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G bi�9s APPLIcAr' )N FOR CONSTRUC 'ION PERMIT f <br /> CITY OF EVERETT I BUILDING DIVISION <br /> Oyu l i�5 3200 CEDAR STREET I EVERETT, WA 98201 1259-8010 <br /> 1 1 DEMOLITION Fl COMBINATION IseBUILDING 1 1 MECHANICAL 11 PLUMBING r I SIGN <br /> PROJECT ADDRESS <br /> OWNFn MMLADDRESS CITY ZIP PHONE <br /> M���e lkLf- I <br /> TENANT MMLADOIF.SS CIN 71P PHONE <br /> AnC1111ECTOn DE5tUNEn MAILADORESS CITY ZIP PHONE <br /> sk. l<-,Assaci ssseI, P44 A4, As se WL 41�o _ <br /> .-ENE�nAL CiOON.V�C701, �TMMALADIXIESSSS1� CITY IP PRUN.E� STATE LICENSE <br /> IIq./Y/} <br /> MECNANICALCONTiI ACTOR �AAILA I ESS 51111- �' l ABJ Uk 9gONE17 STSS�10EN�1/ <br /> PU IMBBII/N,G CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br /> ,K W A'/) — <br /> COIITMCTPn'CE FWOfiK <br /> 2 HEATING SYSTEM: KAS FIELECTRIC <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED CONTACT PER NANO PHON NO — <br /> 2.e-4 i / ti 1_L — I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Nt �/' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OFPROPERTY(SHOWN BELOW ORATTACH TWO COFIESI 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 /> 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 WITH THE STATE <br /> PARCEL TAXI <br /> 0NUMBER CONTRACTORS LAW 18.27 RCW AND 290.200 WAC. <br /> CONSMkTIO4 LOAN LENDER ADDRESS,TELEPHONE NUMPER X <br /> SIGNATURE DATE <br /> 1329ad6 )&-Z4"'A s5&,) I2 CITY BUSINESS LICENSE NO <br /> PLUMBING' MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> r� WATER CLOSET(TOILET) I A/C—/UHNDLG UNITS—H.P. ' <br /> kliln BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> S <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER ' VENTILATION FAN ' <br /> LAUNDRY TRAY ; RANGE HOOD ; <br /> CLOTHES WASHER _ WATER HEATER <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i 17- METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN —� FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) I OAS RANGE ' <br /> ' GAS PIPING ' <br /> I EXHAUSTFAN I <br /> , r <br /> I ' <br /> I ' <br /> SUB TOTAL $ ' SUB TOTAL E 4- <br /> PERMIT E I PERMIT E I <br /> TOTAL FEE E TOTAL FEE E ; <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK FEAR SETBACK SIDE SETBACK PLAN CHECK NUMBER _ I FEE .1#fI RECEIPT N �D <br /> USEZONE LOT AREA VACANT SITE }'// FEES VALUATION FEE <br /> 1'IYES Il NO BUILDING ' <br /> HEIGHT LIMITATIUN NO OF DWELLING / SIZE or IllDrIf I —' <br /> UNITS A_IQD PLUMBING <br /> OCCUPANCY 10 OF STORES OCCUPANT LOAD �BAASEM1ENT MECHANICAL <br /> 3 M I IT YES .IYFNO <br /> FIRE ALfRM"EO'O REASON 1JADDITIONAL PIAN CHECK I <br /> 0 MVIN Q��C& OTHER 1- <br /> FIRE SPRINKLER PE"ID REASON <br /> UU STATE BUILDING SURCHARGE <br /> TYPE OF CONST. PLANSAPPROVEDBY CITY OF EVERETT rueuc wonKS <br /> Jm LOCAL SALES <br /> DATE 14 <br /> G- TAX CODE IS 3105 TOTAL <br />