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APPLICATIOrI FOR CONSTRUC7 .JN PERMIT <br /> �* <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br /> 1 1 DEMOLITION f I COMBINATION I BUILDING I MECHANICAL PLUMBING SIGN <br /> PROJECT ADDRESS <br /> - 7 +h <br /> LA <br /> omFn MAIL ADpLESS Clio ZIP rI <br /> ml }s�, 1�p cl�. LL(1 1P191� n�0,e11 u�ret� L) �n�Mpk Iola <br /> IFNANT MAI.1013115 CITY ZIP' PHONE <br /> AnCIPTECT on HER MAIL ADOnESS CITY TIP PHONE <br /> GENERAL CONTSACTOR MAIL ADDRESS CITY ZIP PIIGNE316-Oalp ISTATE LICENSEE <br /> k�'O'c_ l�- r,esLL `L \��1133oF\,e�l- flTmfP� ► y,"boT4, \l ggoln <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIY PHONE STATE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE.LICENSE <br /> CONTRACT PRICE OF HORN <br /> HEATING SYSTEM: ➢QGAS f 1 ELECTRIC fl <br /> g�c RIBF.WORK ANO SWARE FOOTAGE Iy�OLVED CONTACT PEPSON AND PHIMIE NO /'� <br /> 15e�;�•on for tSil arm_, 1 (1 n n r _ ?�\,p-L JF�lD\ <br /> ������� ,�, ��,/�� \ (] - �G 1 ' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> \\AII�L�S�,1����- LL APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE OF BULtlyA�'n - PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> l� g,�. x - WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL SCnI oN of PFIOPEArT(SHOWN BELOW OR ATTACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> 11 ``;;�� pp �1 OTHER STATE OR LOCAL NAW REGULATING CONSTRUCTION OR THE <br /> �(f L\1 l r eK t I Q S C a� \1\[TCL PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> �- OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAXI D.NUMBER CONTRACTORS LAW 1827nR'CW AND 290.200 WAC. <br /> FA <br /> CoNSTICTK)N LOAN LENDEn.ADDRESS,TELEPHONE NUMBFn X \\ \ L� �`l kajU4 ' -1I - q <br /> SIGNA URE DATE <br /> _nAFTCA 1n�TIQ14 <br /> C17Y BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL _ <br /> NO TYPE OF FIXTURE OR ITEM FEE NO. _TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) ' AIC—AfHNDLG UNITS—HA ' <br /> 1, BATHTUB ' FORCLJ AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) , HEAT PUMP ' <br /> L SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK d DISP i CLOTHES DRYERS <br /> I iSHWASHER A VENTILATION FAN ' <br /> L\UNDRY TRAY i l RANGE HOOD i <br /> CLUT45S WASHER , WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN l METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN137�29 <br /> FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE—BAR.ETC.) GAS RANGE ' <br /> GAS PIPING <br /> EXHAUST FANSUBTOTALE SUBTOTAL E ' <br /> PERI T E , PERMIT E I <br /> / TOT - F, E I TOTALFEE E ' <br /> FOR OFFICE USE ONLY: _ <br /> FRONT SFTPACK REAR SFTPACK SIDE SETBACK PLANCHFCKNUMBER I EE RECEIPT NO <br /> USE ZONE ION AnTA VACANT SRF. FEE VALUATION FEE y, <br /> IIYES It NO BUILDING Z Q (J <br /> HEIGHT LIMITATION NO OF DWELLING SIZE OF BLI. 1 <br /> UNITS ,n 35ZOTf- G.Vm1j f PLHMBING <br /> 4 17-1 so CAC <br /> OCCUPANCY Iq p SlpifS OCCUPANT LOAD BASEMENT MECHANICAL <br /> ORpI <br /> Fl AYES O <br /> NnE ALARM PEGS REASON ADI11110NAL RAN CHECK <br /> OIHEFI <br /> FIRE SI'nINKIEn RED REASON I i� <br /> STATE BUILDING SIBICIV1nGE <br /> , <br /> TYPE OF CONST PUN'Ar•rl)0 nY CITY OF EVERETT PUBI Ir.WORKS <br /> ' <br /> V <br /> LOCAL SALES 7?10) <br /> �"/(I DATE 2L F TAX CODE IS 3105 TOTAL <br />