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APPLIC.ATICM FOR CONSTRUCTION PERMIT <br />I <br />9 <br />the EYerpreen <br />CITY OF <br />everett <br />RIIILDING DEPARTMENT <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />1-1 COMBINATION I BUILDING I I MECHANICAL <br />i <br />I PLUMBING L I SIGN <br />OMER.L MAIL ADDRESS <br />E/ioll 9, medeff Ao, Ax ayg& <br />CITY <br />Everest <br />ZIP <br />1E0`03 <br />'HOnc <br />3-S5-/7S% <br />TENANT ��+ NAIL ADDRESS <br />/y <br />fl,�# A /eelol-T P,0, Ba-e AY96 <br />CITY <br />Eyue <br />ZIP <br />9,F,103 <br />PHONE <br />3.515--/75'7 <br />ARCHRE TOR DESIGNER .MAIL RESS <br />T// o �� %%e�ofi /'' o „Box 5074, <br />IIY <br />eie It <br />ZIP <br />98ao3 <br />PHONE <br />23 7si <br />GENER TI�C7 AIL ADJ)AESS <br />E/Eo //((''// NdA P, 0, bow ayft <br />CITY <br />Evene h <br />ZIP <br />�j$CITY�jaa3 <br />PHONE LICENSE e — <br />3 ss'%7'57 <br />MEC"IkEFFNILGQNiRCiOR,O �rAILADD�53 �oN aYBG <br />EC`I✓Q%� <br />9$OZ�� <br />�PJIONE �c-/�/�:'� LOENSEe <br />Y Box ay8� <br />tl/efe <br />9�ZV`o3 <br />3.s Ss lIS7 LOENSEI <br />//V'J LjT�' <br />4%/OINQL/(ONI,/MMTQNf�,OTd/OI(.3L.r.•A0./yAfT]D�SS <br />CLASS OF WORK <br />Ll NEW I I ADDITION I I ALTERATION II REPAIR <br />XDEMOLITION 1 1 WOODSTOVE/FRPLINSERT I I BUILDING RELOCATION <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY CONTAC�PE SON (IyD PIgNE N0�f �0 M r�-/��� <br />CONTRACT PRICE OF WOnK: /,//f '•14 1�•1(• J <br />DESCRIBE WORK AND FIE FOOT E INVOLVED / /. / <br />s�+1anT/e Old S/i1-aF e peclI—AlorhS <br />PROPOSED USE OF BUILDING Qn Ole,( Z5L4Ac(ecN ry tSoreeze I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />G,ara g-CRr f{1r Rno t4k/ Swrialeck , CGoo "6• APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />LEGAL OFSCRIPTIONCF PROPERTY JSHQM BELOW OR ATTACH FOUR COPIES' / PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />2 LA/OOL{ �[Cp/'d In WCAK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LOSIONS OF ANY <br />OT_ JOL'" /JBLOCK FlOt OF '/ NOT. THE GRANTING OF A PERMIT DLtS NOI PRESUME TO GIVE <br />TO Ac 191'c1 f I i) ereo f X eCoraletl /II VO/u OTHER STATE OR LOCAL LAWAUTHORITY TO VIOLATE REGULATING CANCEL E:ONLOTRIUCT ON OR THE <br />L PERFORMANCE OF CONSTRUCTION. THAT 1 A'A AUTHORIZED BY THE <br />v i /p IN /S 0/1 pa e e a I f e Co(NS/ or OWNER OF THIS PROPERTY TO PERFORM THE: WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TL E STATE <br />/ L n CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />S/IDhoM/5 COCIA Sl/LTR /A /I SIGNATUnEGFCONTRACTOnOnAUNOmZED NT DATE <br />Coun�of .SnoAomlS�i .S7A7� Dj WaS��),4n, X <br />PR_OA�wODRES9 ��Fy 2 .J/ [I <br />/V /3 �3 I �VE�lll �VG .i/lr 487� A"LK ANTS CITY BUSINESS LICENSE NO AND BUSINESS NAME <br />TYPE OF EQUIPMENT FEE <br />A/C—A/HNDLG UNITE-H P. I <br />FORCED AIR SYSTEMS—D.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M ; <br />CLOTHES DRYERS <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR. ETC.) <br />FRONT SET((OO// CK/ <br />REAR SF.TBA�K <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />eloT AF,TYjpil � x �,js <br />4W S , F<e <br />VACANT�E <br />I.I YES NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE Of CDNST ALLOWABLE <br />TYPE BF CONST ACTUAL <br />IKCIPAIKI <br />aAal► <br />00a1MTUMIAIIt1 <br />PLUMBING <br />SIZE OF BUM /` <br />600 .$ , Fee <br />HO. OF STORIES <br />BASEMENT <br />I I YES No <br />MECHANICAL <br />�- <br />OTHER <br />-----}— <br />OCCUPANCYLOAD FIRE SPRNKLERS REUD HEIGHT LIMITATION <br />I. I YES I I NO <br />REASON FOR SPRINKLERS <br />- <br />STATE BUILDING SURCHARGE <br />I <br />STATE ENERGY SURCHARGE <br />i <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />