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AP�i.ICATIC�J F0�3 CO�1S'TRUC7 3N PER04A14 <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ' ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: �v 'F �p j C��� / ��,f�✓c S- E, �✓���� �,�/73� <br /> r�Ep Mu��ooaess c+tt z�r r��orve <br /> ��� A�2QA�� Z�z�� a c.,.,�,. �� �.��y�.,w:;..A 9�36 �Gb� -T�17'Fi7m0 <br /> TENMJT '^ MNL/�Dd1E55 i1Y !IP PnONE <br /> {�� <br /> MGN ECTOiiDESIGNER MNIADORE55 CIfY —"--- 711' P1104F <br /> l��s�a� l.�-,�5 M���, ��.� ��.rfl .--`�szu.� Zv�) 353 -m53/ <br /> 6ENERAL TMCTIXi MAILADDRE55 f.111' 7��' ��IONE SfATEUGENSE/ <br /> E�KTi2lcJll. Z9��i�I� C���ul������� ��.r�3� 7�r6��� ��Ec�rc��rE <br /> ����oli J inlY, J�,.mYSn♦ <br /> MELH MCTOR MIUL ADOilE55 GtY 711` PIIONE STATE LICENSE� <br /> �Ka���r��ruas 2�2�� _/3 L-�co �-�t�14w ���ct� `I�3h 7�7-67� E4ELT�'(, Z(o�J E <br /> %UGBIMC CONTRACTOq N�ILAODPE55 IIY 111' P��ONE STATE IICENSE/ <br /> �crr��cN� � J„ �'yc-z� q '�3� 7�I�7-��IUo F1.EL1`EGZ(�USE i <br /> c_„cQ,� l�wr����v5 Z9ZO_ R l�nJ <br /> CONTMLTPWCEOFWORN � � '_ 'i <br /> �/Q p�� Uv p,,�t G�K..�+✓e.( ftn ��4s��cl IiEATING SYSTEM: �GAS ❑ELECTRIC ❑ 3 .— <br /> ' OESL EWOIiK NOSOU�REFOOT�GEINVOWED f.ONi�f.TPC1150N�NOPHO11EN0 �E/� <br /> Al�,.�l� �� �33Y S� ��� s�`�� uf�i TottNscY�J_(ZVV`t�37-y733 33f3-6evo <br /> 2ca. y�ii�iq� nel s«.tc v I�H zub 7&'7-b�vu <br />, 7 ��� //S 7 I HEREBY CEfiTIFf THAT I HA1rE READ AND E%AMINED THIS <br /> �L--- APPLICATION AND KNOW THE SAMc TO BE TRUE AND CORRECT ALL q <br /> vnoroseo use aa eui}araL !I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> (�AJ a�ty'J/NCT��� u /G ' �"t 1 ��I� WORK WILL BE COMPLIED WITH 'NHETHER SPECIFIED HEREIN OR � <br /> iccu�pesaurt�onovpnov¢ntt(sWwneE�o an� �curwocor NOT. THE ORANTING OF A PERN,IT DOES NOT PRESUME TO GIVE i <br /> ior v ewGc oF �� �_ AUTHORITY TO VIOIATE OR i:ANCEL THE PROVISION �F ANY <br /> �� OTHER STATE QR LOCAL LAW REGULATINCa CONSTRUCTION OR THE <br /> PERFORMANCF OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER Of THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS MADE AND I COMPLY WITH THc STATE <br /> - CONTRACTORS LAW 1827 AND 296200 WAC. � <br />� VAqCELTA1fI.D.NUMBER <br /> �pN�555���'qqq^���TIqILOMllrENOER.A0p1E5 TELEY110NENUMBEP X � �'•n � � �� � <br /> �����/� TI C� �NI� �� ��� SION UR-t� DAIE <br /> ' �(�v(ZG( L M��-L ��� CIIV BU&NF.55 UCENSE NO <br /> � PLUMBINQ MECHANICAL ; <br /> . NO. TYPE OF FlI(TURE OH ITEM FEE � NO. TYPE OF EOUIPMENT FEE .i <br /> � WATER CLOSET(TOILEn _' NC-AMNOLQ UNfTS �_ s� <br /> BATH?UB ; FORCEDAIRSYSTEMS � �� <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' '�� <br /> SHOWER ' UNITHEATEHS � <br /> � KITCHEN SINK 8 DISP � CLOTHES DRVERS � �� <br /> 1 DISHWASHER � RANGEHOOD � ' ';� <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHEu WASHER � WOOD STOVE ' ! <br /> URINAL L METAL FIREPLACE�NOOD BURNING) � <br /> pRINKING F6UNTAIN i FIREPLACE INSERT(WOOD BURNING) _� <br /> � GAS FIREPLACE ' <br /> FI.00R DRAIN , <br /> i <br /> BACKFLOW PREVENTERS i ��NGE _�_ , <br /> SINK(SERVICE-BAR.ETC.) �— GAS PIPING ' ,�S <br /> � EXHAUSTFAN � � <br /> � �� <br /> i � <br /> i <br /> � i <br /> � <br /> , - -"-� , i, <br /> _ ' � ;i <br /> � <br /> i� <br /> � � <br /> SUB TOTAL S ; SUB TOTAL t �_ <br /> PERMIT S � PEHMIT S � ���,J <br /> � TOTALFEE S ' TOTALFEE S ' <br /> FOFi OFFICE USE ONLY: S <br /> �O PIANC.11F.f.N I�f� fFF fIFCE1PTN0 <br /> FIIONT SETBACN NEM SETBAC1c SI�E SETB�C O �� <br /> use iOMe � �OT�RE� vecu+T s � FEES VALUATION — FEE <br /> �� YES ❑ No ouurnr�c^-- --�D O �. <br /> HEI611T UMITATION UNII��ELUNG 512E OF BIUGrtI I'I UMIIINIi �_1S �D� <br /> ?j676 8'I6 S f — , <br /> OCCUPANCY NO Of 51(WES OCCUPAN7 LOAD B�S MEN7 . / MECII�NICAI �,�.0 i OO <br /> GR�WfP ❑YES E�� —' — _---' � <br /> '1 U' --- AODIIIpN��.PIFNC���CR _ <br /> FIRE iUNKLENRE�'D FE�SON _ _-- --- � <br /> i <br /> qlllfn � <br /> FIREMMMREO'D NEASON L � S-T7 <br /> S�A1E01111f/1NG511PC1utiGE �' � <br /> __ r— <br /> TYPE OF f,ONST PLANS APPROVE�B CITY OF EVEREST runue wonres „�(��d C� <br /> LOCAL SALES 'i � � <br /> o�re 3 9 TAX CODE IS 31G5 TOTAL _ ' <br /> - _-_�_ ----'---... <br />