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APPLICATIG.� FOR CONSTRUCT.JN PEi�MIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION f� COMBINATION I 1 BUILDING fl MECHANICAL Il PLUMBING fl SIGN <br />ONTJER MAILRDORE55 CIiV Zm PHONE <br />� � fi/�?/ � �e�17, i C �I�/DF; �'uc �f r �t)���!% y�� 3G�.� –U�".� �— - <br />T RNT MnILnIpRESs � cITY ZIP r11oNE <br />% i i � � , ' � . s/ �r /_ <br />�RCHITECTORUESIGNEii MnILn00�E55 Gltt lIP PHONE <br />GENER�LCONTRRCTOR MAILADDRE55 QTY I.IP PIIONE ST�TELICENSE• <br />MECHAy�AL�NTRACTOR AIA�LADDRE55 <br />A 1 <br />n "� <br />L_ <br />PLU� INGCON1qRCTOR MAILR�ORESS <br />SOUAREFOOTAGEINVOLVED <br />LOT BLOCN <br />PMCEITAXID.NU4BLR <br />CONSTRUCTfM LO�N LENDER. �DDRESS. TEIEPMONE NUMPlR <br />WATER CLOSET (TOIU <br />BATHTUB <br />LAVATORV(WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP <br />TRAV <br />WASHER <br />— BAR, <br />OR ITEM <br />SUBTOTAL $ <br />PEFMIT $ <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONTSETBRCN PEAR SETARCK SIOESETBACK <br />USE 20NE <br />NEIG4i LIIAITPTION <br />GROUPANCY N01 <br />FlRE PURM REO D <br />FIRE SPPINNLER R <br />LOTARER <br />NQ OF JWELLING <br />UNITS <br />OCCUPANTLOFD <br />BY <br />ZIP PIIONE <br />PHONE <br />• <br />STATE LICENSE � <br />HEATING SYSTEM: Cl GAS fl EIECTRIC Ll <br />CON7ACT PERSON �ND PNONE NO <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIUN AND KNOW 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 HFREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATiuN IS MADE AND I COMPLY WITH THE STATE <br />CO�NTR�ACTORS LAW 1827 RCW AND 296200 WAC. <br />-- %l'> �� � , ' �� r � :li. �-'.v In -,-�d'- � <br />CITV 9USINE55 LICENSE NO. <br />MECMANICAL <br />NO. TYPEI <br />A/C — AIHNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.0 <br />HEAT PUMP <br />UIJITHEATERS—B.T.U. M <br />CLOTHES ORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIqEPLACE (WOOD BUF <br />FIREPLACE INSERT (WOOD BUI <br />GAS PIPING i <br />E%HAUSTFAN � <br />� <br />� <br />� <br />T <br />SUB TOTAL $ i � <br />PERMIT S / ,� � � <br />TOTHL f-EE $ �,T; ' <br />PLANCHECKNUM�ER I FEE I RECEIPTNO. <br />�%/G�"��%", <br />VRC�NT SITE YtCJ <br />Il vE5 fl NJ BUILDING <br />SRE OF BLCG4.1. <br />rwn+owc <br />BRSEMENT M[CHANICFL <br />❑YES fl NU <br />ADDIPONPL PLAN GNECK <br />on�en <br />STATE BUII�ING SURCHAHGE <br />CITY QF EVERETT rue�,ic woaKs <br />LOCALSALES <br />TAX CODE IS 9705 707AL <br />