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APPLICATII .,�I FOR COl�JSTRl1Cti .ON P�RMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •� 259-8810 <br />I 1 DEMOLITION I I COMBIMATION I l BUILDING ` 1 MECHANICAL f 1 PLUMBING f SIGN <br />PROJECT ADDRESS � = <br />�� � i S- c� -�-y� ���, �.i, <br />owNen Mnn.aoon�ss cnv <br />r' p <br />� <br />(�CR"I�C �f.D�"i'>rJ�1 �`�r%�� � � Ur �'.% ",Z�C'� <br />IENANT MNLADDRFSS CrtY <br />ARCIIIfF.CTOROESIGNER MNL <br />MFIL 4��f1E55 <br />MHIL /1UUHGJ] <br />GI1Y <br />�'L�'��'� �� �� � L�� Cl <br />zin rr�onE <br />LI.�C> ��,��Z`'Il %:' —:'I <br />IIP PHON[ <br />zm <br />m <br />PHONE <br />PIIONE STATE LIC&NSE b <br />PIIDhE STA1E LICENSE � <br />PLUMBINGCONTPACTOR MAIL��DRESS CIiY 21P PHO4E SiFTEUCENSEu <br />OESCFiIAE W OFK AND SOUME FOOTlGF INVOLVED <br />I'e.(`LC�-�' I��o-t,L��P� <br />.i�)X-5i <br />PFOPOSED USE OP �UIL�ING <br />LEGALOESGRIPTION OF PflOPERTV �SHOWN BELOYJ ORATfpCH iW0 WPIES� <br />LOT BLOCK ,pF <br />PFRCELTA%I.D.NUlABER <br />CONSTRUCTIONlOA1�LEN0ER.A�ORESS.IELEPHONE RUh1PER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATIiTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BAGKFLOW PREVENTERS <br />SINK (SERVICE — BAH, ETCJ <br />FOR OFFICE USE ONLY: <br />FRONTSETB�CK a�n� srToncK <br />USE ZONE <br />HEIGHT LIAIITFTION <br />TVPE OF <br />LOTAIiEA <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />� �'JE SETBACK <br />NC. OF UWELLING <br />U18i5 <br />occurnNr�ono <br />VACAt:i SIIE <br />�7 YES <br />9ZE OF BLDG.TI. <br />FEE <br />�I NO <br />ensEn+eNT <br />Cl YES Il NO <br />CITY Of• eVERETT <br />LOCALSALES <br />TAX CODE IS 3�105 <br />HEATING SYSTEM: f� GAS �l ELECTRIC rl <br />W NTACi PERSON AND P�IONE NO- <br />0 <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 VJHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NnT PRESUME TO GIVE <br />AUTHORITY �O 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 />OWNEfl OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />a i� <br />X /�' J �:s( eL � i>-to ; . �. � /-�l'��'' y � <br />SIGNAiURE �ATE <br />CITY OUCINE55 IICE�lSE N0. <br />MECHANICAL <br />NO. TYPE OF FIXTURE OP. ITEM <br />A/C —AIHNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UVIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FA'J <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />PL�N CIIECR NU\10FP <br />�UILDIN3 <br />PLLIMOING <br />IAECN4NICFL <br />AD�IiIONAL PLAN CHECN <br />OTHEq <br />STATE �UILDI4G SURGIIAqGE <br />ruour, wa�Ks <br />TOTAL <br />SUB TOTAL 5 i <br />PERMIT S <br />_ TOTALFEE S <br />fEE FFCEIPTNO. <br />FEE <br />0 <br />