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, ArPLICATIbd FOR CONSTRUMON PERMIT <br />el tl K� >� CITY OF EVERETT A BUILDING DIVISION <br />8 I � j + 3200 CEDAR STREET A EVERETT, WA 98201 A 259.8810 <br />fl DEMOLITION f' COMBINATION , BUILDING MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS W A j fa` <br />dc? (elrr LAGS sc. r<ve/�rr 8 <br />OWNER MAIL AOORESS Gtt 71P 1'14 ••n <br />/tlrtcAauek 4ao�lnT�r L,l.c. foc' <br />'TENANT MAII ADRRFss I:Ity lip <br />- - — <br />ARCHITECT OROESH311ER MAII AODBESs LItt /Ir PHONf <br />Y ��JQy �ulkc-Trr W-k_-VaOB <br />G.NFRALCONTDACTOR MA4 ADIIi T[:IIY 71r 1`11C)NT STATE 1111'fl <br />Mr mk ksroa . talao %7k M�• ��. e TL M 9EVC 3V 4657 nru.ayl.ossPf <br />MECHANICAL CONTRACTOR MAIL ATNIFF.SS CITY 71r PNONF STATE I ICE NSE & <br />PI. UMBING CONTRACTOR MAIL ADORF.SS Cm ZIP PHONE STATE LICENSE& <br />CONTRACT PRIG OF VYOM <br />HEATING SYSTEM: AS I ELECTRIC fl <br />SCRIBE WQiK ANO soi FOOTAGE INVq VEO <br />�ullo A NcW aVp�1C �6q <br />CON CT PERSONA PIgNE NO <br />AN <br />'c' QVILarN6 ,,��5/cIU3s <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 GOVERN.AG 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 I.UTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOR THE WORK FOR WHICH <br />APPLICATION IS MADE AND I CO WITH THE STATE <br />CON TRAC RS LAW 18 27 RCW AND 29 WAC. <br />/ 114 <br />SI URE DATE <br />PROPOSED USE a nuaaNG <br />0b1NEA OCCUPIrFL] AM14FtILQ <br />LEGAL OEsCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT BLOCK OF— <br />OI 0 V S E . LAVE <br />PARCEL TAXI O NUMBER <br />CONSTRUCTION IOAN LENDER AODAESS. TFLEPI IE NUMRFR <br />MET BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL _ <br />NO. _TYPE OF EQUIPMENT FEE <br />�T <br />A/C-AMNDLGUNITS-H.P. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS - B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP_ <br />_ <br />SHOWER <br />' <br />UNIT HEATERS - B.T.U. M <br />' <br />KITCHEN SINK A DISP <br />1 <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />' <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />RANGE HOOD <br />i <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />' <br />URINAL <br />' <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />I <br />METAL FIREPLACE (WOOD BURNING) <br />I <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVEN7F'1S <br />i <br />GAS FIREPLACE <br />i <br />SINK (SERVICE — BAR, ETC.) <br />I <br />OAS RANGE <br />_ <br />' <br />GAS PIPING <br />' <br />I <br />EXHAUST FAN <br />1 <br />' <br />I <br />' <br />I <br />I <br />' <br />SUB TOTAL $ <br />' <br />SUB TOTAL S <br />' <br />PERMIT S <br />I <br />PERMIT $ <br />I <br />TOTAL FEE S <br />' <br />TOTAL FEE $ <br />' <br />g:nn r mrs: am: nNl Y. <br />FRONT SETBACK <br />RFAR SETBACK <br />USE ZONE <br />IOT AREA <br />NFIGHT LIMITATION <br />NO OF DWELLING <br />IINITS Z <br />OCCUPANI:v NO (K sIfVXFS <br />IX:CUPANT LOAD <br />GROUP <br />3JT 2 <br />AIn <br />FIRE ALARM REOO <br />REASON <br />fIRF SPRINKI ER REOD <br />REASON <br />TYPE Of CONST <br />PUNS AP"VF? <br />I <br />-V <br />DATE <br />