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APPLICATICA FOR CONSTRUC7 .JN PERMIT* <br /> I ICITY OF EVERETT• BUILDING DIVISION <br /> —3200 CEDAR STREET R EVERETT,WA 98201 •259-OBlo <br /> F1 DEMOLITION COMBINATION F1 BUILDING 11 MECHANICAL I 1 PLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> O ' re. /off Sd �� ��'LJ <br /> OWNER MAIL ADDRESS CITY 1P NIONE <br /> AukcAm &me`a L _Q Ik� 1-b r-3O+I,Pu- C- rere <br /> ,L1C._s1I]►L] � _ �S.�S <br /> 'o <br /> TENANT MAIL ADDRESS CITY NIO � l� (aJ <br /> ARCHITECTnj uAu AnnnEss CITY lip PLIONE <br /> l ' Ll uCf ITk E,,l3�6 aabl <br /> SLti j c�G'? Tt�^ft�'1&n8 to 6?QQ=S`,or;30 <br /> GENERAL CONTOA 11011 MAIL ADnnESS l CITY ZIP ( PIMNE STATE LICENSE A <br /> mekco L6mpc Sflmc MET cn a43K '4- <br /> MECHANICAL CONTRACTOR MAIL ADOPE SS CITY ZIP PIONE STATE LICENSE R <br /> WGk�-Z Q1kkMWJ14cj4i, S\ 5 Fvf?fe4 yjh c6c mi< C,2nt„1 wgcs WALTSPIS6 RP <br /> PLUMBING CONTRACTOR MMI ADDRESS �/,, CITY ZIP MIGNE STATE LICENSER <br /> (�r,,e 33,n wKe : kof-1 Qsa��s (� y1it PIS ,eTL1_aL sb <br /> CONI PRICE OF WDnK <br /> f�! 15 HEATING SYSTEM: >QGAS Fl ELECTRIC F 1_ <br /> in <br /> DESCRIBE WOWORK ANDSCALARE FOOTAGE INVOLVED f. TACT PERS014 AND M NE NO ft <br /> $ " �, a Ln;k k�u�nhnlLs UI t C fflr.r Gf ft K-0 U;�'Vzner <br /> st C Ad - 2 1lo-f+a 1n \ F KA a 1'1f 3a <br /> ll 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> E-F�TI�f APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE OF BUILD IN(I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> G.L�OX1�;h , t WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCNIPTIOI OF PROPEHTY ISIONN BELOW OR ATTACII TWO CCOONESI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT X5"1 BLOCK OFF-hm cj LY � 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 /> r�u OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> Y 1 % C 4? eC CONTRAAPPLICACION IS TORS ORS LAW 1B E RAW AND 2AND I 96.200 WAC. <br /> WITH THE STATE <br /> PARCEL TAXI D.NUMBER <br /> L'ONSTRUCT10N 1 OAN LFNDEn.ATKNIFSS.LEI EMIONE NUMBEn <br /> S�iN luinE DATE <br /> CITY BUSINESS IICENSE NO <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. _TYPE OF EQUIPMENT FEE <br /> 1WATER CLOSET(TOILET) ' A!C-A/HNDLG UNITS-H.P. _ <br /> 3 BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> _ LAVATORY(WASH BASIN) I HEAT PUMP ' <br /> f SHOWER ' UNIT HLATERS-BTU. M ' <br /> KITCHEN SINK 6 DISP 1 CLOTHES DRYERS i <br /> DISHWASHER ' VENTILATION FAN ' <br /> LAUNDRY TRAY _ i RANGE HOOD i <br /> CLOTHES WASHER I WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> ORIN"INO FOUNTAIN 1 METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> _ BACKFLOW PREVENTERS `� GAS FIREPLACE i <br /> SINK(SERVICE --BAR. ETC.) 1 GAS RANGE ' <br /> --- ' GAS PIPING <br /> I EXHAUST FAN ' <br /> 1 <br /> 1 <br /> - 1 i <br /> 1 <br /> i <br /> SUB TOTAL f SUB TOTAL $ ' <br /> PERMIT S 1 PERMIT $ 1 <br /> iTOTAL FEE S I TOTAL FEE S 1 <br /> FOR OFFICE USE ONLY: <br /> rnONT SFUTACK nFAO SFISOK BRIE SETBACK M AN LIIrr.KNum"Irn rFF3v RECrlpt'�� <br /> USE ZONE LOT AREA VACAIN SITE [ FEES VALUATION , FEE /q Y� <br /> I IVES I I N., OURDINIi Q / <o <br /> IIEIOIII UMGATION 1O IX IIWIIIRIG B1Aor." TL.l <br /> UNITS Z S1'111MIIIIIIi <br /> l J_& 4P ASG_- ------------ ---- <br /> WCUUPANEr NO TV 91tNAN <br /> 1S OCCUPANT TOAD BASEMENT MI fa0 . <br /> p-� <br /> FIRE(L7,. 'Z-, IIrEs— '4y0 <br /> ALLAnM RF.OD REASON AOpt10NAl MAN CIIF.CN <br /> _ UHLER <br /> FIRE.STAINKIERREOD RFASON <br /> sulE aunIKNG snnruAnnE CJ <br /> TYPE OF C7NST PTANSAPPITIT may CITY OF EVERETT NIBIIr.wORKs <br /> J LOCAL SALES <br /> oAtE 2j lq& TAX CODE IS 3105 TOTAL <br />