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APPLICATIL A FOR CONSTRUC1 .40IN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 98201 •259.8810 <br /> F I DEMOLITION W COMBINATION 11 BUILDING I I MECHANICAL I I PLUMBING I I SluN <br /> PROJECT ADDRESS <br /> C' `� 1`[ �`•'�� _SL <br /> Fn MAIL ADDTIFSS CITY ln• rIIDNF <br /> asbalnrl } NY1es, �,.,�. ISb7 tit�k.��� (�+al /U. s4e� cyAly <br /> TENANT -%'I AnMF55 CITY tln PIIONF <br /> ARCNDCCT On GESIGNFn MAI)MOn�E/55 A` , / CITY tip i10NF -' <br /> III> N) UN'IryLI'd I�bn7, rIt'�'T/Q- ?LA;�.� kLr•+_l�A Dyz (j2�, f37Z-7sz3� <br /> GENFFIAL CONTnACTOo MAIL ADDRESS CITY tin PITON , 1 I NSE <br /> y <br /> CITY <br /> MECIUM <br /> NICAI CON1r,.)R MAIL A F.SS CITV ��11 Zln,, / nINNI f( STATE LICENSE� <br /> 56A;-VVI JJA4i N Z'E/ ''NIUY_�C1�I.Y1I—' u4eweJ4 gBZOy <br /> PLUMPING CONinAC,TM 0411 ADDGESS LIIV ZIP PHONE STATE LICENSE <br /> &Lw', -Lbi� <br /> CONTRACTPE Of WOfIN A - <br /> HEATING SYSTEM: Pe GAS I I ELECTRIC I 1 <br /> DE IBE KANQAWIAREF TAGfI IX D ^ ` P CONE ACTI`iN Nylq n� FNO"j <br /> - I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> sEo usE of LdNG ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> blr WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERE114 01 <br /> LEGAL DESCA1PTION OF PTIOKATY(SIKWN BELOW OR ATTACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Lor •^ BLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> 2 - cf5- OTHER STATE OR LOCAL LAW RE3ULATING CONSTRUCTION On THE <br /> M1j' - I•'- UG' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APP-IC <br /> t] APP_)CATITI ON IS MADE AND I COMPLY WITH THE STATE <br /> PAnCtt TAXI NUMBER CONTRACTORS LAW 18. 7 RCW AND 298.200 WAC. <br /> TTIUCt1 N O NDER.AfmRE55.TELE M1MPEn X/AT6RE <br /> re� =1 �yA/ E: DAT -- <br /> CIT•.USINFSS LICENSE NO <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. _TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-AHND:O UNITS-H.P. ' <br /> BATHTUB ' I FORCED AIR SYSTEMS-B.TU. M E.A. ' <br /> I <br /> LAVATORY(WASH BASIN) I HEAT PUMP I <br /> SHOWER ' UNIT HEATERS-B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS ; <br /> DISHWASHER I VENTILATION FAN I <br /> _ LAUNDRY TRAY I RANGE HOOD ; <br /> CLOTHES WASHER I ( WATER HEATER I <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) T— <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE <br /> SINK(SERVICE-BAR,ETC.) I GAS RANGE I <br /> ' J7,1 GAS PIPING ' <br /> EXHAUST FAN <br /> I I <br /> I I <br /> I T <br /> I I <br /> SUB TO'+lL 5 SUB TOTAL S ; <br /> FERMI_1 $ I PERMIT $ I <br /> TOTAL EE III TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> rnONT SETBACK PEAn SFTBACK SIDE SETBACK PLAN611rr. G n FFE nFCEIPT NO <br /> �!] �'� PL <br /> USE ZONE IDTAFIEA - VACANT SITE FEE9 VALUATION FEE <br /> I i VES II NO BUILDING ZZ 3L! <br /> ))EIGHT LIMITATION NO OF DWELLING 5111 Or PIfgR I <br /> UNITS I O SF G Ck-)• PLUMPING <br /> OCCUPANCY I NO OF SIIVKLS OCCUPANT LOAD BASEMENT <br /> 12- Ab <br /> MFC.IIANICAI <br /> K-3b Z VN <br /> )IVES O — -- (f -- <br /> Fw on nFASGN AndTKN1AL 1'I AN CNff,K I <br /> OGII IT �— <br /> rInF SrnINKI Fn FIFO D ARON — — a— <br /> STATEGIIIlnINOSIInf,IIAnGE <br /> \ <br /> TYPE pr roNST ANSAnrnnvrnnv CITY OF EVERETT runur,wGnKS ); ) <br /> J I� LOCAL SALES — — <br /> OMr. �' 4 TAX CODE IS 3105 TOTAL <br />