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- � APPLICATi4r�1 FOR CONSTRUC7 .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> DEMOLITION (-I COMBINATION I-1 BUILDING I-1 MECHANICAL f� PLUMBMIG fl SIGN <br /> PROJECT ADDRESS .��a U � �` �/�� S� <br /> �.� <br /> OYYNER MAILADdiE55 dTY Zi^ PHONE <br /> �aJFM9ER ��.aE,erK,p `�i�a �anr Ar�. w�1T k3o�( EVEa�r (�A `�g�G`� aou - �s �- Yoo3 <br /> TENANT MAl1.A00RE55 LITY ZIP Pn NE <br /> f�QNE - — <br /> �RCHITECT OR DESIGNER M�IL�DDRE55 Cltt 71P PNONE <br /> �q f�G _ <br /> GENER0.CONTR�CiOf1 MRILADDRf55 C17V ZIP PIION[ STATEUCENSE� <br /> (�oaE <br /> MECHANICALCONTRRCTOR MqIADDRE55 CIN ZIF PMONE STATELICENSE� <br /> �n,�� <br /> PLUMBINGC TR�CTOR MRILA�DRE55 CITY 21P PHONE STATELICF.NSE� <br /> CONTRACT PoCE OF N�Ofi <br /> •� � o HEATING SYSTEM: f l GAS �LECTRIC rl <br /> DESCRIBE WORN�NO SOl1ARE f00TM.E INVOLVED CONTr1CT PERSON AND PIIONE NO. <br /> nE � ++o�E ��, � s � � bE -3.:�7 - yoo3 <br /> G�rY aF fJERETr FIRG- oe r <br /> ' c E ea � e oo R - � �• ;o <br /> I OI a0 �'I�I �f s.E. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> —�� - APPLICATION AND KNOW THE SAME TO 8E TRUE ANU CORRECT ALL <br /> PiqPOSEO USE OF BUILDINO PROVISIONS OP LAWS AND ORDINANCES GOVERNINC THIS TYPc OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFII:D HEREIN Ofl <br /> LEGALOESCRIPTION PROPEflTY�SHOWNBELOWIXiATGCHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT' BIQ:K oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI LAW REGULATINO CANSTRUCTION OR THE <br /> S�{r � ��(' C.{, . PERFORMANCE OF CONSTRUCTION. AT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO P FORM THE WORK FOR WHICH <br /> APPLI TI N IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAX I.D.NUMBER CO ' RS LAW 1 . AND 296.200 WAC. <br /> CONSTRUCTIONLOIVlLENOER,�DDRESS.TELEPHONENUMBER x /` � l� -IS <br /> SIG ATU E OATE <br /> CITV BUSINESS LICENSE NO. <br /> PLUMBIN MECHANICAL <br /> NO. TVPE OF flXTURE OR ITEM FEE N0. TYPE OF EWIPMENT FEE <br /> WATER CLOSET(TOILET) � �� A/C—A/HNOLG UNRS—H.P. �' <br /> BATHTUB -'� FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � � <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK S DISP i CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN � <br /> i <br /> LAUNORY TRAY ; RANGE HOOD ! ' ; <br /> CIOTHES WASHER / � WATER HEATER � <br /> URINAL i ' WOOD STOVE ' <br /> DRINKIN6 FOUNTAIN j' i METAL FIREPLACE(WOOD BURNI i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVEN ERS ; GAS FIREPLACE � <br /> SINK(SERVICE— AR.ETC.) � GAS RANGE � � <br /> ' GAS PIPING i�' ' <br /> / i EXHAUSTFAN i <br /> � � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL $ ' <br /> � <br /> PERMIT $ � PERMIT $ � <br /> TOTALFEE S ' TOTALFEE $ ' <br /> OR OFFICE USE ONLY: <br /> FPONTSETPACN REAPSETB�CN SIDESETBRCK Pl�NC11ECRNUMAFR FEF RECEIPTNO <br /> �a o�/ <br /> use zoue LOT ARE� V�C�N!SIIF. FEES VALUATION FEE <br /> f IVES f 1 NO pWIDINF � <br /> i <br /> i <br /> NEIGHT LIMITAT�ON NO OF OWELLING SRE OF BLDGRI � i <br /> UNITS PIURIflING � <br /> � <br /> OCCUPANCY NO Oi Si0PtE5 OCCUPANT IOAD 9ASEMENT MFCIInNICaL � <br /> Gf10UP � <br /> IIYES IINO ________ - i <br /> FIRE�UR4 Rcrvn ^'•"�--. '��� <br /> U�p �_ <br /> }+�nc�L a: 101ao 77?{ quE -�,e . � sR7o- oov -o �2- � <br /> FIRE SPRINItII i <br /> Th� .East 324 fo�t o! Lot 19, Broadway Farms No. 2, accordinq to ; � <br /> '"PE°`�o"° t2i� plat thereo! racordad in Volnma 13 0! Plats, paga 93, record4 —;— <br /> o! snohomish county, washinqton; — — <br /> L►XCSpT tha East 174 leat of tha South 150 feet tharaol. <br />