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APPLICAT160 FOR CONSTRUC76N PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />32DO CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />❑ DEMOLITION ❑ COMBINATION n BUILDING IS ME�CIiAnICAL ❑ PLUMBING C SIGN <br />PROJECTADDRESS NEYI-a (FVEREr M 'TAILµ'U _ W• J(T <br />�yLICQ.MM IbSS 'a'I SpAr c g8166 C4'2$)452-Ic32 <br />F1o2TUU 4t C.4'E'-1= R.D <br />rENANr MML ADGaEss CITY ZIP <br />PHon= <br />n tKrz}.o �o„ 1is12 uoR7N�c y� NEGI Q -oll C20068 Z-6393 <br />GENERALCONIPLGTOR MMLADDRESS CITY ZIP PHONE STATE LICENSE <br />MECHANICAL CONTRACTOR GCR' S MORA-LtC REEK. I,• ,• •� ♦ F Z <br />PACIFIC A19 CID �rWy � I04 $�HtZL ggvll 02 i)6S 2-6343 P offC1 320 <br />n. u..niw. murev`.nnUAII -- CITY ZIP PHDIIE STATE LICENSE <br />co TRACT PREEOO " <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC _ u <br />DESCRIB WORN ANUVSOJARE FOOTAGE IM/OLVEO L. OU 1 <br />I L Coo A% -ON S <br />CONUCT PFPSOIIAND PHONE 1q <br />'AIM 'iJKINS 206 2- 343 <br />Fog E"t¢UIP. Room 061X23L) <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />OWNEOR OFNTHIS AUTHORIZEDCE OF CONSTRUCTION. THAT I AM PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2962DO WAC. <br />SI /.- � _ 12-8-q9 <br />PROPOSEDUSE GF Buaonr. <br />E3,vIR S DW166 ONI`I <br />LEGAL DESCRIPTION OF PRGPEWY)SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT BLOCK a <br />(5E> DwG. WA0421-I, SH T-I,etz. <br />PARCEL TAX ID NUMBER <br />os400 9 o O 6Y <br />CONSTRUCTION LOAN LE110EP. ACORC55. TELEPHONE NNIBCR <br />� <br />SIGNAIME UAT[ <br />PACIFAC2"20P& (zx.p, lo-I-2o0o) ik <br />CITY BUSINESS LICENSE NO <br />PLIdWSING <br />MECHANICAL <br />NO <br />TYPE OF FIXTURE OR ITEM <br />AE <br />NO. I <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—A. <br />—i— <br />THTUB <br />FORCED AIR SYSTEMS <br />LA TORY(WAS" BASIN) <br />MEAT PUMP <br />SHO R <br />i$UNIT <br />HEATERS Q <br />KITCHE SINK 8 DISP <br />THES DRYERS <br />D'SHWAS. R <br />NGE HOOD <br />LAUNDRY TR <br />TER HEATER <br />CLOTHES WAS <br />OD STOVE <br />URINAL <br />TAL FIREPLACE LWOOD BURNING) <br />DRINKING FOUNTAI <br />FIREPLACE INSERT )WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW P VENTERS <br />GAS RANGE <br />SINK (SE CE — BAR, ETC.) <br />GAS PIPING <br />i <br />EXHAUSTFAN <br />I <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE $ <br />.no ncclrc IICC nMI V• <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />P lCHECK MIMBER <br />amlo? <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOTAPEA <br />VACANT SIT, <br />n YES n No <br />FEES <br />VALUATION <br />I FEE <br />BUILDING <br />HEIGHt LIMITATION <br />UOI a OIIEURA <br />SUE OF OIDG41. <br />PLUMBING <br />OCCUPANCY <br />GROUP <br />MU a<STORES <br />OCLVPANi LOAD <br />BASEMENL <br />❑ ES n N0 <br />uECHANCAL <br />ACOITNJN41'WILNECK <br />FIRE SPRWKLER REO D <br />REASON <br />OTHER <br />�— <br />FIRE ALARM PEOD <br />:1EASON <br />STATE BUILDING SURCHARGE <br />TYPE acwrsT <br />PuxsAwao D <br />DATE - S-�1 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLc WORKS <br />TOTAL <br />