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APPLICATI N FOR CONSTRUC .., ,:ON PERMIT <br /> CITY OF EVERETT • BUII.DING DIVISION <br /> 3200 CEDAR STREET- EVERETT, WA 98201 • 259.8810 <br /> F I DEMOLITION X COMBINATION I I BUILDING 11 MECHANICAL I I PLUMBING I I SIGN <br /> PROJECT ADDRESS -)_1 �b-,� PI st) <br /> p�NFn MAIL ADDRESS Jnr IIP PRORE <br /> I�as�cwa S.I�. isv`t lLlRa l�s/A)cta WA Wiz,0 33ya6y <br /> TENANT MAII.A1tIRFSS CITY 71P P14ONE <br /> ARCHITECT Or.DESIGN n MAIL ADUnF.S CITY IIP PIIONF. <br /> L� riS �u�'Iµi IBRIS /N2Nd�„eNe ;� kb ILba!',w.:�1e 98072 (Zo�) Y�5- jco <br /> GENEPA CONTRACTOn MAIL ADORE SS CITY 71P PHONE STATE IICENSFA <br /> f2ia5baNa No -)�• `jAng- w owoe(- Rbafll 06672 <br /> MECHANICAL C Nin ACTOn MMU0 E55 C1 TY ZIP PHONE STATE LICENSE I <br /> 1 lu )5 3vG N. .9/der Po, e 73 9�ZS'z _ NLYTnsNdeoR8 _ <br /> PL mNGCON mong MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> (u) M gurd,,j OZ 604 -4. f'✓e-e,{ WA v°Zo -- <br /> CONTRACT r ICE or WORK <br /> 77 (��7 HEATING SYSTEM: N GAS Cl ELECTRIC Cl <br /> SCpE 1B AK�OVAREFOOTI�G[I+VOIVE CONI TZRS AND r+ONE 1401 � /�` — <br /> (u]"„" I C4 I,Y_L L� to y <br /> lyoa . <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> r s1]D usE F eunoWG PROVISIONS OF LAVIS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW IJ""ACH TWO CCPIES NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT —�—BLOCK 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 AUTHORIZ )BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAA 10 NIIMDEF CONTRACTORS LAW idK27CW."AvN'D/296.200 WAC.hS <br /> �� I I COT TnUCTION LOAN NOFJ/TTADDRESS,TELECPHON�E/NUMBER L <br /> ytiNJticfCNAA u �� 51 IInE _ �r DAT <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F XTURE OR ITEMFEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> �— <br /> "7, WATER CLOSET(TOILET) I A/C—A/HNDLG UNITS—H.P. L— <br /> BATHTUB I FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> i— <br /> c LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK S DISP i CLOTHES DRYERS <br /> DISHWASHER VENTILATION FAN <br /> LAUNDRY TRAY L RANGE HOOD i <br /> CLOTHES WASHER WATER HEAT R <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) ; <br /> BACKFLOW PREVENTERS GAS FIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> GAS PIPING <br /> ( EXHAUST FAN _—_�— <br /> I ' <br /> I ' <br /> I � <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> PERMIT $ I PERMIT S —� <br /> TOTAL FEE_ S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: S <br /> FRONT / REAR SFiBACK / SIVE SETBACK / PIAN CHECK NlIMO[R FEE RECEIPT NO _ <br /> /"7"7// �1. i A ��(/'(o <br /> J <br /> USE ZONEI/ LOT AnEA VACANT 517E FEES VALUATION FEE <br /> nYES n NO BUILDING <br /> 14EIG11T LIMITATION / NO Or DWELLING 971]OF BLDOR <br /> UNITS LA(6J -7 Gly t PIUMIIING <br /> 2 az sf r — <br /> OCCUPANCY NO OF STONES OCCUPANT LOAD BASEMENT MECHANICAL [� <br /> GnourJZ. 7— N AW<O <br /> nrrs <br /> FIRE ALARM REOD REASON ADDITIONAL PLAN CHECK — <br /> ,i <br /> E SPnINXLER RE OD REASON <br /> STATE BUIL DING sunCHAROE <br /> rvrF CONS,- PLANS APPnOVEnBY CITY OF EVERETT rum 1C WORKS !-�J <br /> ._ J f LOCAL SALES <br /> �./ DATE 3 2 +i - TAX CODE IS 3105 TOTAL 7� <br />