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� <br /> APPLICATIOr�I FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> � /�LAc <br />, f7 DEMOLITION fl COMBINATION fl BUILDING IWMECHANICAL rl PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> FL Uol �9� qv� St- tyr�rEir <br /> OMMER MAILADDRE55 CITY 21P PHONE . <br /> U !ja Kin� " <br /> TEN�NT MAILRDDRE55 CITY 21P PHONE <br /> c�Fc G,���y 4 9ra C'�/Gy 9�2v� <br /> pRCMITECTORDE5IGNER MRILAODRESS CITY 21P PMONE � <br /> �-,r�_�.�y <br /> GENERAICONTPACTOR MAILAODRESS �IiV $IP PNONf $TATEIICEN$E� <br /> wc��OHA,. co��s,�,�� <br /> MECHANICPLCONTRACTOR MRILAUDRE55 CITV 21P PHONE STATELICENSE� <br /> I�+t�3 MbL'/d IAiG 'Z'S/h S /k�LGA)r TA[[.w.a g�SK�Z 2r�(27 3U�7 AO.SMET�`OS7P/ <br /> PLUMBING CONTRACTOR MAILADDRESS Cltt 21P FHONE STATE LIGENSE� <br /> CONTRACT PRICE OF WORK <br /> 3U W�j HEATING SYSTEM: � GAS rl ELECTRIC f� <br /> DESCRIBE WORN AND SOUARE FOOT�GE I VOLVED CONTACT PERSON ANO PNONE N0. Zp <br /> CN � = �tr%K�C 2"'�' i7fb N i /L L Als� T" 2 7 U,? <br /> f v�L (�ri4 S 2"�� /'�L? !L�% ,c.t7 <br /> IP�D/�I�/R/%E /IIFGI/sG� /N�_ ��Zi,t� � HF.REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> VROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> G�C.�L� IQlr"J�I/L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> `L_ WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LOESCRIPTIONOFPROPERTY�SHOWNBELOWORARACMTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCc OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF 7HIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> VMCEITN(I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUCTON LOAN LENDER,�Dd1E55,TELEPHONE NUMBER x v�/(�G��r— �(J — 3 - �J/ <br /> � S�GNATURE OATE <br /> CITV BUSINE55 LICENSE NO. <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> ' WATERCLOSET(TOILET) � A/C—A/HNDLGUNRS—H.P. ' <br /> BATHTUB � FOPCEDAIqSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � Z UNITHEATERS—B.T.U. M 5U� � <br /> KITCHEN SINK&DISP � CLOTHES DRYERS i <br /> DISHWASHER � 2 VENTILATION FAN � <br /> LAUNDRY TRAV ; RANGE HOOD ; <br /> CLOTHES WASHEF � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> ORINKING FOUNTAIN i METAL FIREPIACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOGD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING ' <br /> i EKHAUST FAN i . <br /> _ —�-- � <br /> � 2 pucr ��nFtYr 36'v crx� ; <br /> � - , ' <br /> � <br /> "T <br /> SUBTOTAL S ; � SUBTOTAL $ �; _ <br /> PERMIT 5 i PERMIT S � , <br /> TOTALFEE $ � TOTAIFEE S � ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETPACK HERR SETBACN S�DE SETBRCN PIAN CIIECK U F.P FEE FF.CF.IPT NO. <br /> usezone ioraaen VRCANi51TF. FEES VALUATION FEE <br /> _ nves �� No pWL01NG ; <br /> HEIGHTLIMITATION NO.OFDWELLING SILEOFBLDGRI i <br /> UNItS PWMBING � <br /> � <br /> GROUPpNCY NOO�SIORIES OCLUPANTLOAO BnSEMENI MF.W1aNiCAL � <br /> i <br /> fIYES II NO <br /> FIRE�URMREO'D RFASON �DDIIIONnLPIANG��Ff.K <br /> OiHER � <br /> i <br /> FIRFSPRINKLERRF.00 RFRSON i <br /> SiAtE BUIlOING SURCHARGE i <br /> �_— <br /> TVPE OF f,ON57 PL�NS APPROVE�BY CITY OF EVERETT �IIflI If,WORKS <br /> LOCAL SALES - -- '`— <br /> ��q,E TAX CODE IS 3105 TOTA� � <br />