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. <br /> I��F�LICAT�C._J F�R CONSTRIlC7 _3i�1 i9E�iN�IT <br /> CITI' OF [VERETf• BUILDING DIViSION <br /> 3200 CEDAR STREET• EVERETT, W/,98201 �25S-0810 <br /> ❑ DEMOLITION fl COMBINATION j�Q BUILDING 11 MECHANICAL i 1 PLUMBING i] SIGN <br /> PRQJECT ADDRESS <br /> SIO y -lyb 5T ��tif�7 i , U1f� 9�zU3 <br /> ownEn unanoon�ss cirv zir ri+ose <br /> Guwln��wiS1t712E ,j IU '-I'!�-`` ST. �VERT QFl2e9 Z52-1�7 �5 <br /> TENIINT MAILAOUt1E55 CIIY llP PIIONE <br /> ARCHITECTORDESIGNER MNL0.0�RESS GRY 21P PIIONE <br /> � QW NE1t.. <br /> GENERALCONIR�C70R MNLAJORESS GtY ZL^ PIIGI.G STATELICENSEI <br /> �unuEo.CR�wFu[D iu� �f8�y i=owc£:f' � ��£,t£7T qFs2o3 a,$9-812Z C-(ool -Zyy-qzl <br /> MECNANIG��CONTHACTOti M41lA0DRE55 CITY ZIP PHONE STATELICENSEN <br /> NouE I <br /> PLUM�INOCONTPACTOfl M�ILAOUPE55 CIN ZIP PIIONE STi�TELICENSEM <br /> NoN"E <br /> C NTRRCTPRICE F ORN � <br /> ?ySUO�' HEATING SYSTEM: I�GAS f� ELECTRIC O_ <br /> DESCRIDE WORK ANO 50UME°OOTAGE INVOLVEU CONiAC�PFRSON AN�PHONE N0. <br /> (LE{MODEL E�iSTi�uG GI¢+tA3E.,. + /t'U� 13�nSF "[�LI�NC Q �CIL'�M1WFOti'77 LSry��IZL <br /> To 6n�enGE � AA� oPe�u eARPo27" �n��ao,_ <br /> ��l X LQ 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMIIJED THIS <br /> APPLICATI�JN�ND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF DUILUINO PROVISIONS OF LAWS AND ORDINANCES GOl'ERNING THIS TYPE OF <br /> (L£S fDE/JTl+1 L WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �ecn�oescmanor+orenerEnnisi{owNOE�owonnnnctiiwocoriEs� NOT. THE GFANTING OF A PERMIT DOES NOT PR[SUtv1E TO GNE <br /> �or _o�ocrc oF AUTHORITY TO VIOLATE OR CANCEL THF_ PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULA�ING CONSTi7UCTI0N OR THE <br /> � SE�C 3 I Tlt1� 2 q 2�E o 5 W �O FT OF �� � �f PERFORMANCE OF CONSTRUCTIGN.THAT I nM AUTHORIZED DY THE <br /> OWNER OF THI.i PR.'�PEf7TY TO ERFORM THG WORI( FOR WHICH <br /> SE I�y (pOVT LOT 3 �EfS S 132•S� �f55 N IO�T ICA710N IS MADE AN ��I COMPLY WITH THE STATE <br /> PARCEITlJ(I.O.Nl1M0ER . CONTRA R LAW18.27ACW D'296200WAC. <br /> 3i24a�S - 3 - css-aoo3 <br /> COGSTRUCiIONLOANLENDGI1,A00PE55,TELEPHONENUMOER X �"�� ,5 <br /> SIGNFIU DATE <br /> CITY BUSWESS LICENS[NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDIG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTE6iS—�.T.U. M E.A. ; <br /> LAVATORY(WASH�ASIN) � HEAT PUMP �— <br /> SHOWER ' UNIT HEATER'i—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DIIYERS i <br /> DISHWASH[R � VENTILATION fAN � <br /> LAUNDRY TRAY ; RANGE FIOOD ' <br /> i <br /> CLOTHES WASHEF � WATER HEATER � <br /> URINAL ' WOOU STO�'E ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOF DRAM � FlFEPLACE INSERT(WOOD�URNING) � <br /> BACKFLON�PREVEIJTERS ; GAS FIREPLAC[ � <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE � <br /> — i <br /> GAS PIPING � <br /> i EXHl1UST FI1N i <br /> � , — <br /> SUB TOTAL $ ; SUB TOTAL S ; <br /> PERAIIT $ i PERMIT $ —�- <br /> TOTAL FEE S ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: �y'/-�5 �'�':� , — �N1�'i �/ � • ��. <br /> FRONT SETBACK REAR SETD�CK� SI�E SETO�CN PLAN CIIECK Nl1M0ER FEE REC[IPT NO. <br /> 2u' zv S' </�(.,,:,� /���i�� �/%'_>`-��� <br /> usezor+e �ornnen vncnrirsre FEES VALUATION FEE <br /> �- I n// [I oo nves yfNo nuaoirvc /S 2 ` (.� I�J`r <br /> HEIGIRLIMITPTION NO.OFDWHI.LING SIZEOFOL�GRI. i <br /> u� � uNirs 3GD SF CqR.�a�i + rwrnowo =� <br /> 2U � 36F3SF G, �� �i� <br /> OCWPANCY NO.OFSTORIES OCCUPM1NTLOAD OASEMENT � M[GHqNICAI <br /> GROX'UP � / I `� A ❑YES l4�N0 � <br /> �V �DUIPON�I.PLAN CHECK --�� <br /> FI(iEALAFMPEO'D REASON _i_ <br /> Ot11EA � <br /> FIRE SPRINKLER REO'D PEASON i <br /> STAiE O111L01NG SURCIIAfiGE � ��7�� <br /> iL_ <br /> TYPEOFCONST PLANS�PPROVEp BY CITYOFEVERETT PU�.ICWORKS --� <br /> `Ji�" LOCAL SALES �-- <br /> �'� onlc 5' i°f��5 TAX CODE IS 3105 TO7AL _ ? �� <br /> ,_..._...- -- �. _. _ :��� -_ . '= � lh1�"<.._ _. „ � ,.. <br /> � -- ... . . . c�x,�`sc�� , ��.5� <br /> ,� ( 1. <br /> .l , I i:Jekq <br />