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_ <br /> � -- ��I����� � �� ��� � L <br /> AiPPLICA►TION FOR CONSTRUCT►JN"PERMIT <br /> �,� �oc� . <br /> CITY OF EVEHETf• BUILDING DIVISION ,.,, pl� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 25s-selo ��Jy �F EVERET7 <br /> ->�IEMOLITION Cl COM8INATION ❑ BUILDING �CHANICAL P�J���L�'(1M81� t � i SIGN <br /> OJECT ADDRESS <br /> 2'1 1�7 I,�"�" 5a ��N'o.�-�sr,� <br /> owr+en Mnaaooness cm � nr riwr+e � <br /> �.lrc�LGrr �ous��lt� Aa-Taa�:�r. � �5 S��sC�-I�irn�'�� w/-� <br /> TENANT MNlA0DOG55 CI7V � ].IP PIIONE <br /> - ��a-M� - . -s/L�7 _�%;/,6l/%��f���UI �'0� '/%C�� � <br /> ARCIIITFCTOROESIGNEfi MAILAD�f7ES5 GI7V �� ZIP PIIONE � <br /> OEN[i1�LCON�MCTOR MAI�A�Df1ESS CIIY ZIP PIIONE SIAtELICENSF� . <br /> MECIIANIC�LCONTMACTOR MAILAD�(1E55 CIN ZI{` PIIONE STATELICEIISE� <br /> ��I��-IJC� H'L4 ...�'� �op�. Go. ��34 IS' c4�lr� S. Sf�;tt,<s wq. 98�3� �l�Ki�s3l3r1� <br /> PLUMBINOCONIq�CTOR AIAILAD�AESS CIN ZIP PNONE SiATEIICENSE� <br /> CONiMCT��,eoF�� p� HEATING SYSTEM: I:'I GAS ❑ ELECTRIC Cl <br /> ��e <br /> OESCRIDE WORK AND SOIIARE FOOTAGE INVOLVED CONiACT PEfi50N AND PIIONE NO . <br /> .� � r-, ,�- �N ��A� .J �'�A�no..� 6i.aJ,�F1�+SA+� — <br /> l�n— ,v� O SF ✓1�4� ZtXa- (s2Z—�'�0 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIiiS <br /> G/�ilJ.i�F • APPL�CATION AND KNOW THE SAME TO BE TRUE AND COFiRECT.IfLL <br /> PROPOSED USE OF BUILOING PROVISIONS OF LAWS AND ORDINANCES GOVERNING'iHIS TYPE OF <br /> ,niC�T.YJ�Jc! WORK WILL BE COMPLIED WITH WHETHEfl SPECIFIED HEREIN OR <br /> LEOALOESCRIPTIONOFPROPEfiTY�S110WN�ELOWOBAR�CIITWOCO�IES) NOT. THE GRAN7ING OF A PERMIT ODES N0T PRESUME TO GIVE i <br /> ti.°;: OLOCK or �UTHORITY TO VIOLATE OR CANCEL THE PROVISION OF �NY , <br /> ��.;,e.. OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TFIE <br /> �� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICFi <br /> A RN6A ON IS MADE AND I OMPLY t STATE , <br /> P�RCEITNf I.D.Nl1MBER ONTFACT LAW 18.27 2 0 AC. � <br /> CONSTRUCTION�ORN LEN�ER.ADOBESS.TELEPIIONE NUM�EP Zj � ` <br /> 51 NURE �� <br /> C11Y�USINES 0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM F�_ I <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. ' <br /> BATHTUB � FORCED AIR SYSTEMS—B.LU. M E.A. i <br /> LAVATORY(WASH BASIN) � HEAT PUNP ' i <br /> SHOWER � UNITHEATERS—B.T.U. M � _ � <br /> Y.ITCHEN SINK 8 DISP i CLOTHES DRYERS � � <br /> i VENTILATION FAN : <br /> DISHWASHER i RANGE HOOD _�__ I <br /> LAUNDRYTRAY <br /> CLOTHES WASHER � WATEH HEATER �_ <br /> URINAL ' WOOD ST04E <br /> ' METAL FIREPLACE(WOOD BURNING) � <br /> DFINKING FOUNTA�N ' — <br /> i FIREPLACE INSERT(WOOD BURNING) ! <br /> FLOOR DRAIN — � <br /> ' GAS FIREPLACE � ' <br /> BACKFLOW PREVENTERS � ---�-- <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE �_— <br /> � GAS PIPING � ' <br /> EX4AUSTFAN ' � <br /> � ' �— I <br /> � .�i..--- <br /> � � <br /> � � <br /> � ----�-- <br /> � � <br /> � SUB TOTAL $ � <br /> SUB TOTAL $ � ---�' <br /> PERMIT $ � PERMIT $ _�_ <br /> TUTALFEE S TO(Ali-EE S _ � <br /> FOR OFFICE USE ONLY: <br /> aeceirr uo. � <br /> FRONT SETBACK AE�P dETOAf,K SIDE SETAACK PLAN CI�ETK NUM�OJER�n �[E <br /> �.i G / <br /> uSezoNe LCfAREA vncnrvrsnr- FEES VALUATION FEE _ <br /> nves ❑ r+o � <br /> ouamNa �_ <br /> HEIGHTLIMITATION ��O.OFDWELUN� SIZEOFOLDGR.I, � <br /> UNIiS � <br /> PLUMBINO <br /> IX:CUPANCY NOAf5i0PIE5 OCCUPANTLOAD B�SEh1ENT MECIII1f11C�L i � <br /> fj^^UP <br /> / ❑ves ❑ r+o � � ' J <br /> \��, . ItEA50N ADDIT:ON�L PLAN CHECN � <br /> Mi/�.LARM REO'D ( i <br /> OTIIER � �` � / � i� <br /> i <br /> PIfiE SfRINKIE(7 REO'D f1EASON / � <br /> STATEOUIL�I SU(iCH�ROE � � <br /> t- <br /> � <br /> TYPEOFCONST. PLANSAPPPOVEDOY CITY OF EVERETT ruoucwonKs � <br /> Qq /� LOCAL SALES _._�_ ? � <br /> DATE � / 7O%� TAX CODE IS 3105 TOTAL i- /' �. ' <br /> �LC1G� ����./� � <br /> �-- ��� <br />