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_ _ <br /> APPLICATIG.�i FOR CONSTRUCT .JI�f PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVEFETT, WA 98201 • 259-8810 <br /> �l DEMOLITION �l COMBINATION f 1 BUILDING �l f, ;=CHANICAL LUMBING rl SIGN <br /> PROJECT A�DRESS �OS D� <br /> OWNER MAILAOO�iF55 CITY ZIP fHONE <br /> �/u iJtnHe�.,c 3vlmEds�/akF A,,w r- *k2m� SPcz�Fflr 9��f6L 32.4_ ��� <br /> TEN�N MAILAOOFE55 CITY ZIP PHONE <br /> ARCHITECTORDESIGNER MAILAODFESS Cltt 7.IP PHONE <br /> GENERALCONTRACTOR MAILAODRE55 CITV 21P PHO4E STATELICENSEa <br /> MECMFNICALCONTRACTCF �AFILADORESS CITV ZIP PHONE STATEUCENSEx <br /> PLl1MBINGGONTRACTOP. MAI�AOORESS QTY ZIP PHONE STATELIGENSEN <br /> , � � , `I -2 6 <br /> CONif1FCT PRICE OF WORK <br /> HEATING SYSTEM: fl GAS Cl ELECTRIC Ll <br /> DESCRIBE WOFK AND$OUARE FOOTAGE INVOLVED CONTACT PERSON FND PHONG N0. <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PFOPOSEDUSEOFBUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING Tf115 TYPE OF , <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> I.EGALDESCRIPTIONOFP��OPERTY�SHOWNBELOWORATTGCMTVJOGOPIES) NOT. THE GRP.NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or BLOCN oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAN/REGULATING CGNSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZE9 BY ThIE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STAT� <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> PAflGELTAXI.D,NUM9ER <br /> / <br /> CONSTRIICTION LOAN LENDER,AODRESS.TELEPHO4E NUMBER x i <br /> ATUR[ AT <br /> i <br /> / � /i �^✓�� �� CIiVB INESSLIG NSENO. <br /> C � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEPd FEE NO. TYPE OF FlXTURE OH ITEM FEE <br /> ' WATER CLOSET(TOILET) � A/C—N'HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCFD AIR SYSTEMS—B.T.U. M E.A. ' � <br /> �"' LAVATORY(WASH 6ASIN) i H[AT PUMP ' <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK&DISP ; CLOTHES ORYERS � <br /> DISIiWASHER � VENTILATION FAN ' <br /> LAUNORY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER ' <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR, ETCJ � GAS RANGE ' <br /> � GAS PIPING � <br /> i EXHAUST FAN � <br /> � '�_ <br /> - i � <br /> i <br /> SUB TOTAL 3 ; SUB TOTAL S ; <br /> PEFiMIT S � PERMIT S � <br /> TOTAL FEE $ � TOTAL FEE S ' <br /> FOR OFFICE USE C::JL.'!: <br /> FRONTSETBAf.K REARSETBACN SI�ESETBACN PLANCHE�KaUM110EP� FEE PECEIPTNO. <br /> 4�:b <br /> usEzoNE LOTAREA VACFNTSITE FEES VALUATION FEE <br /> nves ❑ No em�oiNc I <br /> Hf:IGHTLIMITATION NO.OFDWEWNG SIZEOFBIDGRI. � <br /> i <br /> UNITS p�UMPWG � <br /> OCCUPANCY NOAFSTORIES OGCUPANTLOAD BASEMENT � <br /> MECNANICAI. i <br /> GFOUP <br /> ❑VES C7 NO � <br /> FIREALAPMREO'C FEASON A�OITIONAIPLANCHECH � _ <br /> i <br /> OTHER i <br /> FIRE SPRINKLER REO'D REASON i <br /> STATE BUILDING SURCHARGE � <br /> TVPE OF CONST PIANS APPPOVED BV CITY OF EVERETT PU9LIC WORKS � <br /> LOCALSALES ; <br /> DATE TAX CODE IS 3105 TOTAL ' <br /> -. .. . , <br /> _ . '•+«w� . � . . .. :..'. ..- . <br /> .. ._l".Y � . ..�:�s0''a's . . NWA .��._.: ...�..,: . .....- �. - ... - ... � iwa�M1�� <br /> r <br /> . . ... :_..�«.J .m r'a .vh:�.... .. ... .- . . , . <br /> ' .:':_. �.�_. .;. .�.. . . __`_ . . ..� �� �, �:�' <br /> � <br /> _ .. . ' •.. r. . <br /> ` __ . ___ --_�- _. _ i_ .___.. _�__._ __...___ _�_.� ` .af�_ __- _—ei. <br />