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APPLICATI .J FOR CONSTRUCT�JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERET7, WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING O MECHANiCAI PLUMBING ❑ SIGN <br /> PROJECT ADDRES/�S,�: �Q �j� �� S� <br /> S m�, P / ! I G�VYI � 7� ln /�l0�' I`-'�� �'� M �f �C�l-() <br /> ER Ml E55 p1Y IIP P110NE <br /> /1�i� ►U��,IY{���- I I f720 I`1`" /-�.r4 SF. �t/EAL/I <br /> TENANT MNI/�pONE55 CITY !It` P110NE <br /> ARCHITECTOi10E51GNER M�IIADORE55 Cltt 71I' PIIONE <br /> GENEMLGONTRA�TOR M�IIAD�f1E55 f.11V ]II• PIIONG SGTEIICEN$E� <br /> ME/ U�fAJ�(�}'g��F R 1'`u�'1�1rJ��LS 1D7�� �OLCI �-{CLL� 7JUS�� _.. . ��EGy3-7��5' «EN�C��sSQ�j <br /> PLUMBINGCONTHACTOB MnILADORE55 CIfY Ili' PIIONE STATELICENSE� <br /> 320�'� <br /> CONTMCT PRICE OF WONN <br /> NEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> o�,�RIBE K ANO SOU�RE F AGE IN ED i f.�:1 Ef150N AND FHONE NO <br /> Y�l.t w.�t nJ 4. �. � � ICt uw � u/A-rZn/�-L— — � Zu(�—S 4 7—$4 4v <br /> � I HEREOY CERTIfY THAT I HAVE READ AND EXAMINED THIS <br /> b PROPOSED USE OF BUILDINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> . PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH <br /> LEGIILDESCNIPTIONOFFROPERTV�SHOWNBELOWqiATTACHTWOCOPIES) NOT. TfiE ORANTIN� OF A PERMtT DOES NOT PRESUME TO GIVE <br /> �oT eiocK oc AUTFIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL 1AW REGUUTINO CONSTRUCTIOk OR THE <br />' . PERFORMANCE OF CONSTRUCTION.THA' 'AM AUTHORIZED BV THE <br />. � OWNER OF THIS PROPER'fV TO PERFUF�.: TIIE WORK FOP WHICH <br /> APPLICATIUN IS MADE ANO � COMPLY WITH THE STATE <br /> ' PNICEL TNf I.D.MIMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />�I fANSTRUCTION LOAN LEN�ER./�DDRE55.TELEPNONE NUMBER x <br />'I SI6N�IURE DATE <br /> I <br />� <br /> Cltt PUSINESS LICENSE N0. <br />��I PLUMBIN6 MECIIANICAL <br /> NO. TYPE OF flXTURE OR REM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) Ex��f...�(. � NC—NHNDL6UNRS � <br /> BATHTUB ; FORCED AIR SYSTEMS ' <br /> I LAVATORY(WASHBASIN) fx,a1,;,L � _ HEATPUMP � <br /> SHOWER ' UNITHEATERS ' <br />� KITCHEN SINK 8 DISP ; _ CLOTNES DRYERS � <br /> DISHWASHER � �flANGE HOOD � <br /> UUNDRY THAY ; WATER HEATER ; <br /> CIOTHES WASHER � WOODSTOVE � , <br /> URINAL ' MEfAL FIREPLACE(WOOD BURNING) ' <br /> ORINKING FOUNTAIN � i fIREPUICE INSERT(VJOOD BURNING) i <br /> FLOOR9RAIN �HIG- � GASFIREPLACE � <br /> BACKFLOW PREVENTERS ; GAS RANGE ; <br /> 2 SINK(SEHVICE—BAR,ETC.) � GAS PIPING ! <br /> 1 0 S�N L�. ' EXHAUST FAN ' <br /> i � <br /> 1 �_ <br /> i -- � <br /> � � <br /> --- � <br /> SUB TOTAL S ; SUB TOTAL S ; <br /> PERMIT S � PERMI'f S � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK PEARSFTBALN SIDESETBACK PIANQICC.NNIIAIOPfi GEF RECEIPTNO <br /> uSEZOde LOTAREA VACAN�SIiE FEES � VALUATION FEE <br /> ❑YE$ ❑ NO B111L01N. � <br /> i <br /> NEICHT UMITATION NO OF OWELLING 52E OF BLOGfI � <br /> UNIfS 1'IUM111Nf7 � <br /> _`___ —{-- <br /> OCCUP�NL� N00�5�(�f5 OCCUP�NilOAO BASEMENT MECIInNIf.AI � <br /> �PWV — <br /> ❑YES ❑NO � <br /> FIRESPflINKLENFEO'D RFASON AODIII(1N�I f9�NC11(CN � _ <br /> ___ � <br /> OIIIEII i <br /> FIRENAflMREO'D RE�iON ---- � <br /> S7n1E IIul10u!(:Sunf.Ile00E � <br /> '_" r <br /> TYPEOFf,ONST PlANS�PPROVEDBY CITYOFEVERE7T �IIOIIfWf111N!: <br /> LOCAL SALES ---- --�— <br /> n�TE TA% CODE IS 3105 TOTAI � <br /> �_—._. <br />