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_ � <br /> APPLICATIL.d FOR CONSTEicUC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> C7 DEMOLITION C-I COMBINATION BUILDING MECHANICAL Adi PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> ia� o - is �t' !/re.+.ue ST,onoa, E�,�vcrT <��c.� <br /> OWNER MAILAODHE55 CITY 21P PHONE <br /> /9�/l✓E•5,��:702• /NG iaviG �i�'-"��L. k/c .'J'v���Ecc �A�ir ��S ���?1 _ - <br /> 7ENANT �AILA��RF:SS LITY ZIP PHONE <br /> »�c.ra.e.v �evi7 n�rvac �6.�0/�E�e�.v d<�v '�E.•>�.e�W 9P3i/ .9�o dy Z .5�9 S'S <br /> ARCHIT(C O �ESIGNER . M51�.A�URES CITV ZIP PHONE <br /> / <br /> GENERALCON/TR TOR RI�pODPE55 �qiV ZIP PIIONE STATELICF.NSE� <br />� �.e.v� C�'MS/RClETJI�/l� �/NONCN,JiI �i� -3�s/9G�Yo p2�D EG 5 D 9 7 P 2. <br /> MECHANICRLCONTRACTOR MAILADOr7E55 CITV ZIF PHONE STATELICENSE� <br /> PLUMBING CONTRACTOP MAIIADDHESS CITY 21P PHONE STATE LICENSE� <br /> CONTR�CT PPICE OP WORK ' <br /> � /0 O�O� c� HEATING SYSTEM: 17 GAS I 7 ELECTRIC �l <br /> pESCRIBE WORK AND SOURRE FOOTAGE INVOWEO �ONTpCT PERSON ANO PH E NO <br /> .3J' S iT - �1J1Ji'rjON Or CN7 , <br /> BA/.i.�eo.y �=ix>a.�zGs �=.e�s�.�i.wG or <br /> ,�.�TiOit/ lVA�L S� I HEHEBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KN7W THE SAMF TO BE TRUE AND CORRECT.ALL <br /> PROPOSEDUSE OFBUILDING a PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> S C.t7S C>A� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALUESCRIPTIONOFPROPERNISHOWNBELOWIXiARPCHTWOCOPIES) NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> �oi BLOCK oF AUTriORITV TO VIO!.ATE OR CANCEL 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 PERFOFM THE WORK FOR WHICH . <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> P�RCELTA%I.D.NUMBER � CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ,�a.! ' 06l_Oc�� - Ooo <br /> CONSTRUCTION LONN LENDFA.AD�PESS.TEIEPHONE NUMBEH X�����-Cl�GU �n��/SS <br /> � SIGNATURE DATE <br /> � CITY BUSINE55 UCENSE NO. <br /> � P1.UM81NG MECNANICAL � <br /> N . TYPE OF FlXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> ' ,Q, WATERCLOSE?(TOILET) � A/C—A/HNDLGUNITS—H.P. ' , <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � . <br /> HOWER ' UNIT HEATERS—B.T.U. M ' <br /> CHEN SINK 8 DISP i CLOTHES DRYERS � <br /> DI WASHER � VENTILATION FAN ' __ <br /> LAU RY TRAV ; RANGE HOOD � <br /> T' <br /> CLOT S WASHER � WATER HEATER <br /> URINAL � ' � WOOD STOVE ' <br /> DRINKIN OUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DR N � FIFEPLACE INSERT(WOOD BURNING) ' <br /> BACKPLOW EVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE BAR,ETC.) GAS RAIJGE ' • <br /> � GAS PIPING � <br /> � � EXHAUST FAN � <br /> � <br /> � <br /> � , <br /> � - <br /> ' � <br /> SUB TOTAL $ � SUB TOTAL $ ; _ <br /> RMIT $ � PERMIT $ � <br /> T AL FEE $ � TOTAL FEF $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETflACK RF.AR SETBACN SIOE SETBACN �l AN CI�CK N�M�� �EF � � n RECEIPT NO <br /> !L' <br /> USE ZONE l0T AREA VRCANT SIIE FEES ALUATION FEE <br /> f 1 YES f 1 NO BUIDING I(,7�O� i � <br /> HEIGHT LIMITATION NO OF DWEILING SIZE OF BL�G�f I � <br /> UNIfS � �SO P�UMpING _ ' <br /> T <br /> OCCUPANCY NJ OFSIOp�ES OCCUPqNT LORO BPSEMENT MECIInNICAI. <br /> CR UP T / / r� � � <br /> ,, v� fIYES YINO � <br /> PIRE A RM FEO'D RFAS/O�N n AfIDIiIONPI PLAN CHf:CN __ <br /> �i�S l. �ty Qv`��"`/���1 O7HE�i <br /> FIPF SPRINNI R REO'D RFASGN :� <br /> O $T�TE OUIl01NG$URCN4fiGE L < <br /> TYPEOFf,ONST PIANSAPPRIOVF.D9Y CITVOFEVERETT �IIDIJCWORKS � <br /> /`1/ �l� q LOCAL SALES — — ���, <br /> II� " v DATE J� I- - /� TAX CODE IS 3105 TOTAL � <br />