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APPLICATION FOR CONSTRUCTION PERMIT <br />BAS/G CITY OF EVERETT • BUILDING DIVISION <br />/✓oA/ $/7E $pEUf/G 3200 CEDAR STREET • EVERETT, WA 98201 •259-6810 "�������� <br />n DEMOLITION Fl COMBINATION Fl BUILDING Fl MECHANICAL 11 PLUMBING I SIGN <br />PROJECT ADDRESS _ <br />9 Ti✓��E EyE2ETr WA 98ZOS gfas ao�,9✓e , <br />awaEn M lACVIE55 SUITE ZEHO CITY GIP PNONE <br />SILy£rzw000 L.P. /276 N.E/7YTN Sr. K/RKUIND b/R 98034 lob-822-y7'1 <br />rENANT -An A', Esl f:IIY (IP IYgNE <br />♦PCMIELT On nESIONEn -AL <br />AOn"SS Un )m mgNF �• <br />De31Cn HN &NSULTAMTS 80 Zmo. sr. moKILT60 WA 98275 2.0(0-343-9783 _ <br />•ENEnAL v NNnACTOn ..GADDIIEss Fill br PUBLINE 26111_ STATE UCMSFI <br />Cwryi-L (fom r Cn. lac. /270o N. E. l2yT" ST. K/Rk[AA/o 4✓A 98G�y 822-YITr/ C'ARb/cc ""' <br />NFCIIFNIGt coNTn.crENE 4AB ADOT1Ess R[0/._ /T�?A E:Ir'I ZIP q 7 l t, /S sTAIF IKENSEA <br />N.W. RuMB/NF. 6"7. )A)L. /3)Re9 aATAA na M..k/ A"L,cl/)I/E Lie 9 DTAI /.S]-Lat9 AAwru 0, n cCva I <br />CONIMCr <br />/QQ e20 <br />I- -_ �— <br />HEATING SYSTEM: A GAS F I ELECTRIC I I <br />OrscmnF vonK Anu sau+nE roounF my vm <br />-S)I.VEILy-V000 L.P. F{y1u�.E 7vP 61 _ <br />BEKENRIDGE BASIC (REF "r 6'1 <br />com+a rmsmulm nKwF Nn <br />�r CARRbLL_ _8Z2.-4 ----- <br />'RobeaT-Bowles 338- z197 <br />L/✓•AzEA /8/03 &TR i <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND!MOW 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 On <br />NOT. THE GRANTING OF A PERMIT DOES NOT PnESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL. THE PROVISION OF ANY <br />OTHER STATE On LOCAL LAW FIEGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNETI OF THIS PROPERTY TO PERFORM THE Wong FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTpRS LAW IWAND 206.200 WAC. <br />rnprps(O usE a Bunllm <br />S/NGLE FAM/L S� RES/DENCE <br />LEGAL ce ePTlae or Pnortnrv,spg BELOW UP V1ACN TING cor:Esl <br />LOT —BIaK. or <br />C e A _C I i ) <br />rAI1cFLrAI LD. Nuuetn — <br />CON5T1BA:npIlOAN 1ElEmroNE NU40F <br />E D+IE <br />O2BS97RCITY <br />�1L: <br />BUSINESS Lr..EN%NO <br />PLUMBING <br />i(TOILE7) <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />N0TYPgEO <br />ITEM <br />FEE <br />WATER CLO <br />NC—AA{NOLG UNITS—H.P.BATHTUB__ <br />' <br />(FORCED <br />AIRSYSTEMS—B.T.U. M EA. <br />LAVATORY (N) <br />i <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS—B.T.U. M <br />I <br />KITCHEN SINK 6 DISP <br />-�_ <br />l <br />CLOTHES DRYERS <br />( <br />DISHWASHER <br />VENTILATION FAN <br />Qf <br />LAUNOnY TRAY <br />RANGEHOOD <br />I <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />(6 <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />�_ <br />METAL FIREPI ACE (WOOD BURNING) <br />WFLOOPDRAINIWOXHAUST <br />FANOTAL <br />S <br />SUB TOTAL f <br />PERMIT S <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />FnpR SETBACK <br />BEAR SETBACK <br />SIDE SETBACK <br />PLAN CIIFCR NUNBEn <br />0 <br />ITT <br />{.v <br />PFLYII NO <br />USE zoN <br />LOT IFEA VACANT SITE <br />ItYEs I I NJ <br />NO Or OVIELDrq SIZE or BNWNI <br />UIIS <br />E <br />FEES <br />VALUATION <br />FEE <br />BINDING.�— <br />_ <br />IIEIGInUTATA11ON <br />NIIURNG <br />' <br />DCCUPADY War SI[In6 <br />G11GIP <br />- IJ•I <br />OCCUPANT LOAD <br />BASEMENT <br />VEGWIGI <br />—�� <br />I <br />ADDITIONAL RANCIKCK <br />Tint Awn, TIED <br />1EASON <br />ONRO <br />TiNE SPmNKIEn nEOD <br />nFASON <br />STATE BUILDING 9IncIInPE <br />TYPE OF CONST <br />—� <br />PLANS MrTOV1EID BY <br />Tr <br />w1F ZS -e <br />CITY OF EVER ETT <br />LOCAL SALES <br />TAX CODE 15 3105 <br />rumr.vronKS <br />TOTAL <br />