <br />(/ <br />L <br />FE�E <br />USEZONE <br />O <br />LOTLREA <br />GT �/ <br />VACANT sne <br />nYES p'FO <br />FEES <br />VALUATION <br />_ <br />�—q� <br />OURDING <br />) � <br />I' <br />'l <br />1� / ' I/ <br />HEIGHT LIMITATION <br />Z <br />NO. OF DWESIZE OF BL RI. <br />UNITS Id/3 <br />PLUMBING <br />I <br />OCCUPANCY NO OFSTORIES <br />OCCUPANT LOAD BASEMENT <br />MECHANICAL <br />! _ <br />I <br />❑YES <br />_ <br />CHECK <br />J Lm <br />FIRE ALARM REO'D <br />REASON <br />ADDITIONAL <br />-- <br />- <br />—�—�--- <br />I <br />OTHER <br />All <br />' <br />FIRE SPRINKLER BEO'D <br />m <br />REASON <br />STATE BUILDING SURCHAPGE <br />I� <br />/ <br />PUBLIC WORKS <br />TYPEOF CONST <br />PLANSAPPR CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />