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APPLICATIk d FOR CONSTRUCT aON PERMIT <br /> CITY OF EETT• BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> • EVERETT, WA 98201 •259-8810 <br /> 1 DEMOLITION 'j�,I COMBINATION fl BUILDING 17 MECHANICAL PLUMBING SIGN <br /> PROJECT ADDRESS <br /> GwNFn <br /> MA tj AtIfIlif I I lm PROW <br /> TENANT MAIL AGCnESS CITY lIP PIIDNI ----- ---- — --- <br /> 75ai TELT On CESIGNER MAIL AOCRESS CITY ZIP PHONE <br /> GEI RAL0D A0TOR MAIL AGIXiE54 CRY N` PHONE STATE LICENSER <br /> MECIIANICALCIXJIMCTOR MNL ADDRESS Clry lipr PHONE STATE LICENSER <br /> PLUMBING CONTRACTOR MAIL ADDRESS Clry ZIP PHONE STATE LICENSE• <br /> (nC UDJ <br /> CONTRACT PNCE GF WOIIK <br /> f .f HEATING SYSTEM: GAS n ELECTRIC n <br /> DESCnmr WOnK AND SOUARE FOOTAGE INVOLVED 0IM1 CT RSON PIKRE <br /> Nd <br /> rr <br /> l( rla 7o� V <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> Pnovpseo usE LR B Al APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AL1. <br /> r l �` PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERryBELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> PIOWN NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT SO BLOCK DF 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 /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAX LD.NUMBER CONTRACTORS LAW 18.27 RCW AND F96200 WAC. <br /> CON9TPIICTK7N LOAN LENDER. ES)gITELEPHONE NUMBER �T <br /> /dn l'�CYn RL <br /> SIGNATURE <br /> LATE <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) // , A/C—A/HNDLG UNITS—H.P. r <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> '( LAVATORY(WASH BASIN) / , HEAT PUMP , <br /> SHOWER ' UNIT HEATERS—B.T.U. M r <br /> KITCHEN SINK A DISP i CLOTHES DRYERS i <br /> DISHWASHER I VENTILATION FAN 1 <br /> LAUNDRY TRAY I RANGE HOOD <br /> CLOTHES WASHER WATER HEATER , <br /> URINAL ' WOOD STOVE 1 <br /> DRINKING FOUNTAIN , METAL FIREPLACE(WOOD BURNING) , <br /> FLOOR DRAIN 1 FIREPLACE INSERT(WOOD BURNING) 1 <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) , GAS RANGE r <br /> ' GAS PIPING _ <br /> 1 EXHAUST FAN , <br /> 1 i <br /> SUB TOTAL S ' SUB TOTAL S ' <br /> PERMIT S , PERMIT $ T <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SFTRACK REAR SETBACK SIDE SETBACK PUN CHECK NUMBER FEE yr�.1/ RECEIPT NO. <br /> USE DNEjLOTH5IEA VACANT SITE FEES VALUATION FEE <br /> —3L. O/D nYES Il NO BUILDING <br /> REIGIIT I�AT19N NO OF DWT DLINO sl' OF BLMaI 6S <br /> Z UNITS ll&qo Sf L=+8 3 PLUMBING J <br /> OCCCUPANCY NO 0111011111 OCCUPANT LOAD BASEMENT / MECHANICAL <br /> Z N /� AYES 0 <br /> FIRE ALARM REDO REASON ADDITIONAL PUN CHECK <br /> OTHER <br /> FIRE SPRINKLER REO'0 REASON v� <br /> STATE BUILDING SURCHARGE <br /> TYPE OF CONST PLANS"PROVED BY CITY OF EVERETT PUBLIC WORKS <br /> rNA. LOCAL SALES <br /> JL DATE TAX CODE IS 3105 TOTAL 77/7 <br />