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�' A,PPLICAT�J�1 FOR CONST�iU(. �9�N PE�iMBT <br />` CITY OF EVERETT• BUILDING DIVISION , <br /> I 3200 CEDAR STREGT • �VERETT, WA 98201 •259•a810 <br /> l` fl DEMOLITION � COM8INATION fl BUILDING I-I MECHANICAL ,�fl PLUMBING fl SIGN <br /> PROJECT ADDf�ESS �� <br /> ��'�� � ��� � ���I P . �,lJ_ � `�.,�TC V. '�:��- <br /> owi�en MnanoonEss cirv zir m�oNE <br /> �lrt-c-v 13��r��; ll,C�. l;�ll'� �i:l��<<1 —����u��,{� I�w�� . �.��\�����_�.G R�?C� Z (ZCIr��ll0 -(:��n� <br /> 7ENANT MAILAUORF.55 CITY IIP� ( PIIONE . <br /> ARCHITF.CTORGESIGNER MpII.ROG(1E55 CITV 71P PHOkE <br /> �n��e��i��� �lrr ti�-�cc�cs ,�l i� � A��e� i� . ,�ie ��z. �I�,�i_ v�xat�,� 9t�C��" L �� e i ��,� - ��� <br /> GENEOALCONI RCTOR MRILA�UPE55 CIIY ZI PIIONL µ�TCvsraTLuc�i, � <br /> �-���c� \�ovv�c�_L�C. �'tiv,�E G�S a C�;�-e, � 'q�� � . �,` <br /> MECHRNIC�LCONTRACiOA lAAILADDRE55 CITY ZIP PIIONE STATELILENSEI <br /> 1��_F����_,��� �ru 3��n , Lc Ccr Si�t rcm� ��S �.�-/- yll � t�uL-,�-i�-I ��ryRi� <br /> PWAi9Ir�GCONiRAf.TOF MAILAD RE55 CIfY ZIP PHOIIE STAlLLICENSE� <br /> �l,l�l.,'L�Si-l�w�xx ? �� �1�1 ���. ' � ,-r � �'F �IQ� �� - 2 � (.t�A?-T�� f i�d'1�� <br /> � coNmnc c rnicE oF wonK <br /> HEATING SYSTEM: AS �l ELECTR{C I-1 <br /> OESCRIOEW RNANOSOU �EFOOTA EINVOLVED COHTACiPF.R50NANOP110NEN0. <br /> �� � 1 1 <br /> � i -r,��� �.�� � �r �?� � �a�-v �,-I�n��;l.�tr� � l� - �>���1 �,��. (� <br /> - I HEREBY CERTIFV THAT 1 HAVE READ AND EY,AMINED THIS <br /> � PROPOSEO USE om�oi� APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT.ALL <br /> � ����'�1���� PROVISIONS OF LAVJS AND ORDINANCES GOVERNING TH!S TYPE OF <br /> . WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Ofi <br /> LEGRLG.'�CRIPTIONOF7ROPERTY�SHOWNBELOWQ�ATTqG11TlV0'OPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior ; �BIOCK '` oF � �D� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> 1�, I - p / n- \ � � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � 1``CA�1.X 9. \ V� �LU . ',�/�f),(`}�Q`� r)��� , PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOPIZED BY THE <br /> � L I � OVlNER OF TH:3 PROPERTY TO PERFORM THE WORK FOR WHICH <br /> - l�'. R� G - (,� APPUCATION IS MADE AND- I COMPLY W�TH THE STATE <br /> PARCELTAXIA.NUMBER "'� � CONTRACT9RS LAW 18,27 RCW AND 2g6200 WAC. <br /> � ���I�V�C�O--GI �' -C�I��S 1 � L <br /> CONSTRUCTION LOAN LENDER.nDORESS,TEIEPHOIIE NUMBFH X�� ���/���(� �� � <br /> 1� J <br /> � SIfiNATURE �� / ppT. <br /> t � CITY�USINESE UCENS@ NO. <br /> ` � . PLUMBING <br /> MECHANICAL <br /> '; NO. TYPE OF FI%TUHE 6R I7EM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—A/FINDLGUtJITS—H.P. --T— <br /> � BATHTUB � FORCED AIR SYSTEM —B.T.U. M E.A. � <br /> T <br /> LAVATORY(WASH bqSIN) � IiEAT PUMP � <br /> � SHOWER � UNIT NEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN i <br /> LAUNPRY TRAY ' ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER , <br /> . URINAL ' WOOD STOVE � <br /> � DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURN�NG) ' <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ~— <br /> BACKFLOW PREVENTERS ; GASFIREPLACE ; <br /> SINK(SERVICE--BAR;ETC.) � GAS RANGE � <br /> � ' GAS PIPING � <br /> . _ i EXHAUSTFAN i <br /> i i <br /> — � � <br /> � � <br /> T <br /> I � <br /> SUB TOTAL $ � SUB TOTAL $ � <br /> PERMIT 5 �— PERMI7 $ , <br /> � . TOTAL FEE $ � TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETOALk REaRSETHnLK SI�ESETDA,CN PL�NpIECKNIIM1IpfR FEE 7 RECEIPTNO. <br /> �Zo /O .�L yyrJ �� ' <br /> USE20NE7 LOiAREA vncarutsrtE. FEES VALl1ATI0N F E <br /> �-� �,�gy .��--- <br /> 11 ES fi NO 9UILOING Q'L (p U�r� i � � <br /> IIEIGHT LIMIIATIDp NO.OF OWELLING SIZE OF BLIX'Rl � <br /> UNII$ � fl1IM111NG <br /> "2-3 r3v9 ss S F. �� i �'� <br /> OCCUPANCY NO 0!S�OI�IFS OCCIIPANT LOAU FlASEMENi � <br /> GOOU MECIInNILnL �„ 7 �i�� <br /> 123 U-I ?- �ives ia.,� — , <br /> FIR ALAFIAREO'D RFASON ADDI710NnI.PI�NG�FCK i <br /> _ I <br /> OiNEO � <br /> FIRE SPR�NKI ER REO fl IIEASON <br /> i <br /> STAlEB111IDRJG511fIC11nfiGE / i- . <br /> i <br /> IYPEOFf,ONST PlANSRPPf10VEDUV CITYOFEVERETT �Ilflllf,'NOfiKS � <br /> — LOCAL SALES — ' <br /> �—/✓ nnitS//Z�Q] TAXCODEIS :1105 TOTqI �l�j';? <br /> __ _ _ _ i <br />