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t3 S 331 ,., <br /> APPLICATION FOR CONSTRUCTI�lN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION / <br /> 320D CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> p DEMOLITION ❑ COM@INATION C] BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br /> PROJECTADDRESS:� O�_ �j/�Tipae� Cv-p✓y l{ 9��y^3 <br /> � <br /> ,1 .D !� l�P_cvP �oqzo .vr 3�M L�,.-�./. �'s- KiQKL�4N1.1 w.+ 7.3�-a9// <br /> OMMER MeRADIX1E55 Cltt Im PNONE <br /> —Kl�LLS i=A,2Go <br /> TENANT Y�IIADpf1(SS GfY Ilv M�ONE <br /> ARCHITECT OR DESIGNFR M�R A�URE55 CIiY )in PHONE <br /> .�cW o r'�' C�orP <br /> CENEIUICONTR�CIOR M�IL Df1E55 CIIY �—� )IP PIIONE SIA1ElICENSE� <br /> �rryc_Q� �.�� /qo29- ir��f� s-� .5�.� _ rv,a Q�ayo �����fo ,�,�t ,�o,�B.� <br /> MECNANICALCONTR�CTOR Mu�A0DRE55 f.ltt IIP PIIONE SIATEUCENSE/ <br /> PWMBINGCONTPACTOq MMl�00RE55 CI�Y IIP PHONE STATEUCENSE� <br /> CONTMCT PRICE OF WdiK <br /> HEATING SYSTEM: D GAS ❑ ELECTRIC ❑ <br /> OESCRIBE NORK AND SOUARE f00T�fiE INVOlVEO LON1�Ci PFRSON�NO PHONE NO. <br /> I HI:REDY CERTIFY THAT I HAVE READ ANO E%AMINEO TItIS <br /> V110POSED USE OF BUIlDINO APPIICAT10N AND NNOW THE SAME TO BE TRUE AND CORflECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEF.NING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETFiER SrECIFIEO HEREIN OH <br /> LEC�LOESC1iIPTIONOiPilppEpTY($IqNNBE�OWORATTACHTWpCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioi eiocK ov AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNFR OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH <br /> APPIICATION IS MADE AND I COMPLY WITH TME STATE <br /> PARCElL1X1.D.MlYBEq CONTRACTORS lAW iB27 RC AND 296.200 WAC. <br /> COHSTRVLTION lOM!LENOEP,�OORESS.fELEPNONE NUMBER x <br /> SIGN�TURE U�TE <br /> CITY BUSiNE55 LICENSE NO <br /> � PLUMBIN6 <br /> • + MECFiANICAL <br /> � � NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EpUIPMENT FEE <br /> � WATEH ClOSET(TOILEn � A/C—AMNDLO UNITS T— <br /> BATMTUB ' FORCED AIR SYSTEMS ' <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATERS � <br /> / KITCHEN SINK 6 DISP ; CLOTHES ORYERS ; <br /> DISHWASHER � RANGEHOpD � <br /> LAUNDRV TRAY ; WATER HEATER ' ' <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL � ME7ALFIREPLACE(WOODBURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSEflT(WOOD BURNING) i <br /> FLOOq DRAIN � GAS FIREPLACE i <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> / SINK(SERVICE—BAR,ETC.) � GAS PIPING <br /> EXHAUSTFAN ' <br /> � <br /> � � <br /> � � <br /> � � <br /> SUBTOTAL S ; SUBTOTAL f ; . <br /> PERMIT S r PERMIT S � <br /> TOTAL FEE S � TOTAL FEE f ' <br /> FOR OFFICE USE C:�LY: <br /> FRONT SETB�LN pE�R SETB�GK SIDE SFT9�CN �l�N CIIELN NUMPEf1 FEF RECEIP�NO <br /> ��3 <br /> USE20HE ioren¢n VAC�NISIfE FEES VALUATION FEE <br /> — ❑YES ❑NO �UIIC�:Nfi � <br /> HEIOHT IIMITATION NO OF DwELUNG SRE OF BICOrtI <br /> UNIiG PlI1M111NG i <br /> � <br /> OCCUPANCr ND OiSfOWFS OCCUP�NTLO�D B�SEMEN7 MELM�NICM � <br /> GRWP <br /> ❑YES ❑NO <br /> FIRESPRINNLERPEO'D RE�SON �OOIII�NA�PUNCnf.LN <br /> on�En <br /> FIPE/�1MMPE0'0 RE�SpN <br /> SIAIE O111101NG SIIOCIUpGE <br /> TYPEOFf,ONSi PLAHS�PPPOVEOBY CITYOFEVEREIT �IIq11f,W0�N5 � <br /> LOCAL SALES —''— <br /> o��E TAX CODE IS 3705 TO7AL I <br />