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AP�LIICAT14r�1 FOR CONSTR�iJC.I .AN F�ERl1AIT <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •25y-8810 <br /> I l DEMOLITION I-I COMBINATION I I BUILDING I 1 MECHANICAL I l PLUMBING f 1 SIGN <br /> PROJECT ADDRESS � <br /> �i�7 -� �� ��j ���? �i�'i <br /> OW E 1 AllA0DRG55 � CITV f ZIP PHONE <br /> �'.1���� � , ,�� � 1n� ���i� ��'� AU1 u, 9����<r si >,, �;��� �, <br /> TE�IANT <br /> IANLA��RESS GTY ZIP PHONE <br /> ARGIIITEG70RDESIGNER IANLA�Ofi[55 <br /> CIN ZIP PHONE <br /> GENER4LCONTRACTOR MAILAODRE55 GIN ZIP PHONE STPiEUCEN$Ex <br /> MECHANICALCONTPACiOR MAILr�D�PF55 <br /> ��ry Zlp PIIONE STATF LICENSL x <br /> PLUMBINGCONTRPCTOP MAIL�D�RESS CIiY ZIP PHONE ST�TELICENSEM <br /> CONTPACTPRICEOFV+ORK HEATING SYSTEM: GAS I� ELECTRIC ❑ <br /> � �OD — <br /> DESC IBEWOPKANOSOU ilEFO07AGEINVOLVED CONTnGT�EnSUNAN�110 6N0 � <br /> /� /` J <br /> /�/L, rr�/�!I.f�/� ���r� ��� � � <br /> � �s � 1 �. -, o s E�nE���T <br /> Q I HEFEBY CERTIFV THAT I HAVE HEAD AND EXAMINED THIS <br /> � � IC� �(JJ APPLICATION AND KNOW TH[ SAME TO BE TRUE ANG CORREC7.ALL <br /> PROPOSED USE OF 9UILOING ?ROVISIONS OF LAWS AND ORDINANCES GOVERNINu THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPPOPERTYISHOWNBEIOWOR�ITACHT4Y000PIE51 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> P.UTHORITY TO VIOLATE OR CANCE�_ THE PAOVISION CF ANl' <br /> ioT�_��ocK o� OTHER STATE OR LOCAL LAW REGULATIMG CONSTRUCTION OR iHE <br /> �/y, ,�V,� �/ /��11���� ����.9 � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �/1L'�� —�y OWNER OF THIS PROPERTY TC PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE Sl'ATE <br /> CONTR T RS LAW 27 RCW AND 296��WAC. <br /> PARCELTA%I.D.NUMBER <br /> .�(e9;�! � � �y^�� '"�1 --H � <br /> /✓ �La //�^-� � ' <br /> CONSTROCTIONIOAtlLENOER,AODRESS.TELEPNONE NUMAER X DATE <br /> SIGtIATURE , <br /> GIiV BUSINESS LIGENSG NO. <br /> MECHANICAL <br /> PLUMBING FEE <br /> FEE NO. TYPE OF FI%TURE OR ITEM _r_ <br /> Np, TYPE OF FIXTURE OR ITEM a�_�HNDLG U�dITS—H.I'. ' <br /> � WATER CLOSET(TOILET) ' <br /> � _ � FORCED AIR SYSTE�9S—B.T.U. M E.A. I — <br /> BATHTUB ' <br /> HEAT PUMP ' <br /> LAVATORY(WASH BASIN) ' � <br /> ' � UNITHEATERS—B.T.U. M _ <br /> SHOWER � ; _ <br /> KITCHEN SINK 8 DISP , CLOTHES DRYERS _ <br /> DISHWASHER � VENTILATION FAN _ � <br /> LAUNDRY TRAY ; RANGE HOOD ' <br /> � CLOTHES WASHER � WATER HEATER � . <br /> � WOOD STOVE <br /> UAINAL � � <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) <br /> � FIREPLACE INSERT(WOOD BURNING) ; <br /> FLOOR DFAIN — � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE �— <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE — � <br /> � S GAS PIPING � <br /> ; EXHAUST FAN �--;-- <br /> _ <br /> � , <br /> � <br /> � , <br /> � SUB TOTAL S i <br /> SUB TOTAL S � pERMiT 5 ' <br /> PERM�T S ' TOTAL FEE S ' <br /> TOTALFEE 5 ' - <br /> FOR OFFICE USE ONLY: �, FEE R«F,PrN9 / Q� <br /> R[AFl SETMC,C SI�E SET�ACK P��N GH[CK NI1M0[P /^J // <br /> fRONT SETAACK � (. / . '�G/ 3V � <br /> � 5 �5 S � 10 �tv <br /> FEES YALUATION FEE <br /> US@ZO " /� IATAREA ! f V�G��1751TE —/q —i .—� <br /> � Jr4 QbFO %!'9E$ fl NO OUILOING ��� S7O \/,L'/ �l_ ) <br /> Y � /) i <br /> / � <br /> HFIGHTLIMITA710�� NO.OFDWELIING SIZEOfI1LOG/rl J � <br /> IINiTS � 'ZZ�,Z S F 't PLUMOIt�G <br /> 'L � 3a Sr UaR O � <br /> � <br /> OGCUPAIlCY I!0 Of SiONES OCGUPANT LOA� BASEMENi MECIIPNIC�L � <br /> GROIIP <br /> -3 � E5 �, �,a � <br /> noomoNn�a�nN cHECK """-" <br /> FIREALARMFEO'D REASON � <br /> �o or���A va/U ' <br /> , / <br /> FIf1ESPRINKIERREO'U FEASON STATEBUIL�INGSIIRCHAfiGE l i�/( .�� <br /> 0 — �� i - <br /> rvaeo coNsr PLANS�PPRO�ED�Y p�TYOFEVERETT ruo�icwonKs <br /> �f't' LOCAL SALES ��1�) ; .— <br /> _N ome I 26 95 T�=^ CODE IS 3105 TOTAL <br /> _�• .� <br />