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APPLICATI N FOR CONSTRUC' OR PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259.8810 <br /> DEMOLITION X COMBINATION 1-I BUILDING MECHANICAL PLUMBING SIGN <br /> PROJECT ADDRESS q / //o 7 t C . 1 <br /> ER ,I MAIL ADDRESS -1 ''JJ CIJTYGc/ 71P P40NE <br /> as�aNd +lorvLs"•-Vjc. . ISb`l M7)6-- k Rd lake- JgAwgs WA 992,s-S 3w-a6v <br /> TENANT €1 MAItA ORFSS CITY '1G ZIP /� PHONE <br /> ARCHITECTOR <br /> S NS ��Iiµi lAlt 18��5 Jg7,j CITY <br /> 5,L;6 k <br /> PHONE <br /> ADDgrT"r! b ILbd, 98072 (�ob) js-4r/� <br /> GENERA!CONTRACTOR MAIL ADDRESS CITY ZIP PH E STATE IICENSE� <br /> niu5ban►d Nof+ei` .ic.. 5ur L w Owl-ler B45NI/L'086Sz <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LUENSE0 <br /> PL�4 6 n eaLl 306 /u. .4/der Po. ;� 73 :fit/s dt/,q 9625'2 4d rrdtHw�oRB _ <br /> CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICEKE F <br /> ((((((���/// '> ({,L) M #UP-A l 60Z 64wd. 5. fiorN WA 03; <br /> CONTRACT PIOCE OF WORK <br /> QgOaC 7 HEATING SYSTEM: XGAS I I ELECTRIC fl <br /> 9FSCIiSOrUFOOTAGE y YES CONT "W=3 ONE - `Y <br /> \l[/qoD I�V <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> P SED USE F BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> In d WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW ORUA mo coP1Es1 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLacK of S 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 TI•E WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAX 1.D.NUMFII J qq CONTRACTORS LAW 10.27 CW AND 298.200 WAC. <br /> c?6r 0NL;AN7J,�NDEJI.ADDRESS.TELEtR�1•/E_'UO g X ` �q� <br /> K�-1 lV/ZA_.^_A�w` V y sl unE I Da <br /> PI <br /> 51rkx s <br /> CITY BUSINLSS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) , AIC—AMNDLO UNITS—H.P. 1 <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) , HEAT PUMP I <br /> SHOWER ' UNIT HEATERS—B.T.L. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS , <br /> DISHWASHER , VENTILATION FAN 1 <br /> LAUNDRY TRAY I RANGE HOOD ' <br /> CLOTHES WASHER , WATER HEATER I <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN , METAL FIREPLACE(WOOD BURNING) , <br /> FLOOR DRAIN I FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS GAS FIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) I GAS RANGE I <br /> ' GAS PIPING <br /> EXHAUSTFAN I <br /> , I <br /> SUB TOTAL $ ' SUB TOTAL $ ; <br /> PERMIT $ I PERMIT S <br /> TOTAL FEE E ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK / PEAR SETBACK_ SIOE SETBACK / PLAN CNEf.N N�OER/� FEE �v RECEIPT <br /> USE ZO)e _ LOT AREA, 47C^!� VACANT SITE /FE7E8 VALUATION _ FEE <br /> IIYY—�'' nYES n No BUILDING <br /> HEIGHTLIMI 10 / NO OF MiELUNG SIZE OF BLDG I , <br /> UNITS f FVI.JCF 'F <br /> O S ��14� PLUMBING 70 <br /> OCCUPANCY NO OFSTORES OCCUPANTLOAD BASEMENT 0 <br /> M / MECHANICAL-1 IV!,4 nYES LNGO <br /> FIREALARM RED D REASON ADDITIONAL PLAN CHEEC,K, <br /> FIRES K E REDOR SON <br /> STATE BUILDING SURCHARGE <br /> 41 <br /> TYP OF NSL PLANS APPRgVI�BY CITY OF EVERETT PUBLIC WORKS <br /> %j LOCAL SALES — <br /> DATE 3 27 ^i TAX CODE IS 3105 TOTAL <br />