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APPLICATIdrI FOR CONS'�'RUCT�OP! PERMIT I'' <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> fl DEMOUTION ��COMBINATION I� BUILDING fl MECHANICAL �1 PLUMBING fl SIGN II <br /> PIqOJECT ADDRESS 1 , 1 <br /> ��- � o� 13��' �VP�'ll,l 'L l�J , ���PfE��� <br /> ONNER MnILAODRESS CITV ZIP rr�oNe ' �� — 6;Z�p \ <br /> `1�Y1�}c��r �S LLC' . 1�SG L�tr1k'ell-�1 �Pn�k 1-�u�� �G ,�0., W�rl 9 �aIZ <br /> IEKANT MML�DDRESS CIiV Z'P FI�ONE � ' <br /> ARC�IITF.GTORDES�GNER MAILAOORE55 GIiY ]IP PNONE <br /> GENERfLGON1MCTOR IAaLA�ORESS CI1Y IIP PIIONF 3i�y-O��S14iELICENSEr � � <br /> � ME�CALCONTRAC70R �MAIL��RE�.. 1��`J �'(`F ��l'�I[-�1���(1(�{�t�J�/ PIIOM1E O `�lPIELy,�CENS[I�D('-a43Y�- <br /> PWMBINGCJNTRAf,TOR NAIL�D�RE55 GIiY ZIP PHONE STATELIGEhSE� <br /> G01liRACT PRICE OF WOfiK <br /> HEATING SYSTEM: GAS �l ELECTRIC f l <br /> �D CFIBE WORN ANO SOUARE FOOT�GE INVOLVED CONi�CT�ERSON nNp PIIONF NO <br /> ��r-1- P\c�� # I l� � '_� - 31 <br /> . �;c, 1 r �. a , <br /> I - I ��J�1 � ITOU.SC� I HEREBY CERTIFY THAT I HAVE REA� AND EXAMINED THIS <br /> PROPOSEO USE OF BUILD:NG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> I� , _ . PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> �1 � 1Cl'1� \ WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />, �¢ca�oesc�l`ERTY�SHOWN BELOW B ATfACH TV.00��!ES) NOT. THE GRANTING OF A PERMiT DOES NOT PRESUME TO GIVE <br />� - �or�OLOCN_ OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � � L � � (� OTHER STATt OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> IC_U (���Y�Qrf� \ 1 \�. �C S . PcRFOAMANCE OF CONSTRUCTION.1'HAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH � <br /> Q�� —rne �;� APPIICATION IS MADE AN� I COMPLY WITH THE STATE <br /> PARCELTAX ID.NIIMBER CONTRACTORS LAW 1e3.27 RCW AND 296.200 WAC. <br />, CONSTRUCTION IOAN LENDER.�D�RE55,TELEPHONE NUMBCq X`��i��L�T�--�,t ����u ��.(. � - I I - GS <br /> . S��N ,��ET�1 .�,{�— �o �'4-��K � onTe <br /> � C!TY BUSINESS IICENSE N0. <br /> - PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) ; A/C—AIHNDLC UNITS—H.P. � <br /> � BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> LAVAI'ORY(W�SH BAS�N) � HEAT pUMP � <br /> SHOWER UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP � � CLOTHES DRYERS � <br /> DISHWASHER VENTILATION FAN � <br /> LAUNDRY TRAY � t RANGE HOOD ' <br /> CLOTIIES lNl�SHER � WATER HEATEF T— <br /> URINAL ' WOOD STOVE i_ <br /> DRINKING FOUNTAIiJ METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PPEVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—�AR,ETC.j � GAS RANGE <br /> � GAS PIPING � <br /> . <br /> � � EXHAUSTFAN � <br /> — — � � <br /> _ <br /> � �_ <br /> SUB TOTA! S '7 ; SUB TOTAL S a �; <br /> PE9MIT 3 i PERMIT 5 i <br /> TOTALFEE 5 TOTAL�'EE S <br /> FOR OFFICE USE ONLY: <br /> fRONT56Tfi�CK PEARSF_TA�GN SIpESE�ACN PLANCI�CKNUMOfil FEf �lECFIPiNO. <br /> Zo Z� � S .7 i 5` .j �C <br /> use zOr���+jjj �or nnen vnenNr srte FEES VALUATION FEE <br /> � OZI �s t� Ho • �T <br /> ouuoiNs g� Zc � � <br /> HEIGHTLIMITRTION NUOF�WELLING 51jEOFB rtI <br /> Z 'h�� U:lIiS ' I�OII �� LIVIlJ(.1 "f' p111R1AING 77�. <br /> �J 46z sF 'AP�4E <br /> OCGUaANCY NO O�SIpRIES OCCUPANTLOAD BASEMENi M[CH�kIC4L /' �� <br /> Gf1�UP ' � <br /> �• U-I ' /, IIY[5 ' NO - u /�C. <br /> FIREAL�RMqEODr REASOY ADDI110NALPLFYCNF.CN � <br /> OIIIER � <br /> � <br /> FIRF.SPRINKLERREOV RF4FON —— <br /> ST�iE BUIIDL`IG SUtif,H�RG[ � ;� l�l� <br /> ���_ <br /> rrvEovr.or+sT rinNsnrrnQvFoav CITYOrEVERETT runncwnnKs <br /> �y- vM LOCALSALES --- — <br /> J!_—N unTE 22 5 L. TAX CODE IS 3105 TOTAL IL <br /> p���lc�a�� '� �,�n C�.tc - �,��7�� ;!;'«c�' � <br /> �''ClCllu� /Lc�GcJ • <br />