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w� r� <br /> APPLICATIOrI FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION fl 'JOMBINATION I-1 BUILDING fl MECHANICAL � 1 PLUMBING f l SIGN <br /> PROJECT ADDRESS <br /> //D/� /�'�`' �J2 S� <br /> p9tlVFp / / "'f MAILADDRESS CITY 21P PHONE <br /> \�%'v,j vL <br /> TEN NT 1 ^ ��I�41LADpPE55 Cltt 21P t'NONE <br /> �����N � �-✓ <br /> ARCHITECTOR�ESIGNER NAILAOORE55 CI1V ZIP PNONE <br />� GENERALCONiBACTOR MnILnDORES$ CIIY ZIP PNON[ S�ATEIICENSE� <br /> MECHNNICALGONTR�CTOR MAILAODRESS CIN DP PHONE STATELICENSE� <br /> PLUMBIN ONiRACTOR MAIIpDUR S CI�1' 21P PHONE STAiEIICENSE• <br /> I� C ,�-t � H <br /> CONTRRCT PRI Of WORN <br /> HEATING SYSTEM: f 1 GAS fl ELECTiiIC rl__ <br /> OESCPIBE VJ09K ANO SOUARE FOOTr1GE INVOLVED CONTaCT PEPSON�ND PNONF N0. <br /> U �...6� � 7- �� III <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> PROPOSEO USE OF BUILOING PpOVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGRLDESGRIPTIONOFPROPEflTY�SHOWNBEIOWORATTACNTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> wr ei.ocK oF AUTHORITY TO VIOLATE 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 PERFORM THE WORK FOR WIiICH � <br /> APPLICATION IS MADE AND I �OMPLY WITH THE STATF <br /> VARCELtAXI.O.NUMBER CONTRACTORS LAW 18.27 RCW NND 296.200 WAC. <br /> CONS�HUCTIONIOANLENOER.AD�RE55.TELEPHONENUMBER x IZ-L�_i� <br /> SIGNATIIRE OATE <br /> � CITY BUSINE55 LICENSE NO. <br /> � PLUMBING MECHANICAL � <br /> NO. TYPE OF FUCTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> � WATERCLOSET(TOILET) � A/C—IVHNDLGUNITS—H.P. ' - <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> � LAVATORY(WASH BASii 1) � HEAT PUMP �— <br /> SHOWER ' UNITHEATERS—B.T.U. M ' <br /> K;TCHEN SINK&DIFp ; CLOTHES DRYERS � <br /> DISHWASHER � VENTILAT�ON FAN ' <br /> LAUNDRY TRAV ; RANGE HOOD � _ <br /> CLOTHES WASHER WATER HEATER <br /> URINAL WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BUFiNING) ' <br /> BACKFLOW PREVENTERS ; GASPIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> � GAS PIPING ; <br /> i EXHAUST FAN i <br /> i ' <br /> � � <br /> T— <br /> 1 � <br /> SUB TOTAL $ ; SUB TOTAL 5 ; <br /> PERMIT S � PERMIT S � <br /> TOTALFEE $ � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> PRONiSF.TPALN fiE4R SETBACN SI�E SEi�ACN �l�N CRECK NU1AfifR FEE NfCFIPi NO <br /> �� J� <br /> usezoNe iotnnen VRCANi51�F. PEES VALUATION FEE <br /> nves �'� �o ouaon+r, � <br /> � <br /> � <br /> HEIG/IT LIMITATION NO OF pWELLING 52E OF 9lDG/TI <br /> IINItS p��)MOING <br /> - T <br /> OCGUPANGV NO Of StOmB OCGUPANi LOAO BASEMENi MEC11nNIC�t ' <br /> GROl1P <br /> � <br /> 17YE5 11 KO � <br /> FIRERLMA/REOD RfASCN ApDI110NAI.PIANCHF.f.K i <br /> T� <br /> ����E{� <br /> FinEsnniNK�EnnFo�n nrnror+ — <br /> s*me sunnn:c sunu�nnr,e <br /> tvreorr.otisi rinrusnrvnoveonv CITYOFEVERETT ru�iir.wonKs <br /> LOCAL SALES -- — — <br /> „�,E TAX CODE IS 3105 7o7A� � <br />