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_.. _. <br />APPLlCAT�t.A FOR CONSTRUC7.ON PERMIT <br />' � CITY OF EVERETT • BUILDING DIVISION <br />��` �� �'"`"" I(�' % 3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COMBINATION ��}'BUILDING f7r'MECHANICAL «F'PLUMBING fl SIGN <br />PHOJECT ADQRESS <br />%/li/ -- /�/9� i�/l I � <br />OWNER MAILA�OFESS CITV p.� 21P PNONE <br />�?►�)uN- Sc,ilvv�c 3c7�-3G=L4c�-.•.�%/.qJ../1(i.n..w�14�k �J�,:+�9�- ln.i7-/3Cy <br />TENANT IdNLADURE55 CITV 21� PIIONE <br />ARCNRECTOPDESIGN�'1 1dA114D�RE55 CIT't 71P PIIONF. <br />GENER�L CONif1nROR lAn11.4��RESS A ❑IY 71P PIION[ $iATf lIC[NSE � ( <br />�S�-�.y�, Gn QX+-.-+-�.o �/��U�C G 7� 1�--� <br />N�ECIIANICALCONTH4CTOR MD'�LADDRESS CITV 21P F'10NE ��STATELICENSE� <br />PWMBINGW�ITN�C,7011 MAIL4DURE5S CIi1' ZIP �`.lOIlE $TATEIICEN$E• <br />DESCRIBE WOPK ANyD �S�OU4RE FOOT'�/GE� I—NV_O�VE� <br />.' lY�CSJ� 7� /�..Q <br />LEGAL O�ESG,RIP�TI/O WOF PROPERiV �SHOW�LOYI O�R.yAi�fAGH TWO COPIES) <br />LOT ��(� OLOCN OF "�/`�'�� Ce'-u�.-f <br />J / � %Ei�; �.Q S � 4 <br />PARCELTA%I.D NUMBER <br />x�y/<<= - <br />CONSiRUC110N IOnN LEN�ER. ADOf1E55. TELEAHONE NUMBER <br />PLUMBiNG <br />NO. T1'PE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />'� BATHTUB <br />SHOWER <br />KITCHE�I SINK 8 DISI <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ET <br />SUB TOTAL <br />PERMIT <br />TOTAL FEF <br />FOR OFFICE USE ONLY: <br />fRONTSF.TpACN PE40 SETBACN <br />z�� 70. <br />USEZONF 2 LOtpREA <br />2— J <br />IIEI(iHT UMITFTION <br />2 �� <br />TYPE OF CONST <br />�a <br />NO OF UWEILING <br />urnrs � <br />OCCUP�NiL04U <br />Pl �NS �Pt'�OVFD F3V <br />uniE <br />FEE <br />� <br />3 <br />i <br />HEATING SYSTEM: f�GAS �l EL.ECTRIC I l <br />CONT�CT PERSON �ND PHONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE O� <br />WORK WILL BF COMPLIED WITH WHETHER SPECIFIED HEREIP! OR <br />NOT. THE GRANTING Of A PEfiMIT DOES NOT PFlESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFONMANCE OF CUNSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLI�ATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />X ,r���..Z.��� y ' <br />SIGNAiURE � DnTE S <br />CITV OUSWE55 LIG[NS[ NO <br />NO. TYPE OF EQUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HE4TER5 — B.T.U. M <br />CLOTHES DRYERS <br />� VENTILATION FAN <br />� RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />ME"iAL FIREPLACE (WOOD BURNINGI <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPIN6 <br />E%HAUSTFAN <br />�ISIOESETBACN PIANCII[CNNUMAFR <br />s � �,� <br />I vncaNr sire FEE! <br />f ES ft h0 <br />uwion�r. <br />or oi.osRi <br />ig�. SF C����✓i. + rwMeiHc <br />••."•• � MECHnNILAL <br />I I YE i 1�✓NO <br />ADpI � IONAI. PI AN GHF.CK <br />on�En <br />sTnie om�oiye su�c��nnce <br />CITY OF EVERETT ��;BI If, WORKS <br />LOCALSALES <br />TAX CODE IS 3105 707AL <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE S <br />r�r nFr.Eirrr�o <br />VALUATION F <br />S 7. 2�3Z � �1� <br />FEE <br />