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APPLICATION FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT F BUILDING DIVISION <br />3200 CEDAR STREET K EVERETT, WA 98201 K (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION II4 BUILDING J 1 MECHANICAL ,�] PLUMBING ❑ S:GN <br />PROJECT ADDRESS: A7721 �� AU2 SF <br />/.r 9'B24v 36 0 SC <br />GAw 1�1L�C IM TELL 111-Iz4n6AVA SO ✓lwlfi P—J"98—- <br />IA, <br />Ovmffl 1 4MlAWPE55 Gry IA, rlqu[ <br />TENANT Al., ADDPESS CITY ZIP PDONE <br />AIKMirct GIDESIGNEn MAIL ADDRESS City Fir MIGFIF <br />-SAIMA R <br />GF--N1Y[RAL CONtDACIGI MAIL AODPESS City zP PIgvE STAR LICENSE) <br />M162T I`IRATIn (k <br />MECHANICAL CONIRACTEA MAIL ApOnE55 GIY I'll PIgNC STAID LICENSE <br />2?jw;) F,ItLITR/T /7LVDHBfAl6 <br />rIULDI GCONTFACtCP MAP AOOPESS GIY ZIP PHONF STATE LKENSF• <br />CONtnACIPmCEOFKORY <br />HEATING SYSTEM: ,QJ GAS ❑ELECTRIC ❑ <br />OE SCRIBF \PORK AND SGIARE FOOIAGE NYOVEO <br />y <br />CONTACT P[ RSOH ANO rI1QNF NO <br />.a.vL lrp-3(00 57c8 - 39 48 <br />S 1� <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 />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER THIS PROPERTY TO FOR WORK FOR WHICH <br />E CO LY WITH THE STATE <br />APP ATI I=1W <br />CON RAG7 RS 29 G AC. <br />X )7- 7i <br />PDOIg5F0 usE oD awlwND <br />LEGAL OESCmPIIGN Of PROPEntY 15110WNBELOWGLATIACH TINOCOFIESI <br />LOT -_,_BLOCK DD 5 <br />Ppartox) 3c17J oy oii q q� <br />PAIKM IAA I D mIMBEn <br />LJnJ 2 3/, 0 33 3,171 <br />CONSIn,K{�RfIN LOAN ICN�OfFfn�AD0RE55.IElENKWE NUMPFP II II <br />S A,MRL D.t <br />CRY PUYNESS LY'U5E NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C --AMNDLG UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />I <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK IL DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER " <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />I <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL 5 <br />SUBTOTAL 5 <br />PERMIT $1 <br />PERMIT $ <br />TOTALFEE S <br />v <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: / v/ w <br />I PON, SFIPACK <br />20 <br />PFAP SFTEACK <br />2� <br />SIDE SETBACK <br />S <br />MANCIIECK NUMBFP <br />7 A73 <br />IEF <br />Z . <br />nFCf IPt NO <br />usE rwvDie <br />_ n' 1 <br />HEIGHT IIMIlA710.j� <br />'L) a <br />CCOMAICI ml w 51(Yi{S <br />GOO <br />_P__ <br />tNE 5M11NKIfn PEO'O <br />TIPEAURMPEO'C <br />TYPE OF CONS) <br />-/J <br />,DU/ <br />/O NZZ <br />v/`IJIFS <br />/u.ES O No <br />FEES <br />VALUQION <br />FEE <br />—_ O i <br />89 <br />Z- <br />/�-`- <br />ewwNr. <br />S 170 <br />NO OF=UJAG <br />UNgS i <br />sat OF tll O <br />�(yo 5a 5 F. <br />PLI/MPINn <br />_ <br />OCCUPANT LOAD BASTIA NI <br />Or[s p[ND <br />RFASd1 <br />4if.MANKAI <br />ADDITIONAL .MAN CIII.CK <br />O,PEn <br />WASOY <br />SIA1E6I1I1wNGSIIIIGIADGE <br />MANS Arrlgvfn Gr <br />uAIE S <br />CITYOFEVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />MIBI II'. WORKS <br />- <br />TOTAL <br />- <br />