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APPLICATION FCR CONSTRUCI-90N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAFl STREET• EVERETT, WA 98201 •259-8810 <br /> f 1 DEMOLITION KT COMBINATION I I BUILDING MECHANICAL PLUMBING I SIGN <br /> PROJECT ADDRESS <br /> OWNER MAIL ADDRESS CITY IP 1`gpV[ <br /> LOAD 60.J 4-T,9Z749•T CrrT 01007 IVMC7. .1e, /� !' W^ qsL>z <br /> TENANT ATI.AI�pW1E55 CITY 71P NIONE <br /> ARCHITECT OR DESIGNER MAIL AnnnESS CITY )m PITONS <br /> GENERALCONTRACTOR MAI ADDRESS CITY )IP PHONE STATE LICENSFI <br /> z 0 eo e....ai,. :j n/lljeta,e �O z /�0 9 GdoccL ,Ls/sykN <br /> MECHANICALCONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE LICENSE <br /> PLIIMBINULFINTRACTOR MAIL ADDRESS CITY IIP PHONE $GTELICENSE- <br /> CONTPACt PRICE OF WORK / <br /> 1900 c HEATING SYSTEM: XGAS I I ELECTRIC f I <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED CONTACT PERSON AND PIIONF NO <br /> / I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Pnoro ED�1,sE BlnlaNG APPLICATION AND KNOW THE SAME TO BE RUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION a <br /> oNrnorERTV(SHOWN BELOW oa AnecH coPlE) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK or WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> `e.. AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �i n LO cOl Et7 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 1 COMPLY WITH THE STATE <br /> PARCEL TAX I D NI MBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> r <br /> CONSIRLK:DONIDAN LENDER.AGLME55.TELEPHONE NUMBER X /�I/P/` <br /> SIGNAL E /` 1�7 J <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT _ FEE <br /> WATER CLOSET(TOILET) 1/1 <br /> ' A/C—AMNDLG UNITS—H.P. I <br /> BATHTUB FORCED AIR SYSTEMS—B.TU?SM EA. ' <br /> LAVATORY(I/ASH BA^IN) 1 HEAT PUMP 1 <br /> SHOWER if ' UNIT HEATERS—B.T.U. M —i— <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS ) <br /> I DISHWASHER I VENTILATION FAN 1 <br /> LAUNDRY TRAY ) RANGE HOOD <br /> CLOTHES WASHER I / WATER HEATER 1 <br /> URINAL I WOOD STOVE ) <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) —~— <br /> BACKFLOW PREVENTERS aL GAS FIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) I / GAS RANGE I <br /> ' GAS PIPING ' <br /> I ,S EXHAUST FAN <br /> 1 � <br /> 1 � <br /> 1 � <br /> SUB TOTAL S SUB TOTAL S ' <br /> PERMIT s 1 PERMIT s I <br /> TOTAL FEE el TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONT S!iTJ CK PUSFB SETBACK / PIANCHECKNU F RECEIPT NOn 6J2/,10 <br /> uSE ZONE _� IOT AnEA VACANT SITE FEES VALUATION FEE <br /> AYES fl NO BuunINO er— /110. /OIg <br /> L 3 D <br /> IIEIGIIT LIMITATIQy. fNO OF DWELLING SIZE or BLOOM IIOfilts `.�,,�F� <br /> (//C(/�' LIP'✓ 'ly /'.f' ~tom PLIIMIIMO �oL 6, <br /> OCCUPANCY RO M 51PRI9 <NICIIPANT LOAD BASEMENt �O l <br /> 0PGH MECHANICAL (.w� <br /> R MI Z AI//} AYES VNO <br /> rlq ALARM REGO RFASON ADDITIONAL MANCIIECK <br /> NO OTHER <br /> Tim SPnI�NpKLFn REOn REASON <br /> RPS STATE BI11101NO SHRCHMME aT <br /> IVES OF CONST PLANSAPPROVFDBY CITY OF EVERETT Punur.wOnKS <br /> DUE <br /> LOCAL SALES - ,/ <br /> �71— TAX CODE IS 7105 TOTAL 76 V <br />