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APPL.ICATIGA FOR CONSTRUCT .4)N PERMIT <br /> CITY OF EVERETT - BUILDING DIVISION <br /> 3200 CEDAR STREET - EVERETT, WA 98201 -259-8810 <br /> ❑ DEMOU71ON ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: (Zoe 4s,3- <br /> SKCwy Pwenj@S Its 118Tk'" 4r:,. <p II I CIwey* � y-3b�4 I�000 <br /> OWNER NML AOplE54 CITY IIP PHONE <br /> NopflthlfiM !(IfW7(1eLFt GWvTtlt1 1410 oy"l4T'sw 4u1TG h e&eoy r g45xo3 �20(a� 2yo-9015 <br /> TENANT uNLADOREss CITY Iv PHONE <br /> ot>w,ctc WtaH ? IIaLt- AVtjfANAfM 0416 kkxT dam . ' g�w� Zo6 zS4-vtL�► <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY Ii P110NF 4Al'FPiL Il04 K'3 <br /> arnin( ajv, -r` 1 -715 l� PL 5E 7rV 1T Wh a1;ZO�b 33f7-?•114 <br /> OE NEna CoNtnACTOR MAIL ADDRESS CITY 7nr PIIONE STATE LICENSEE <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY Tr PHONE STATE LICENSE F <br /> NUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE A <br /> CONTRACT PRICE OF WORK ^ O <br /> --/ G(f HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> UESCRIBE WALK ANO G(N1ARF FIZAGF INVOLVED CONTACT PERSON AND PHONE NO <br /> REww�1Ka �wIhL1 LCI IVAu - zs - vtsc db <br /> Cl A*�ha�Iyw s 1a r. -�tt otty (z nr <br /> I��l,7✓L`l. 3 W,"oo_V> ILA G�LF� WM I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> —�-- APPLICA'ION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> F'ROMSE0 USE OF BUILDING PFIOVISIC14S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 4111� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL OFSLRIPTION OF PROPERTY(SHOWN BE Low On ATTACH TWO CONE SI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK OT 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 /> APPLICATION IS ND I COMPLY WITH THE STATE <br /> PARCEL Trot I O NUMBFn CONTR�S W 18.27 CW AND 298.200 WACW 18.27 CW AND 298.200 WAC. <br /> C011SIRUC1ION L GAN LENDER,ADDRESS,TELEPHONE NUMBER X <br /> SKiNAi11RF II� DATE <br /> CITY RUW1660CENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER—CLOSET(TOILET) I A/C—AMNDLG UNITS ' <br /> BATHTUB FORCED AIR SYSTEMS ' <br /> LAVATORY IWASH BASIN) I HEAT PUMP <br /> SHOWER ' UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP _ i CLOTHES DRYERS i <br /> _ DISHWASHER I RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER i <br /> _ CLOTHES WASHER I WOOD STOVE <br /> _ _ <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE i <br /> SINK (SERVICE —BAR. ETC ) I GAS PIPING _ <br /> ' EXHAUST FAN _ <br /> I <br /> I <br /> SUB IOTA; S ' SUB TOTAL S <br /> PERMIT s I PERMIT E <br /> ----- --- _.. . - -- --_ -- — - -- I ' <br /> TOTAL FF.E S TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> ;PONT SFTnA(K PI nN 1.1 GIA(; SIDE SETBACK PLANCHECK NUMBER FEF RFCFIPI NO <br /> 2 <br /> OSE eOHF LOT AREA VACANT SITE FEES VALUATION <br /> FEE <br /> ❑res ONO BlmnwG O I <br /> IHFIGHT RMIUNON NO OF DWELLING SNE Of BLOORI ) <br /> UNITS NUMBING ' <br /> OCCUPANCY I NO M STM(S OCCUPANT LOAD BASEMENI MECHANICAL <br /> GDOUI` <br /> ❑YES D NO <br /> I <br /> FIRE SPRINKLER REO'0 RFASON ADD RONAL N AN CRT CR I _— <br /> OTHER <br /> FUZE ALARM REO'D RFASON <br /> STATE STIPPLING SIIRCNAfgF -- <br /> TYPEOrroNsT MANS Al' lVFDeY CITY OF EVERETT PURI W.WGnKS <br /> LOCAL SALES <br /> DALE TAX CODE IS 3105 TOTAL I�� <br />