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APPLICATIGA FOR CONSTRUCTION PERMIT <br /> L' CITY OF EVERETT• BUILDING DIVISION <br /> { L L— Al ' "C�N 3200 CEDAR STREET I EVERETT,WA 98201 •259.8810 <br /> 1­1 DEMOLITION )(COMBINATION f 1 BUILDING I1 MECHANICAL I I PLUMBING f 1 SIGN <br /> PRO)ECT ADDRESS !� <br /> P r4 a L po')e . 511 <br /> OWNE1 MAIL ADDRESS Gin IIP PHONE <br /> WA-co j�pme� Lt-0. Wct l-b 1 )nAATP11- P I�.i:�_I'� Alc 1 qsb 12—�afl a�bl <br /> TENANT MAIL AOORESS CITY 71P PHONE <br /> ARCIK'{CT OR DESIGNER MAIL A1DDDRE,ESS+SS�--1y,�/� + CITY c ZIP r� 1n'111LO.`11E`1`A <br /> OfNp MCONiR \ V�AAf2CADDR -- 6 Mid% 1�\er INlip i�ill.J 11CFN5E��-1�" <br /> IUIP�ca E�>m LLC\. SAme. Y MET CoCa 3K 'I <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSF I <br /> Mlnl�z plumh nn,Jy jrrj4h S,t- SE FJ r�PN�11F4 Ct Dnk <.2of,) 3�fi_IyS55 WQLTSPIS R <br /> PLUMBING CONTRCTOR� MAIL WRESS CITY ZIP PHONE STATE LICENSE <br /> Po eov 331c, wKe S 1 _wf1�5� .F�� �_illi) P TN�I�_j%b <br /> CONr r KEDGE OF WORK <br /> >�/ 33 Lo'5o HEATING GYSTEM: ><GAS I I ELECTRIC I I <br /> DESCRIBE WYRK AND SSQUARE FOOTAGE INVOLVED CONTACT PF"SON AND PIIONE NO <br /> "g u C L _>` �t rn Cwt 11n� e ; epi(ifif <br /> �wnrcl FaA� Is��lonr '7 a^Et - 3 (DUO) Fh(A at nc- IQ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS ANL UH:IINANCES GOVERNING THIS TYPE OF <br /> {IPC � WORK WILL BE COMPLIED WLH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION Or X'ERTY(SHOWN BELOW OR ATTACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT_ 9—BLOCK Or - AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> �1^ i OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> n PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> 10.�a Pail12 APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> YOIumP 5c1 1' <br /> PARCELTAKIO NUMBER ' CONTRACTORS LAW I8/227/RCCfW/AND <br /> ,2966.200 WAC. <br /> CONSTRUCTION10AN LENDER,At"ESS.TF.LEPNONE NUMBER x ,f/ ,LREr� <br /> 1\1 TFT C` DATE <br /> nn_ �U 3K _ <br /> .) CITY BUSINESS INCENSE NO <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. _TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC-AMNDLG UNITS-H.P. ! <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> �- LAVATORY(WASH BASIN) 1 HEAT PUMP <br /> SHOWER ' UNIT HEATERS-B.T.U. M ' <br /> 4 •Z KITCHEN SINK A DISP i CLOTHES DRYERS <br /> y <br /> DISHWASHER I VENTILATION FAN ! <br /> 7 <br /> LAUNDRY TRAY ; RANGE HOOD Q i <br /> ,y CLOTHES WASHER I WATER HEATER <br /> URINAL ' _WOOD STOVE ' <br /> 1 <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) <br /> l7Slli FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE-BAR,ETC.) I GAS RANGE __ ! <br /> ' GAS PIPING ' <br /> EXHAUST FAN ' <br /> � I <br /> n , ' <br /> SUB TOTAL E ' SUB TOTAL E ' <br /> PERMIT E 1 PERMIT S I <br /> TOTAL FEE E ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> rnONT SETBACK REAR SETBACK SIDE SETBACK PI AN CIIFCK NIMBFR rrr RECEIPT NO <br /> SZTCl 7 w ��;-2 <br /> USEZONE IOTAREA VACANT SITE FEES _ VALUATION FEE <br /> 1IYEs I NO Run nitllt BI�1f <br /> IIEIOIIT LIMITATION IINI�IIWHIINO FRE Or p11KI r, s,� LIVINri+ A� -- //� co <br /> 2q7 51 AR MIIMIINKI ._ _._ <br /> OCCUPANCY NO M SURnS OCCUPANT IOAD BAS[HENT MICIUNCAI wo . OO <br /> DROOP <br /> .� IIfFS raT <br /> Al1DI I1nNA1 15 AN(:IIr CK <br /> TIRE ALARM REOD nMSON - <br /> 0T11Cn <br /> rinr sPnINKI FRnFOn nrACGN r� <br /> STATE Bun DnuT sunruAnnE <br /> TYPE Or CONST PI ANS Arm vvge,C CITY EF EVERETT runncvmllKS <br /> 10 LOCAL SALES /3 a <br /> _3/9(� T'AX CODE IS 3105_ TOTAL <br />