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APPLICATIGA FOR CONSTRUCT ..)N PERMIT <br /> CITY OF EVERETT I BUILDING DIVISION <br /> 3200 CECAR STREET• EVERETI, WA 9820, • 259-0610 <br /> ❑ DEMOLITION ❑ COMBINATION''��"" BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: E7/ / Yr he's 1(X��?� r '9 5 <br /> �_ 2/�i c£ ��5/t i LJ <br /> OWHrn MAIL ADDRESS CITY IIP P110K <br /> //(, z1-ta+" s> SCS tv/I/!�f>` L��c� U y1oZn3 Aces D <br /> WANT �— MAIL ADDRESS city ZIP PI IONE <br /> AtRC1ITCCT 011 DES',fiNFn 1 MALI AnDOE55 CITY ZIP —_ PITONS /Il <br /> Pi�!<F<_� �e7c//C,C /-/b.'-tom //E 7�ri/'s'l" 5!✓ f.�r� l.J,y�.'/ ✓,4f-�r�RN,��� <br /> GENERAL CONTRACTOR MAIL ADDRESS CRY III- rHGNE STATE IICf NS I <br /> MECIUNIcAI COITRACIOR MAIL ADDRESS CITY ZIr PHONE sTATF IICFNSF <br /> PLUMBING CONTRACTD, MAIL ADORE SS CITY ZIP PHONE STATE LICENSE <br /> CONTRACT PRICE Of VIOn-K /�✓ , <br /> ✓)))/ HEATING SISTEMI 7GAS ❑ ELECTRIC ❑ <br /> DESCnIBE WOMB AND SQUARE i001A0E wVOlVEO /(IT/ COI CT rCnIP�ooNN AND PHONE NO <br /> CoA"sf71AA�nF✓ pF �/� �1 4' 0lf�lpi,//[,c' 71?060Ain <br /> Z-Zy 71 <br /> �� I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> /-� / APPLICATION AND KNOW TItE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE Of BILI DNG PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCRIPDONOF PnOPEn"(SI#OMBFLOWORA"KInwo COMESI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT 7 FILOCB Of AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> L/l o 12`1 L- (7 /7� i�/7 PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ""'7'-" L OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> P L TAB 10.MIMBER >/ CONTRACTORS LAW TO 27 RCW AND 296.200 WAC. <br /> gl r 3 010 0 2 3 <br /> CONSTRLICTIONLOANLENOER.AODnESS.TELEPHONE NUMIEn <br /> yy- <br /> SIGNATURE YATF <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) I A/C-AIHNDLG UNITS <br /> BATHTUB ; _J FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) r HEAT PUMP I <br /> SHOWER I UNIT HEATERS <br /> KITCHEN SINK 8 DISP i CLOTHES DRYER _ <br /> DISHWASHL.r I RANGE HOOD <br /> LAUNDRY TRAY { WATER HEATER _ <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS ; GAS RANGE <br /> SINK(SERVICE-BAR,ETC.) —T GAS PIPING <br /> EXHAUST FAN <br /> �- <br /> I <br /> I <br /> - I - <br /> SUB TOTAL f _ SUB TOTAL S { <br /> PERMIT S PERMIT S _ <br /> Iv TOTAL FEE S TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> rnONT sPTnACK PFA" SIDE srTRACK SETBACK RACK PIAN 011 CK N Brn rrr nrcrIPT NO <br /> zo/ Zo / 5/ Sia�u�) <br /> USE ZONE 101 APIA VACANT SITE FEES _ VALUATION FEE <br /> • G I}YtS ❑ NO nlulnwG Ci <br /> )6Q <br /> HEIGHT 11MIIAlION / NO Or DW(I LINO SIZE Or AI RI --- <br /> �7 IINIIs -Ir <br /> E PIIIMnINO — <br /> OCCUPANCY NO N SIfVIL$ OCCUrANi LOADBASEMr NI MI CIIANIGI /q0� <br /> OC CUP _fC <br /> ADNIIONAI PIANCIIf CB { <br /> RNE SPRINNLfO REO'D RF ASON — <br /> Onlrn <br /> FInE ALARM TIED REASON <br /> STATr BII1LDmisuricHAnGE -- <br /> TYPE OrCONST PI ANS APPnOYF••nBy CITY OF EVERETT rusticW X% <br /> -0; <br /> 1J P LOCAL SALES -- — ------ - ---- <br /> '-!v IIATL (o�9b TAX CODE IS 3105 TOTAL <br />