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APPLICATIO.,d FOR CONSTRUCTWN <br />PERMIT <br />CITY OF EE• BUILDING DIVISION <br />3200 CEDAR STREEETT I, • EVERETT, WA 90201 0258-8810 <br />❑ DEMOUTION U COMBINATION TJ BUILDING U MECHANICAL <br />LA -PLUMBING <br />PROJECT ADDRESS: Zv/r/ 73.r./ S,—. St• �i.� <br />❑ SIGN <br />73'F i S� 5'E �✓c �tt�T BOG <br />ge /i,t� 7gal,� M`I <br />AoZoDEs __ <br />CITY im PKNlE <br />$t � _ �G � <br />TENANT MAIL AD0AFSS f.IIY !IP PIIONE <br />AIICIIITECT On RSIGNER MA 'ADDRESS CITY ----- 71P — PHONE <br />�xFrT dU' ./d�-cs Tac. <br />OENEMI <br />3co-y/31 <br />CONIMCIOII MAIL ADTNIESS ----- —�— mZ3 <br />I:IHY 711' PIIONF <br />STATE LICENSE • j p PK <br />MECHANICAL CONTRAC1On MAIL ADDDESS — ------ <br />CITY IP. PHONE <br />SATE LICENSE r <br />epee -- v j 91l.At Gam.✓ - /3 z 5- <br />S' J _�rM �C CCK xw Aj Sil 7 '7 C/Z l _ <br />F[/f 7 <br />3S� /inn �/ c 10-3 <br />EP y- /nRcl 7 <br />'CKv. V-,'F-Y7 <br />CCNTRACr INCEOFw-o—n <br />2Z5/ 2, !GT• #/4sr: de- T XfW e ✓clec <br />------ <br />)JEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />DESCRIBE WORN AND SGUAnE FDOIAOE INVOLVED <br />I:f1HIA1:I PTIISMl AND PIIONF NO <br />✓F�Fri 6u,/�escs Z✓c . .353 -71'6 <br />sfi� •1 <br />I HEREBY CERTIFY THAT I I4AVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PIg1OSED USE OF OMDING <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATIACN TWO COMESI <br />NOT. 111E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BL.Y.K or <br />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 />V B Z sl4 -Z - <br />Q Z S - 0009 <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR :TORS LAW 18.27 RCW AND 296.200 WAC. <br />PARCEL TAX I.D. IAIMSER <br />J <br />SIP <br />CONITMXTION LOAN LENDER, ADDDFSS, TELEPHONE NUMBER <br />1 e I E E ttCTc./�/ ✓ <br />unr—/t . DAZE <br />CnY nmANrss I IcrNSE NO <br />PLUMBING <br />MECIIANICAL <br />NO. _ TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF Flf1TURE OR ITEM <br />FEE <br />/ <br />WATER CLOSET (TOILET) <br />r— <br />_ <br />—MINDLG UNITS �— <br />/ <br />BATHTUB <br />' <br />__ _A/C <br />AIR SYSTEMS �— <br />/ <br />LAVATORY (WASH BASIN) <br />_FORCED <br />HEAT PUMP <br />SHOWER_UNIT <br />HEATERS <br />, <br />, <br />KITCHEN SINK A DISP <br />DRYERB <br />' <br />DISHWASHER <br />_ <br />__CLOTHES <br />RANGE HOOD <br />, <br />LAUNDRY TRAY <br />' <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />, <br />URINAL <br />' <br />ME IA1. FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />, <br />FIREPLACE INSERT (WOOD BURNING) <br />— <br />FLOOR DRAIN <br />, <br />GAS FIREPLACE <br />, <br />, <br />BACKFLOW PREVENTERS <br />; <br />GAS RANGE <br />' <br />SINK ISCRVICE • -BAR. ETC.) <br />r— <br />GAS PIPING <br />, <br />, <br />Z <br />f/d Sc i 6 S <br />' <br />EXHAUST FAN //V C. F�•'T <br />' - <br />SUB TOTAL f <br />' <br />SUB TOTAL f <br />PERMIT f <br />, <br />PERMIT S <br />, <br />TOTALFEE f <br />' <br />TOTALFEE f I' <br />FUHI UFFICE USE ONLY: <br />rAONT SETBACK <br />REA"SFIBACK <br />SIDE SETBACK <br />� <br />MANCIWCk NINAnfn <br />fTf <br />Rf f.FMi NO <br />5 <br />s—Lo <br />0/ o <br />lg i7� <br />USE ZONE ^/ <br />101 AMA <br />VACANI SIIC <br />_S <br />FEES <br />VAL 'ATION <br />FEE <br />OrFs ONO— <br />NEksNTLIMITAT f <br />OWCLLHIq <br />SIZE OF BLVGITI <br />[,I IIMn,"n <br />I <br />{—_ <br />IMTB <br />2 S <br />OCCVPANCr <br />ND GL$10MIS <br />OCCUPANILOAD <br />BASEMENT <br />OROIR <br />MFf.IIANIf,AI <br />I <br />❑YFB VNO <br />' <br />__ <br />AIKKIRINAI PI AN ETHIC* <br />_ <br />_ <br />FIRE SPIBNKLFR REOD_ <br />nFA90N <br />m nfn <br />I <br />FIRE ALARM REOL <br />RF ASON <br />S1AIT IPPIINNOSIIIK.IIAINIC <br />I <br />, � / <br />TYPEHxr.ONsr <br />n1AksArlmovrner CITYOFEVERETT <br />T <br />�N <br />LOCALSALES <br />TAX CODE <br />------------- -- <br />— —_--L_ <br />OAIE 3 Z i IS 3105 <br />TOTAL <br />j <br />Mp <br />r <br />