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... <br />APPLICATItiPI FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUIL�ING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />� DEMOLITION �l COMBINATION I-1 BUILDING fl MECHANICAL �� PLUMBING fl SIGN <br />PROJECT ADDRESS <br />2011 33rd St, Everett WA 98201 <br />OWNER MAI�ADDRESS CITY ZIP PNONE <br />Stanley Price 3401 1t�lalip Av Everett 98201 (206) 252-4232 <br />IENPNT MRILAODAF.SS CITY 21P PHONE <br />Acterlev 3601 'th Av S Seattle 98134 (206) 682-3833 <br />ARCHIiECT OR DES�GNER MRII. A�DFE55 CITY T��' �MONE <br />N/A <br />GENEMIGONTRACTOR MAILAUORESS CtlV ZIP PIIONE SiATELIC[NSE� <br />Acterley (saue as above) ACRERC *245JR <br />MECNANICAL CONTRACTOR MAIL ADDHE55 GITV ZIP PIIONE STFTE UCENSE � <br />PL�A CONTPAGTOR MAIL ADORE55 GIIY 21P PHONE STATE LICENSE � <br />WORN <br />FOOTAGEINVOlVEO <br />BELOW OR ATTRCH T WO COPIES� <br />�p7� R�i BLOCN 763 <br />PMCEL TNf I.D. <br />CONSTPUGTION LOAN LENOER. AODRE55. TELEPNONE NUMBER <br />PLUMBING <br />NO. TYPE OF <br />WATEFi CLOSET � <br />BATHTUB <br />LAVATORY(WASI <br />KITCHEN SINK 8 DISP <br />CIOTHES WASHER <br />DRINKING FOL <br />FLOOR DRAIN <br />SINK (SERVICE — <br />OR ITEM <br />SUB TOTAL $ <br />PERMIT f <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FqONT SETflACN REAF SF.TB/.CN SIOE SE7BpCK <br />USE ZONE LOTARE/ VACFNI SITE <br />f1YE5 <br />NEIGHTLIC.ITATION NO.OFDWELLING SI2EOFBLDGRI <br />UNITS <br />OCCUPANT <br />AEO'D <br />HEATING SYSTEM: CI GAS �l ELECTRIC <br />CONTACTVERSONpNDPMCNENO, <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES fJOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCFI THE PROVISION 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 PROPERTY TO PER�M THE WORK FOR WHICH <br />APPLICATION IS MADE AND I PLY WITH THE STATE <br />CONT9AC7l]2S LAW 1827 RCW AND 2 00 WAC. <br />CITVBUSINESSLICENSENO. �_) <br />MECHANICAL <br />FEE NO. TYPEOF�ECUIPMENT FEE <br />� A/C—AIHNDLGUNRS—H.P. <br />� FORCED AIR SYSTEMS — B.T.U. M E.A. <br />, HEAT PUMP <br />� UNIT NEATEHS — B.T.U. M <br />� CLOTHES DRYERS <br />� VENTILATION FAN <br />0 <br />fiNO <br />IIYES II d0 <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLA( <br />FIREPLACE INSE <br />GAS FIPEPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />PLAN CIIECN NUMOER <br />pUILDING <br />P W MOING <br />MPCIIqNICAL <br />MD�710NA1. PLAN C��FCN <br />OTIIEP <br />STATE aWIDIYf. SURCINRGE <br />CITY OF EVERFif � runnr,wonKs <br />LOCALSALEF; <br />TAX ..ODE IS .',IOS TOTAL <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE $ <br />FEF. RECEIPTNO. <br />