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APPLICATIII.. N FOR CONSTRUC". .ON PERMIT <br /> CITY OF EVERETT A BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 ^ 259.8810 <br /> 11 DEMOLITION I I COMBINATION I I BUILDING I I MECHANICAL I I PLUMBING I I SIGI <br /> PROJECT ADDRESS / 7�1 S 1A <br /> o" rn ' MAIL ADDRESS ❑ Y� PIP r,KrQ <br /> mF-$ ( . �� ST 30 _&hL()r)D E18033 <br /> IENANI / MAII ADINTEsSs CITY /lr PIKXIf <br /> AnCHITECT UMTIESIGNEn MAILACTURLSS CITY IIP PRONE <br /> GENERAL CONTRACTOR MMl AT10RESS CITY IW PHONE RIAIF.IKTNSFF <br /> V�wIC �a r�4o�E -rC-? I4 y� 0-77 nK <br /> MECHANICAL CONIRACiOn MAIL ADDRESS CITY IIP PHONE sl Tr HEf NSrI, <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE STAFF IK]FNSEA <br /> CONTRACT PRICE Or WORK <br /> HEATING SYSTEM: T)(GAS I I ELECTRIC 11 <br /> DESCRIBE WORK AND SUINnE FOOTAGE INVOLVED CONTACT PI nSXI ANDrAO`IF 110, <br /> CoufzliL,Lr NeO 6 f- JY,I,e JIM QOR � -TEt\) Iyr) <br /> 175o1u SFR„( luRf IL_IJIAL — CT �� ' �(01�(� <br /> '0 cv bti 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIF <br /> - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AL1 <br /> PROPosro U,S\E,O'F Bun DINS '/ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Or <br /> Sl n)Lla - P "1 L HCM E WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF' <br /> LLGALDESCDIPRON or PROPERTY ISIIOWN BELOWODATTACH 1W000PIESI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT .614 BLOCK OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANl <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THF <br /> PERF—+ T...��I �,-l• fS� 1` �""O� OOWNER OFNTHISCE OPROPERTY UCTION THAT I AM I <br /> TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MQQQD AND I COMPLY WITH TILE STAFF <br /> PARCEL TAXI D NUMBER CO�NJiJAA/�yG'TYPS LAW 1n 777CW AND 296 200 WAC. <br /> coN Ir.IkTION LOAN IF^En ADnness.lELEroIONE yyi!nr X C V� �`\- --, r., I1, I. <br /> fa' SIGNATURE D^IC <br /> 4 Re-r f q7 7 i Q3 CITY PLAINT.SS IICFWF No <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FES__ <br /> WATER CLOSET(TOILET) ! NC-A/HNDLG UNITS-H P __ ' <br /> 'Z BATHTUB '_-7--FORCED AIR SYSTEMS-B T.U. M E A }_ <br /> I <br /> LAVATORY(WASH BASIN) HEAT PUMP ' <br /> SHOWF9 ' UNITHEATERS-D.TU. M <br /> KITCHEN SINK 6 DISP i _� CLOTHES DRYERS <br /> DISHWASHER VENTILATION FAN <br /> LAUNDRY TRAY i_ RANGE HOOD <br /> CLOTHES WASHER WATER HEATER <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) <br /> BACKFLOW PREVENTERS GAS FIREPLACE --T <br /> —� <br /> SINK(SERVICE-BAR, ETC.) GAS RANGE_ <br /> GAS PIPING <br /> { y� EXHAUST FAN ' <br /> I <br /> SUB TOTAL E ; SUB TOTAL S i- <br /> PERMIT E - � PERMIT $ <br /> TOTALFEE SI TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> rnow SFTRACK READ SFTIIACK SIDE SETBACK PLAN CRECK NuMern PCE RECIPE No <br /> USE Z(7- �� 101 AREA VACANT SITE FEES VALUATION FEE <br /> E <br /> �- Q Z17 NSFR Nn OTKIDNO cf <br /> HEIGET LIMITATION NO DWELLING 1 ESOFO<U('I Lf^IIA/G <br /> 7 l ) I R G MDING <br /> OCCUPANCY I NO Of SICELS OCCUPANT LOAD BASEMENT ALL C'IANICAL _ _ 6570 L�r� <br /> 2 /A IIYFS jj�NO �^ <br /> Al11Kl IONAI PI AN Cl IFCK / <br /> FIRE ALARM REDO REASON <br /> No OTHER r7 Ov <br /> rRIESPAINKLEDnEOD REASON !� <br /> NO -- STATE nNIIDIND SURCHADOE <br /> TYPE aCONST PLANS ArrnoycnyWCITY OF EVERETT Fonar,wcm.a Q,� <br /> ��— LOCAL SALES <br /> DATE s TAX CODE IS 3105 1 TOTAL <br />