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APPLICATIO.. FOR COMSTRUCTI .,N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 •259-8010 <br />❑ DEMOLITION y� COMEINATION �j1 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ :IGN <br />PROJECTADDRESS: <br />�rz,, )Dhn°�•+ CG•: si-E AAC�•o., Inc.ISxQI C-trove 51� n'ri Nick, y6u;lk (l.?n 95 ��0 �ToU-bS�-("-72 <br />17Y1NEn MAILATUFLE.S5 rlrr bl' PIgNE <br />MAIL AoOnr SS <br />TIP PUON' <br />AnCRIEC1 CN DE.SInNrn MAIL AUDILESS <br />CITY <br />71I', <br />PlpllF <br />JA\ ISSUI <br />h1TA- 6101Ie <br />:L. CMA-7p <br />I-3W-Iv59-ISMS <br />UF,�o11 C.S 1a44 +%A rl-�,� <br />DENEnAL CONTRACTOR MAIL AOOIIESS <br />CITY <br />tm <br />PIgNE <br />PIAI[IICFNSEA <br />MECIIAMCALCONTnACtOn <br />MAIL RKMESS <br />CITY <br />TIP <br />PNOHF <br />STATE LICENSE r <br />lilCTlp1t1�1T+"3 <br />` <br />tY— <br />f3----"--- <br />PLUMBINOCONTRACIOtI <br />ADOnEmii,tl-�l <br />MINI AD(II1E59 <br />CIYY <br />TIP <br />POIDNE <br />PIgNE <br />SLATE LICENSEE <br />cONTnAcT PTPcE OF WORK <br />173S �I <br />HEATING SYSTEM: ❑ GAS'*LECTRIC <br />DESCnI9- WORK AND SOUARE(.fOOTAGF INVOLVED <br />C(NIT/ACTT PCRSONIA1N1D PILQI NO L <br />c_t �� vl'- �In+n <br />�Onu�T UCii Jr <br />�J(oO-Go1 f5-79 <br />ZU <br />I HEFIEDY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTINU OF .1 PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION On THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WIIICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10 27 RCW AND 296.200 WAC. <br />XC�v\"J�-"-P�-Lvl �t I?_"sj-LjL <br />PTIOIOSED USE OF BUILDING <br />-YI ifC lrL� <br />LEGAL DESC TIOI/OrPrIopEnTY(SIK)VM BELOW On ATTACH TWO C EST <br />LOT _ BLOCK or > <br />PAncEL TAX In NUMBER <br />CONSTPKICTION TOM UNDER A"FSS, 1E1EM110NE NuumEn <br />--- <br />SMNAIURE DATE <br />CITY BUSINESS LCENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />T . PE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />Z <br />WATER CLOSET (TOILET) <br />�— <br />A/C—AMNDLG UNITS <br />T <br />Z <br />BATHI US <br />' <br />_ <br />FORCED AIR SYSTEMS <br />I <br />Z <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />I <br />SHOWER <br />I <br />UNIT HEATERS <br />' <br />KITCHEN SINK 8 DISP <br />; <br />I <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE HOOD <br />_ <br />�— <br />LAUNDRY TRAY <br />; <br />I <br />WATER HEATER <br />' <br />L <br />CLOTHES WASHER <br />_ <br />�— <br />WOOD STOVE <br />L <br />UOINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />1 <br />FIREPLACE INSERT (WOOD BURNING) <br />I <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />-- —�— <br />' <br />_ <br />BACKFLOW PREVENIERS <br />GAS RANGE <br />; <br />SINK (SERVICE — BAR, ETC) <br />—_�- <br />GAS PIPING <br />L <br />EXHAUST FAN <br />I <br />L <br />� <br />L <br />— <br />SU0 TOTAL <br />S <br />SUB TOTAL f <br />' <br />PERMIT <br />f <br />i <br />PERMIT _ S <br />_ <br />TOTAL FEE <br />f <br />_ <br />' <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: <br />rnONT SE.TBALK � <br />nrAn SFIBACK <br />SIDE SETBACK / <br />PLANCIIECKNIIMnm <br />rEr <br />nrLFIPT NO <br />USE ZOZN <br />1m AnEA <br />VAUNT stir <br />OYrS ❑ ND <br />FEES <br />VALUATION <br />FEE <br />n1I1nwG 7S 9io <br />i <br />HEIGITTDAMITATION / <br />/ <br />NO Or DWELLING <br />UNIIS <br />SNE Or PLOORI <br />S•F, <br />rIIIMBINn <br />CUPANCY <br />OCCUPANCY <br />NOMSIM(S <br />OCCOPANT LOAD <br />B)(SFMEIP <br />iJ+F i Q'NO <br />MFC14ANICAL <br />,( T <br />ADDITIONAL PIANCILf CM <br />JZZ <br />Iln SPnINKLFBREO'D <br />Rf AI;oN - -- <br />_ <br />ODlrn <br />) <br />N IE A1MM TITO0 <br />Ar ASON <br />- <br />sTATEnWIDINnSItnpIAPCiE <br />--"— <br />// <br />I YPE Of C.ONST <br />PI ANS APPPOVF n BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX COCE IS 3105 <br />PUnur.wo-S <br />T T <br />` <br />CAD <br />TOTAL <br />,2 <br />(?L <br />