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_(rn�_��/�X � <br /> G b�dys APPLICAT��td FOR CONST�3UC' ��ION PEF�MIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> �Z��� 3200 CEDAR STREFT• EVERETT, WA 98201 • 259-8810 <br /> f7 DEMOL.ITION fl COMBINATION f�l'BUILDING f7 MECHANICAL f] PLUMBING fl SIGN <br /> PROJECT ADDRESS _� � � <br /> ,.57�_�D -- /�/� � � ; <br /> OWNff h1AILA0DRE55 CITY 21P p11pNE _-_- <br /> �1.�-�c Mes.�.,� 1 i�41 S n��i -f�1�l�LJ�6-t4l1 WA� 94012,—�_ 1-6 �' <br /> 7F.NANT � MAILA�ORE55 GITV 21P� PIIONE ' <br /> AflC111TECTOR�ESIGNER 6141LAD�PE55 n^ Cltt '/� ZIP PHONE f ^ <br /> S�G w'f"�CY /'SSdG � Q4L. Nr..��. s. .S[4�W-�. 9$ I �6� IS 7D " Ei-t�O <br /> GENERAICONTtlA iOR MAILADORESS CRY IP PHONE STATELIGENSE� <br /> �,�fi� �.�s �'� ��s�i� �s��l- � ak�U �s� �,� 9 e�2 q�� -���� <br /> MECNANICAICONTflACTCR � MAILADORE.3 CIN I- ZIP Pk10NE STATELICENSEY <br /> PLLIMBINGCGNTRqCTOR AIAILAUORESS CITV ZIP PH011E STA7ELILENSEN <br /> � 2D 'J(/11—"_ <br /> CONTpACTPRICE f WORK �y <br /> �y�� fiA„(��In �Z,Z � Qg�+ � �p�� HEATING SYSTEM: L GAS ❑ ELECTRIC ❑ <br /> OESCRIOE WORK AND SOUARE FO�TAGE INVO�VEO ' CON(ACT PERS NAND PNONE N0. <br /> — _ C J " / <br /> __! jic,l �,n�� �/�/� ���C � � <br /> _I7�S •� ,/ �� � — I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> L� �L 5_[.�L—_ — APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT.ALL <br /> PROPOSED USE OF OUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF , <br /> WORK WILL BE COMPLIED WITH WHE.THER SPECIFIED HEREIN OR <br /> LEGALOESC(i1PTI0HOFPROPERTV�5H0:YNBELOWORATTACHTW0.7PIF.5) NOT. THE GRANTING OF A PcRM1T DCES NO'f PRESUME TO GI\'E <br /> �or BLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> {. I r OTHER STATE OR LOCAL LAW REGULATIMG CONSTRUCTION OR THE <br /> IM �fr� II l M't=��s'�. � [Ji PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS A9ADE AND I COMPLY ':VITH THE STATE <br /> PARi,ELTA%I.D.NUTABER CONTRACTORS LAW 1827 f�CW AND 296200 WAC. <br /> i <br /> f // /j <br /> CONS C?ION LOAN LENOER.A�ORESS.TELfPMONE NUMOER x L. � L/ /� L� � 1 D-51� 9¢ <br /> SIGNAIURE / DATE <br /> �� ��� CITY�USINESS LICENSE NO. � <br /> PLUMBING � McCNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> . WATER CLOSET(TOILET) i A/C—A/HNDLG UNITS—H.P. —i— <br /> 2, BAl'HTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATOPY(WASH BASIN) i HEAT PUMP —T— <br /> Z SHOWER � UNIT HEATERS—B.T.U. M � <br /> 'L, KITCHEN SINK&DISP i CLOTHES�RYERS i <br /> QISHWASHER � VENTILATION FAN � <br /> LAUNDRYTRAY ; RANGEI�OOD ; <br /> CLOTHES WASHER —� WATER HEATER r <br /> "--- <br /> URINAL � WOOD STOVF <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> �— — <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD�URNIId3) � <br /> BACKFLOW PREVENTERS ; 3AS FIREPLACE ' <br /> � <br /> SINK(SEHVICE—BAR, ETC.) + GAS RANGE —T— <br /> ; GAS PIPING ; <br /> i EXHAUST FAN i <br /> i � <br /> �— i <br /> � � <br /> � � <br /> SUO TOTAL $ � SUB TOTAL 5 ; <br /> PEF�dIT $ i PERMIT S i <br /> T0T.4LFEE 5 � TOTALFEE $ � . <br /> FOR OFFICE USE ONLY: <br /> FqONT SET�ACN PEAR SETPACN SIDE SETOACK PLPN CIIECK NUMOEfl FEE iIEGEIPT N0. <br /> _� A <br /> C� <br /> UGEZONE �ornaEn VACANTSITE FEES VALUATION FEE <br /> f1YES fl NO pUILDING ; � �� r� i <br /> � <br /> HEIGNT LIIdITATIOh NO.OF DWELLING SIZE OF flLDGlf.L � <br /> UNITS t�.',nn 4C PLUMBING i <br /> (i!i(� ./1 <br /> OCCUPANCY NOAFS70RIE: OCCUPPNTIOAU BFSEMENT MECNRNICAL i <br /> GR UP f � � <br /> ❑VES �NO i <br /> FIREALARMRFO'D REASON ADDITIONALPLINCNECK � <br /> �D OTHER � <br /> i <br /> FIRE SPRINKLER PEO'D REASON � <br /> �� STATE DUIL�ING SIIRCHARGE � ��U <br /> 1YPEOFCONST. PLANSAPPj9'0VEDBV CITYOFEVERETT PlIBLICYlOPNS � <br /> � J'n LOCAL SALES � <br /> DATE 7 � �GJ TAX CODE IS 3105 TOTAL J 7 I <br /> — i <br />