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APPLICATICPA FOR CONSTRUCTION PERMIT <br />pj �k9�e X CITY OF EVERETT • BUILDING DIVISION <br />/ 3200 CEDAR STREET • EVERETT, WA 98201 A259-8010 0$:77 <br />Bike 5 <br />DEMOLITION <br />II COMBINATION <br />BUILDING <br />MECHANICAL <br />SIGN <br />PLUyM1BPLUMBINGPROJECT <br />ADDRESS <br />601 � o I CT- <br />PI,AcE� s �. <br />cV�RE t'( WA <br />1? 0 <br />OwgFn <br />MAIL ADMIFSS <br />Cm <br />71P P., <br />Mlb h'" IK lAtec L,�.L. Io��7+ 77i1 Avg rF. eryaP�F, Ira <br />FNAN� T Min ARIMF55 CITY ZIP P IONF <br />IWnvller IAMIFFWrw MIDI AGPNESS <br />CITY lip <br />MK)NE <br />SUITE I ICFNSEA <br />tijcGcICAICO <br />S.� �R�rr�► <br />kk4 3'c7LlK7 <br />MNtiAALlafs� <br />MFCNANIf.AI CONTRACT MAII AINMFSS <br />Cm <br />CITY 71P <br />PIIONF <br />STATE LICENSE <br />MIIMRINGCONTRAC.TOR MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />STATE LICENSE• <br />CONTRACT MICE OF WORN <br />-- <br />HEATING SYSTEM: GAS r I ELECTRIC f I <br />OE9CTGBF YgTIK ANO 9011APF FOOGGE INVd.VEO <br />D 71b <br />C fACf PERSON D PHONF. NO <br />oodN y7- �fbs7 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY YVITH THE STATE <br />CON C RS LAW 18,27 RCW:p4Q,296 <br />X /ia� r� / 1� ?F <br />nGS PROPOSED use Of Sun IXNG <br />�lYN " EG <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN EELOW OR ArTACH TWO COMES) <br />LOT STOCK OF <br />d -7t-h kvE,S F. <br />PARCEL TAXI D MIMSER <br />CONSTRLICTgN LOAN LENDER. ADGPF.SS. TFLEMIONE NUMRFF1 <br />_ <br />SIGN LIRE IAII <br />CITY RLISINFSS LCENSE NO <br />MECHANICAL _ <br />NO. TYPE OF EQUIPMENT FEE <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — AMNDLG UNITS — H.P. <br />' <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />r <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />' <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />' <br />I <br />DISHWASHER <br />I <br />VENTILATION FAN <br />T <br />LAUNDRY TRAY <br />' <br />RANGE HOOD <br />' <br />CLOTHES WASHER <br />r <br />WATER HEATER <br />r <br />URINAL <br />' <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />I <br />METAL FIREPLACE (WOOD BURNING) <br />I <br />FLOOR DRAIN <br />1 <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />; <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />r <br />'17 <br />GAS PIPING <br />' <br />r <br />EXHAUST FAN <br />r <br />r <br />I <br />I <br />I <br />r <br />r_ <br />I <br />r <br />SUB TOTAL S <br />' <br />SUB TOTAL S <br />' <br />PERMIT S <br />r <br />PERMIT S <br />r <br />TOTAL FEE S <br />' <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: <br />FRONTSFTRACK <br />RF AR SFTRACK <br />119E ZONE <br />1 OT AREA <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />UNITS Z <br />OCCUPANCY NO LK STONES <br />OCCUPANT LOAD <br />OR XIP <br />I <br />vl 2 <br />A <br />FIRE ALARM MOD <br />REASON <br />FIRE STORMIER RFOD <br />REASON <br />TYPE OF C.ON9T <br />PI ANS APPROVwY <br />DATE I 1 -L 9S <br />