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_ ,-. <br /> APPLICATIt�N FOR CONSTRUC7 iON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVEFETT, WA 98201 •259-8810 <br /> CI DEMOLITION fl COMBINATION BUILDING fl MECHANICAL � PLUMBING fl SIGN <br /> PROJECY ADDRESS <br /> OWNEH MRRA009E55 , � CITY ZIP PHONE <br /> _�.� (���-.r 3(0�� d�tr� Eu��—_ ,�s�- t�7 91 <br /> TENANT MAILROORESS CITY 21P PMONE <br /> � K^� <br /> ARCNIIECT OR UESIGNER MRIL ADDRESS CIN ZP PNONE <br /> GENERALCONRiACTOR MRILA�URESS CI7Y 21P PIIONE StATELICENSE� <br /> lr�rsen-, �5�" ISXiJ� ��4►`'�5�"�l�' �rio�xrrxsl� 1�a9n �3�1-�1�33 L�.'SE� tot J�N/ <br /> MECHANICAL CONTRACTOR MAIL R DRE55 CITY ZIP PHONE STnTE UCENSE� <br /> PLUMBINGCON7 A TOR � MRILADORE55 CITV 21P PY.ONE STAiE.!�ENSE� <br /> t D 3�'y,�37 :� , . <br /> CONTRRCTPRICE�FWORK ' ,/,` ��� nJ HEATING SYSTEM: C1GAS LECTRIC f� <br /> J1 <br /> DESCHIBF WpqK AND SOUFRE FOOTPGE INVOLVEO �ONTALT PEFSON ANO PMONE N0. <br /> _� �� S � — ✓ , � _ke 3H-773� _ <br /> . <br /> e vm6i - � <br /> . ., �, . I HEREBY CERTiFY THAT I HAVE READ AND EXAMINED THIS <br />� APPLICATION AND KNOW THF SAME TO BE TRUE AND CORRECT ALL <br /> raocoseo use oF auitoiNc �, pqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />� '+ WORK 1'�IILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />� . ' LEGALDESCf11PTIONOFPROPERTY(SHO �e�ow ATTRCM7WOCOPIE � � � NOT Tt�E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> I� . �� � . ior�BLOCK 53�, oF < AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> . ���� ���fc ��`� •� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERfORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br />! C OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> I! '�� � � APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� <br /> i . — CONTFACTORS LAW 1827 FCW AND 296200 WAC. <br /> "��E`T,��.�%%�- h3Z �/.3�G3v <br />' � `,7''/_!� ,G.... a�8"'�7 <br /> CONSTRUCTON�Q�NIENOER.ADORESS.TFLEPHCNENl1MBER X <br /> I. . � /' �_� � 1 J _ SIGNATURE MTE <br /> Vl7�t <br /> CITV 6U5iNE55 LICENSF.NO. � S � <br /> , � PLUM@ING MECHANICAL <br /> � NO. TYPE OF fl7RURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> � WATERCLOSE?(TOILET) � A/C—AIFiNDLGUNITS—H.P. ' <br /> � BATHTUB ; FOFCEG AIR SYSTEMS—B.T.U. M E.A. � <br /> � LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> � KITCHEN SINK 8 DISP � CLOTHES DRYERS _�_ <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER ' <br /> URINAL <br /> � WOOD STOVE � <br /> ' METAL FIREPLACE(WOOD BUFNING) � <br /> DRINKING FOUNTAIN � <br /> PLOOR DRAIN � FIREPLACE INSERT(WOOD DURNING) ' <br /> GAS FIREPLACE � <br /> BACKFLOW PREVENTERS � � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE ' <br /> � GAS PIPING <br /> � <br /> � EXHAUSTPAN � _ <br /> � ' <br /> � � <br /> i <br /> � � <br /> SUB TOTAL $ � SUB TOTAL $ � <br /> PERM�T $ PERMIT 8 � <br /> � <br /> TOTALFEE 3 � TOTAIFEE S ' <br /> FOR OFFICE USE ONLY: �` 7�5.�°/1-Q�� �� -��� �� �G 2-�v <br /> FRONT SFTPpCN PE $FTPACK SI�E SETBRCN �LAN CIIECK NU j�j.�/ FEFj�/], ^� <br /> RECEIPT NO <br /> 5 b �`9 y <br /> USE ZO E ' lOT AREA VRCANi 51TE FEES VALUATION FEE I <br /> fIVES fi NO � � � <br /> -a o�,����N� 398 �- �o ��' <br /> HEIGHT LIMITFTION NO OP UWEILING S�ZE OF BLDGRI � <br /> llNliti UZZ AI �i( �F ����M91NG i <br /> OCCUPFNCY NO Oi510AIE5 OCCUPANTLOA� BASEMENi MEfHnNICAI � <br /> GROUP 1 <br /> � f1vE5 1 O � <br /> ADD�710N�1 FL/.N G��F.CN <br /> FIREALARMNEOD RF.ASO.Y -- T <br /> OTNE(i � <br /> FIRESPRINNIERREO'D REAFON �� <br /> SiAIE BUIl01NG SURf,HMGE �' <br /> _-� <br /> TYPFOPCONST PlANSAPPPOVEDBV dTYOFEVERETT �UALIf,WORKS <br /> '" � LOCAL SALES <br /> —�v ome 3 �I TAX CODE IS 3105 TO7AL / � � i <br />