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p�S ��IK a � rss� <br /> Q►PPLICATION FOI� CONSTRIlC�UNT��rar <br /> CITY OF EVERETT� BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> rl DEMOLITION �l CCMBINATION � BUILDING I� MECHANICAL � 1 PLUMDING f I SIGN <br /> PROJECT ADDRESS <br /> z �o � 3le � 5� � 2E � <br /> �OWNEA MnILAD�RE55 � CITV 21P PHONE /I- <br /> Ll `TDnI /VCJ�Ll'7! Q.C) L�C /iTGI� � � �� ����J� �S � _�`�y�0�pY�1�•�� <br /> TENANT M4ILADDRF.55 f,liY ZIP 'PrNONE V <br /> S-r�eco�... � rrs_2nlA--noNk�. `J55 �r�,t � �� �. Swi��.7� VANGOwVCr gC. CIWhDk �� <br /> FFCNITFGTOPOESIGNEfi �dA1LpDORE55 � Grv ]m PM04E <br /> C>}�.i�T <_0 2p• �O5� Paccn����� FF�wa���i�� 31oD—3(o!o—7�0/ <br /> �GENE�ALGONiP4CTOR MAILAO�RF55 Clrv 71P PNONE SiAtC.uCCYSFa <br /> �v a <br /> A!ECHANICALCONTRACTOR MAILADGRE55 QiY ZIP PHONF STFTEIICENSE� <br /> N � <br /> PUIM�INGCONTRAf.TOR NAILADDRE55 CI11' I�P pHONE STATEUCEIJSE• <br /> CONTRqpT PiiICE OF WORK <br /> HEATING SYSTEM: f l GAS 'SZ ELECTRIC f l <br /> DESCRI9E WORK qN�SOl1ARE FOOTAGE INVOLVED ��-- — COtliACT pEP50N�N�PNONF.NO <br /> S�-cs Pe�v 5k Fn i nl�A.rv�I1S tYia.. G . .1. .�w 3 !n � 7 21,/ <br /> ��e� -� �Gu�a�e B o� �r �t �3t��c> 3G-<<° ;��3 <br /> �1l.D(U(, �$ Z3�p J/J �jG-(1J{-�Q � gQ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> FF'OPOSED USE OF BUILDING APPLICATION AND KIJOW THF. SAME TO BE TRUE ANO CORRECT ALL <br /> QTlG �C N6PJt�"1J��7'h'i�D.t.) PROVISIONS OF LAWS AND ORDINANCES GOVERhING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHE� SPEGFIEU HEP.EIN OR <br /> LEGALDESCRIPTIONOFPROPEfiTV SHOWNAELOWORATTAGNTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES N07 PRESUME TO GIVE <br /> �or eiocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIpN OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPER'Y TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PA(iCEL TAX I.D.NOM�ER CONT CTOFiS LAW 18. RCW AND 296.200 WAC. <br /> . � <br /> � CONSTRUCTION IOAN lENOER.AD�FESS.TEtEPHONE NUMNEB x '3c� "�_ <br /> SIGNATIIRE D�TE <br /> ' CItYBU51NE55LICE [ O <br /> . PLUMBING E MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE ''�� <br /> WATERCLOSET(TOILET) � A/C—A/HNDLGUNITS—H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. - M E.A. <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> 6HOWER � M <br /> KITCHEN SINK&DISP � <br /> DISHWASHER ' � • . �— <br /> LAUNDRYTRAV � <br /> CLOTHES WASHER I rM�� W�S � <br /> URINAL ' <br /> DRINKING FOUNTAIN ti�ever i 5s u P OD BURNING) i <br /> FLOOR DRAIN J )OD BURN�NG) � <br /> BACKFLOW PREVF.NTERS ' I ; <br /> SINK(SERVICE—BAR,ETC.) �u�' �,�/Gr � (�(J� <br /> � � E ��4C, ' <br /> C a,� � <br /> Cs�e ��/zS�y� jnSpt�c.��avt ) ' <br /> SUB TOTAL SUB TOTAL S ; <br /> PERMIT PERMIT $ i <br /> TOTALFEE TOTALFEE 5 ' <br /> FOR OFFICE U�E ONLY: /' p <br /> FRONTSETPACN RF4f15F.TBACN SIDESFTBnCK t'LAt�C11ECNNCMOFP fEF �iECEIP�NO <br /> r0 / U iU ,jZ�/7 � _ <br /> usE zoNe -7 iornaEn vncnNr s re F ES VALUATION FEE <br /> _ C� C_. �s r� No nunnwc ,7ia �� -- �---� <br /> 1 � <br /> HEIGHTLIMITATION � NO OFDWE),IANG SIZEOF�� �� 11„ �'NC ' <br /> IINIlS � � � <br /> _�—— <br /> OCGUPANGV NO O�S�OFiES OCCUPANTlO/D BASEMEN � <br /> �q�pp MECHANIGAL � <br /> t� N ��YES x�o - - _ <br /> FIfiE AIMM R�EO�/'D R[�SON ADDi110NA1.PIAN CH[CK � '� I�,- �� <br /> /w _'�--i-.__._ <br /> OiHEP <br /> FIRFSPRINNI.FRP[OD RF�FON --- <br /> N� srnte nuaoiNc s�mcr�nnce ^ <br /> rvrEovcoNsr atnNsnrrnovFn[ar CITYOFEVERETT �uenr,wones � <br /> �,� JM LOCAL SALES — --- - —�- <br /> ume 2 /!� 'fG TAX CODE IS 3105 TOTAL //� � %:' <br /> . .. ',., . . . , � - <br /> M , <br /> , ..., , � ° , ,,.� .. ,. .s:•_, . ., :�s:_. ;�a� <br /> -0 � : F'r«"..._. . . . <br /> ' � ' � � , _.�.: -.�yti ra�� �. <br /> m <br /> ' ;..: . .. . _ : .z.: ':°, ._ • ^ , <br /> .. .. �� _- — . . " . � _�✓ _ L •wn ue.�_r� i.T] <br />