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. _ <br /> APPLICATIGrd FOR CONSTRUCT�ON PFRMIT <br /> CITY OF EVERETT• BUILDING DI'JISION <br /> 3200 CEDAR STREET• EVEAETT, WA 9820f •259-B81Q <br /> fl DEMOLITION I-1 COMBINATION I, BUILDING �7 INECHA�JICAL �l PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> //v�� � � !-f�e ��� <br /> �WN€R MRILA�URc55 dTY ZiP PNONE <br /> � L <br /> ,O�T/� �G�i`�0.� f"�r2,/l/rcl�S ��,�''.,�{� �-�ZOv: %.s �'/%S ll <br /> TENANT !� MAILADpRE55 CITY ZIP pHONE <br /> ,�'�fCI�Ri /tP'�/�l.fi� '_ <br /> ARC�IHITECTORUESIGN[R MAIIAD�RE55 �Itt ZIP PHONE <br /> ,T'f�T ,✓lc'Or/.Jfl �� <br /> GENERALCONTRACTOR MAILAD�RESS �IIY )1� PIION[ $tAiE11CGN5Ea <br />� �— <br /> MECNANiCALCpNTqAp10R MAILAUD�FSS QTV TIP PIION[ STATGLICFNSE• <br /> � <br />, PLUMBINGCONiRACTOR MAILAOORE55 Cltt ZIP PNONE S7AlELICENSE• <br />, CONTRACTPRICEOFWORK <br /> j SQNj---' %EJ ! HEATIIVG SYSTEM: f l GAS fl ELEC7RIC fl <br /> DESCRIB 1IORK ANDS�UAPE FOOTAGE INVO VEO �ONTFCT PFRSON�NO PNONE NO. <br />�, �e::�ode/ / oo � s �� <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br /> PROPOSEDUSEOFBUILOING APPLICATION AND KNOW THE SAME TO BE TRUE AND GORREC7.ALL ' <br /> PROVISIONS OF LAWS AND QRDINANCES C FRNING THIS l'YPE OF <br /> �TC�- C�/�'<_=iIr11 ,�i//2�:J/'Z� WORK WILI BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPROPERTY(SHOWN9ELOWORATfACHTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES N6T PRESUME TO GIVE <br /> �ot e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> '( OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE '� <br /> c�/�li EJ��d��� (/��I��� PERFORMANCE OF CONSTRUCTION.THAT I A!A AUTHORlZED BY THE <br /> • OWNEp OF TFIIS PROPERTY TO PERFORM T4E WORK FOR WHICH <br /> / � �� � /% �� �/� 5�-- APPLIC.'•710N IS MADE AND I COMPLY' WITN THE STATE � <br /> v�ece�ux i.o.NUMeea � CONTqACTORS LAW 1827 RCW AND 296200 VlAC. <br /> CONSTRUCTION LOAt�I LEN�ER.ADDRESS,TELEPHONE NUMBER X��/L .�[�L r-C`�`-��l (J����� � � —�i <br /> /°v D�G� ---�` <br /> SIGNRTURE/ D�17E <br /> LiG i"�G-:� <br /> CITY BUSINE55 LICENSE NO. ' <br /> PLUMBING MECHANICAL �, <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. IYPE OF E�UIPMENT FEE <br /> WATERCLOSET(TOILFT) � q/C—A/HNDLGUNITS—H.P. � <br /> BATHTUB ' FORCEDAIRSVSTEMS—B.T.U. M E.A. ' <br /> � , <br /> LAVATORY(WASH BASIN) � HEAS PUMP �— <br /> SHOWER � UNIT4EATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTH�S DRYERS ' <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRYTRAY ; RANGEHOOD � <br /> CLOTHES WASHER WATER HEATER —� <br /> URINAL � WOOD STOVE � � <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' . <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � � <br /> ; GAS PIPING ' <br /> i E%HAUST FAN i <br /> i i <br /> SUB TOTAL 3 ; SUB TOTAL ffi ; <br /> PERMIT 5 i FERMIT 5 � <br /> —'-- <br /> _ TOTALFEE $ � TOTALFEE 5 <br /> FOR OFFICE USE ONLV: <br /> FRONTSETPACK PEAR SFTBACK SIDE SETBACK PL�NCHEC NU F.R fEE �FCFIPTNO <br /> ���3 5`�(�o <br /> usezoNe iorna¢n V�CANi51TE FEES VALUATION FE[ <br /> I I YES f l NO BUIIDING SS DU � � — <br /> HEIGHT UMITATION NO OF DWEIIING SIZE OF OLUGR.1 i <br /> UNIfS g � PIUMpING -- i <br /> T <br /> OCGUPANCY NO 0lSIORI[5 OCCUPANiIOnD BASEMENT <br /> CRp1�P / � O MFCIIANICAL --- i <br /> �J �1YE5 KNO i <br /> --y 4DD�110NA1 PI.ANCNf.CN � <br /> FIRE ALARM REO'D �RFASON — — — ' <br /> �— <br /> N o a,�.E� ; <br /> FlRF.SPRINNI.F.RPEO� RFASpN i <br /> �� STAI[OIPLDMGSURCIV.RGE — — ,[ �J� <br /> TYPE OF f,ONS� PI ANS�f PROVED BY ' <br /> t CITY C)F EVERETT rumir,v+onKs ; <br /> 1/, ti ��l'h � LOCALSALES -i-- <br /> P� onTE �� p-�6-S� TAX CODE IS 3105 7o7AL �� �", <br />