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`. <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> �* <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STRErT • EVERETT, WA 98201 •258.0810 <br /> 0 DEMOLITION Fxl COMBINATION IR BUILDING <br /> PROJECT ADDRESS kl MECHANICAL RI PLUMBING Fl SIGN <br /> OWNEn MAIUamE59 <br /> City P <br /> T-SeNT Nr ro 17pT ' n4'1 1 n PIaJE <br /> MAILADORES9 Ave. RA- R1 L'LT �A Lt WA 9R2Rd 7 <br /> V <br /> n1a E <br /> AnC1aIECT OR—DESIGNER MAIL AbOnE69 <br /> CItY 11n <br /> PHONE <br /> GENERAL MON InACia1 MAIL ADM E99 <br /> City 11n <br /> R �� 11 A T C 17p77 p4T. PHONE 9tATE LICENSEE <br /> �wICAL CONIRACTOn MAILADDnE6s <br /> CITY ZIP 1-282012PIM <br /> /917-QR06 IE[ <br /> BCjLUQKM <br /> PII M SIAIE LICENSE, <br /> PLUMBING CONIGACTa1 MAILAWRE99 <br /> ary zIn <br /> Pl"IE STATE LICENSE 1 <br /> CONTRACT PRICE or.WORK <br /> BCR EWMNOSOUAntFOOIAGEINVOLvrD HEATINGSYSTEM: DEGAS ❑ELECTRIC p—_�- <br /> 3 C i CONTACT PEn9a/ANU r110NF NO <br /> -2andV Clark 206/513-9006 <br /> Beverly Ring 206/513-9006 <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS , <br /> Si le famil APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> dwell PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL`RFPfImnn•(SIOMBELOWOnATTACHTWDCOPIES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT S Bl NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> Merrill Creek Gardens Div, 1 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION,THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCEL TAX LO.MAIBER APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONT ACTO,R}S LAW 18.27 RCW AND 296.200 WAC, <br /> CONS I111:1 LDAN LENDER,ADaIE69,IELEPNORE NUMBEn $eleCt�IIC111e9, Inc,. rz <br /> NO.Y,P B /j���v� j It GA+ tra t 3/5;s- <br /> SIR- <br /> not <br /> PLUMBING CITY BUSINESS LICENSE NO. <br /> N0. I TYPE OF FIXTURE 0R ITEM MECHANICAL <br /> WATER CLOSET(TOILET) FEE NO. TYPE OF FIXTURE OR ITEM <br /> BATHTUB —AMNDLG UNITS—H.P. <br /> FEE <br /> LAVATORY(WASH BASIN) FORCED AIq SYSTEMS—B.T.U. M E.A. I <br /> 6HOWEq ' BEAT PUMP --�� <br /> KITCHEN SINK 8 DISP I UNIT HEATERS—B.T.U. M <br /> DISHWASHER ' <br /> CLOTHES DRYERS <br /> 1 <br /> LAUNDRY TRAY I VENTILATION FAN ----:� <br /> CLOTHES WASHER I RANGE ROOD <br /> URINAL ' WATER HEmil En �— <br /> DRINKING FOUNTAIN WOOD STOVE ' <br /> FLOOR DRAIN ' <br /> METAL FIREPLACE(WOOD BURNING) ---- <br /> BACKFLOW PREVENTERS ' rIREPLACE INSERT(WOOD BURNING) ' 1 <br /> SINK(SERVICE—BAP,ETC.) OAS FIREPLACE I <br /> ' OAS RANGE ' <br /> ' `3'86 OAS PIPING ' <br /> ' EXHAUST FAN <br /> 1 I <br /> , <br /> -- <br /> SUB TOTAL <br /> PERMIT S �+ SUB TOTAL S I <br /> TOTAL FEE S i--—' PERMIT S — <br /> FOR OFFICE USE ONLY: 10TALFEE $ �— <br /> FnONT.SEIBACK 1 n SET <br /> ;ACK I S r 15 SIRE SETBACK PLAN C11ECN IAMnF.ry <br /> J 5 PEE RECEIPT Np. <br /> USE LONE LDI AREA <br /> ` 9 VAC NT E E FEEB <br /> ES O NO VALUATION FEE <br /> 1@g11I LM" TION DO Or DWELLING BUILDING _ �— <br /> F UNITS 611E Of BLDOR.1. _ 73.F'7 �'/-7 <br /> I o2 5f I.IvII,A 7- LL <br /> gccurANcv NDaslarla s A"y� rluIABING <br /> OCCUPANt LOAb BASEIAENI <br /> 3 2 MECHANICAL <br /> FIRE ALARM nEODIT YES 111 <br /> nEA90N ADDI IIONAL PLAN CIIECX <br /> FIRE SPRINKLER REDD REASON CRIER <br /> TYPE OF CONST <br /> STATE BUILDING SUIICIIAnGE <br /> WAN9 MPIIO DBY /� <br /> CITY OF EVERETT PUBLIC WORKS <br /> �� DATE 6 lt3 y - TAX SL3105 TOTAL 20 <br />