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APPLICATI(prd FOR CONSTRUCT iON PERMIT <br /> CITY OF E •BUILDING DIVISION <br /> 3200 CEDAR STREREETT-• EVERETT, WA 98201 •259-8810 <br /> I-1 DEMOLITION Ld'COMBINATION I I BUILDING 11 MECHANICAL PLUMBING I ! SIGN <br /> PROJECT ADDRESS q Iy <br /> - ag�sr .sE E✓6ir ax 98ws <br /> OWNFn MAIL ADDIFSS CITY )in I•IIONC <br /> kly/VE oM I,vc. 2o9og �..� �t kQAA -Wu0,t1. 9�g2744i SG8•�58s9 <br /> TENANT MAII AnIXIF55 fllY IiP rHONE <br /> ARONITFCT On DEMNER MAIL ADDRESS CITY 71P PHONE <br /> 5AHE _ <br /> GENERIL CONTRACTOR MAIL ADDRESS CITY pr PHONE STATE LICENSE <br /> SME IPYA +f77411✓ <br /> MECHANICAL CONTRACTORMAII ADDRESS CITY ZIP PIIONE STATE LICENSE I <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br /> CONTRACT PRICE OF VVonX -- <br /> HEATING SYSTEM: I I GAS Ik"ELECTRIC I i <br /> DESCRIBE WORK AND SOUARF FOOTAGE INVOLVED CONTACT rFnSM AND rIIONF.no <br /> itC�i✓ I ZA d _trn ALAA/ kk Afe,49 Z&lo ) jja$8.Y9 <br /> S 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND C014PECT ..:L , <br /> SF PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 1 YPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOWOR ATTACh TWO COPIESI 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 1 AM AUTHORIZED BY THE <br /> 1 OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> S//QeT !t APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PARCEL TAXI D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUCTIONIOANLENTrom ADDRESS.TEILPHONENUMBER <br /> T 4 xGNAIURE• _-qp / /� <br /> L A <br /> QL/�� OAif <br /> CITY BUSINEnS 11Cr N5E NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. _TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) I —PTC—AMNDLG UNITS—H.P. I <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) I HEAT PUMP , <br /> SHOWER I UNIT HEATERS—B.T.U. M <br /> of KITCHEN SINK A DISP i CLOTHES DRYERS ) <br /> DISHWASHER I VENTILATION FAN , <br /> LAUNDRY TRAY RANGE HOOD <br /> CLOTHES WASHER I WATER HEATER , <br /> URINAL ' WOOD STOVE I <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) , <br /> FLOOR DRAIN , FIREPLACE INSERT(WOOD BURNING) I <br /> BACKFLOW PREVENTERS IGAS FIREPLACE ' <br /> SINK(SERVICE—BAR. ETC.) GAS RANGE , <br /> GAS PIPING <br /> �! EXHAUST FAN , <br /> I , <br /> I <br /> , Y , <br /> I , <br /> SUB TOTAL E ; SUB TOTAL E of <br /> PERMIT E I PERMIT E , <br /> _TOTAL FEE S TOTAL FEE E ' <br /> FOR OFFICE USE ONLY: <br /> FnONT SFTBACK RFAn SFTBACK SIDE SETBACK PI AN CHECK NIMBM FF RFCEIrT NO <br /> 7� 4O S. /o D //- 1L <br /> USE ZONE IOTQlEA VACANT SIF FEES VALUATION FEE <br /> I IYFS INO 9 <br /> BUILDING <br /> IIEIOIIT UMI dTION / NMITIX UWELLINO 500 <br /> sn Or Rt f%inl .f <br /> I 3 SF L"TING Y PLIINRINO .S <br /> OCCUPANCY ND CY M 51fWE5 OCCUPANT I(AD I BASEMENT / MFCIIANCAL <br /> O / <br /> IIYFB <br /> RFABAIN <br /> O , <br /> FI EALAnM Lown <br /> ON AUTXTIONAI TYANCNFCX I <br /> ORIFR <br /> FInFSMINKIFR REOO REASON ._ <br /> STATE DTIII DING SIKK:IUnnE !1 <br /> TYPF OF CONST FPIANSAOMGyrn�(IY CITY OF EVERETT PURI IC WORKSz �H- LOCAL SALESJZ-N 23 9 S TAX CODE IS 3105 j TOTAL _ _ { <br />