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.:ITY OF EVERETf • BUILDING DIViSl01. " <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION �SUItDING O MECHANICAL ❑ PLUMBING <br />PROJECT ADDRESS ' Y2� S4 � S+, �' �' <br />TENANT <br />❑ SIGN <br />qTy ZIP PHONE <br />rld /20( � aoo �/��.LL� �xu ItJA �iyy-.� 3�3 <br />CITY 21P PHONE <br />CITY ZIP PHONE <br />GENERAnLM.ONTRAC�^v�IMAI�LJ�'ESS CITY.- - ZIP PHO�EC�I(NTTL7rE�EIOMJ _ <br />CwilN y <br />MECHANICALCONTP.ACTOR MAILAO: AESS CIN ZIP PHONE STATE LICENSE � <br />PLUMBINGCONTRACTOR MAILAUDRESS CITY ZIP PHONE STATELICENSE� <br />l0T <br />33 i t� -� <br />�IC # a2 I U <br />1 USE OF OUILDINO S F <br />�CRIPTION OF PROPERTY (SHOWN 1 <br />r <br />� BLOCK <br />'� n <br />i <br />hds <br />C,� DOo- OgS" b�60 <br />LOAN LENDER, AD�RE55. TELEPHONE NUMBER <br />NO. TYPE OF FIXTURE OR <br />WhfER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE - BAR, ETC.) <br />SUBTOTAL S <br />PERMIT $ <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK REAR SETBACK <br />Z� � �S- <br />USEZONE LOTAREA <br />�S �z< - <br />HEIGHTIJMITATION� UNIT�DWEUJNG <br />? <br />� <br />�oUFANCV NO.OFSTOPIES OCCUPANTLOAD . <br />�.- 2 N�� <br />FIREAURMREO'0 REASON <br />0 <br />FIPE 5 NINKLER RE�'D REASON <br />i� <br />FEE <br />HEATING SYSTEM: �Q GAS ❑ ELECTRIC ❑ <br />G J/C�PERS�n�PiONENO. Iii.:9� RI S� <br />� <br />/ N7.[ UIwIR/Y�Q�-C v77- a� �d <br />t HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />,�'�PIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OP LAWS AND ORDINP,NCES GOVERNINO THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE�ULATIN� CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />X l�c�„�- �, ' .. �(l 81 qy <br />SIGNPTURE b�y � y� DATE T-- <br />CITY BUSINESS LICENSE NO. <br />�MECHANICAL � ` <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />T <br />A/C -A/HNDLG UNITS - H.P. ' <br />FORCED AIR SYSTEMS - B.T.U. M E.A. ; <br />HEAT PUMP ' <br />UNITHEATERS-B.T.U. M ' <br />CLOTHES DRYERS � <br />VENTILATION FAN U il W IA <br />RANGE HOOD � <br />WATER HEATER ' <br />WOOD STOVE ' <br />METAL FIREPLACE (WOOD BURNING) �' � � <br />FIREPLACE INSERT (WOOD BURNING) ! <br />GAS FIREPLACE � <br />GAS RANGE ' <br />GAS PIPING � <br />E%HAUST FAN � <br />/ SIDESET✓BAJCK J / PUN <br />/ � <br />VACANT SITE <br />❑YES ❑ NO <br />Nl1MBER <br />'J BUILOINO <br />SIZE OF BLDG/fl. v��y p�UMBING <br />253 � �FCy� �c <br />BASEMENT i MECHANICAL <br />❑YES LYNO <br />AOOITIONAL PUN CHECK <br />OTHER <br />STATE BUIL�ING SURCHAHGE <br />CRY OF EVEREIT PUBLIC WORKS <br />LOCALSALES <br />/q<-}� TAX CODE IS 3105 TOTAL <br />SUB <br />$ <br />