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APPLICATIGA FOR CONSTRUMaN PERI AIT <br /> �* <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259.8810 <br /> f 1 DEMOLITION I I COMBINATION IY BUILDING IH MECHANICAL P} PLUMBING i 1 SIGN <br /> PROJECT ADDRESS <br /> OWN��'' MAIL ADDRESS Cltt zip <br /> p <br /> NPe^is:oy /�adrs Z,cc, �o � - 237�`�C• S,f .:r1 "�/ qD y�i—/J6� <br /> TENANT MAIL ADDRESS CITY ZIP PHONE <br /> ARCHITECT OR DESIGNER MMVbDRESS CITY ZIP PHONE <br /> 3 erg nwv <br /> GEN�LCONTR�� MAIL ADDRESS CITY 71P PHONE STATE LICENSE <br /> PPrrs7cxl /7r�nns �c. 20 z3- 7�' �,� 5�,.= S�SlS io6s /i�rifia�C.c <br /> MECH ICAL CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSEE <br /> PLUMBWGCONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br /> 00( <br /> CONTMCT PNCE OF WORK _ ! HEATING SYSTEM: 1 1 GAS Fl ELECTRIC Fl <br /> DESCRIBEK AND SQUARE FOOTAGE INVOLVED CONT7 PERSON AND PHONE NO <br /> ( ;46��- <br /> If <br /> LJ10 J" 1 ! <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> S c-- 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 OF PROPERTY(SHOWN BELOW ORA CN TWO COP NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT '? Z BLOCK of AAW <br /> s AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> 1 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> g 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 D.NUMBER CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER,ADDRESS.TELEPHONE NUMBER X ��— <br /> J I y SIGNATURE DATE <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) I A/C—A/HNDLG UNITS—H.P. ' <br /> Z BATHTUB ' 1 FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) I HEAT PUMP ' <br /> SHOWER ' UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER ' VENTILATION FAN <br /> LAUNDRY TRAY RANGE HOOD i <br /> CLOTHES WASHER I WATER HEATER ' <br /> URINAL ' WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) , <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS <br /> GAS FIREPLACE <br /> NK(SERVICE—BAR,ETC.) I OAS RANGE <br /> SI ' <br /> GAS PIPING <br /> EXHAUSTFAN ' <br /> I ) <br /> SUB TOTAL S ' SUB TOTAL S ; <br /> PERMIT $ I PERMIT 5 ' <br /> TOTAL FEE S ' TOTAL FEE E ' <br /> FOR OFFICE USE ONLY: 37'72 <br /> FRONT 5I TBACl'. ROAR SETBAC� SIDE SdTBAfTK PLAN/CH/ECK NUMBER_ rE� ^ RECEIPT/ D� <br /> 1 <br /> "MLOTH EA VACANT SITE FEES VALUATION FEE <br /> A '5c7 Z y7GE9 Fl NO BUILDING <br /> HEIGHT LIMI ION NO OF DWELLING SIZE OF OL I <br /> I- UNITS I 1460 S C'AAAGE rL11MBING <br /> OCCUPANCY NOB <br /> STORIES OCCUPANT LOAD BASEMENT MECHANICAL D <br /> OR ris 1 2 14 a <br /> IT YES U11401 �/ I <br /> FIRE ALARM REO'D REASON ADDITIONAL PLAN CHECK <br /> O oRIrR n 0 <br /> FIRE SPRINKLER REDO REASON <br /> STATE BUILGIMT SURCHARGE <br /> N� <br /> TYPE OFccesT PLANS APPROVED BY CITY OFEVERETT ruBLlcwoRKs — <br /> VFT LOCAL SALES <br /> Q DATE 15 TAX CODE IS 3105 TOTAL <br />