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• <br /> • <br /> APPLICATI( FOR:CONSTRUCT N PERMIT <br /> 4 CITY OF EVERETT•BUILDING DIVISION i ,r^T' <br /> • 3200 CEDAR STREET••EVERETT,WA 98201••257-8810 <br /> DEMOLITION SCOMBINATION BUILDING • 0 MEt *MCAL , . 0 PLM 1G.,' '. O._51GN. i• <br /> 'H"' PROJECT •I F <br /> '". - <br /> . A MAA.ACOESS CITY 2O PNOIE .. <br /> \\Dab1*gl All Akteatc WI- ti wP„ eR 4145 we, vsr\ <br /> TENNif MAA-AOOPESS CITY ZV ' PL+RIE . <br /> 7. ' ARC TCR DESCRIER MAKAOORESS <br /> CITY PHONE <br /> • T1.311�4an. a. r+C,` C' I` 'Y). _ L ,a D �Qwrr Q���0 (vis.. <br /> CON/NCTOR MAY. ..' S5 GAY A• ' • PrrOSE STATE MENGEA II <br /> .: MECHANICAL • RACTOR MAIL ADORES CITY ZO PHONE STATE LICENSE• <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP .PHONE STATE UCENEE• <br /> ( <br /> CONTRACT PRICE OF WORN - <br /> .70.3/1 I HEATING SYSTEM: 0 GAS 0 ELECTRIC , <br /> .. • WORK FOOTAGE INVOLVED ICONTACT PERSONNPMD <br /> •� ar h; . . Fr, , Ai'. s=YAs._,, . i4 •1 <br /> I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> APPLICATION AND KNOW THE.SAME-,BE TRUE AND CORRECT.ALL <br /> COED USE CF RuOPC PROVISIONS OF LAWS AM)ORDINANCES GOVERNING THIS TYPE OF ., ,i <br /> "'>: r4L. <br /> _ WOP'WILL BE COMPLED WITH WHETHER SPECIFED HEREII OR <br /> -'i LEGAL DESCRIPTION OF PROPERTY ISHOWNBELOW OR ATTACH TWO COPES) NOT. HE GRANTING:OF A PERATT OGCS NOT-PRESUME.-TO GIVE - <br /> Loo BLOCK itte*CMOOF't sf21E.izohiwe UJi6T 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 WINCH <br /> APPUCATK)N IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTAX ID.NUMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SNI/1k„0°°-OO .^UCoN . <br /> .. CONETPUCTION LOAN LEDER SS\EIE�NDTE mikee• C L R. LI •��C,TE^°k <br /> `]�/Slilr�j /` NF\) CITY BUSINESS).? MSE ND. <br /> PLUMBING MECHANICAL <br /> NO. r-' OF FD(TI1RE OR ITEM FEE NO. . TYPE OF EQUIPMENT . . FEE - <br /> WATER CLOSET(TOILET) NC-NH HDLG UHOTS <br /> ! FORGED AIR SYSTEMS - <br /> LAVATOR`f(WASH BASIN) • <br /> ' HEAT PUMP <br /> SHOWER UPNT-HEATERS <br /> y. KITCHEN SINK&DISP - I A CLOTHES'DRYFRS <br /> DISHWASHERRANGE 14000 <br /> LAUNDRY TRAY WATER HEATER _ <br /> ., CLOTHES WASHER WOOD STOVE <br /> (NA( METAL FIREPLACE:WOOD BUFIIING) <br /> DRINKING FOUNTAIN '• a�:d-.r_!e, d:lii:.+-�d_-k:: 'd' <br /> FLOOR DRAIN — GAS FIREPLACE • . <br /> BACKFLOW PREVENTERS GAS RANGE <br /> ' SINK(SERVICE-BAR.ETC.) GAS PPNa3 <br /> EXHAUST FAN • <br /> • <br /> SUB TOTAL S SUP'"OTAL_S <br /> a PERMIT S 1 PERMIT . t - <br /> TOTAL FEE SI TOU.L FEE £, _� <br /> FOR OFFICE USE ONLY: 6-0 y,,4 > <br /> 4FRONT SETBACK / ACAL <br /> SEE SETOCHECM.ALFYA F R-=E-PT VC <br /> Adill <br /> i', USE LOPE ' Lor AREA VACANT SITE FE 1MUNDI N - FEE <br /> •✓ J I+4 <br /> HEIGHT LIWTAT.. NO.OF OWELL•K: SIZE OF ILpGTI1 f <br /> UMTS. • `y7"7 tt <br /> Y JW.OF.STORES 'OLCU•ANT LOAD f Viµ. <br /> GRoly I ::YES �— <br /> y!= ORE 5PRoW)EPREOD I REASON AODMOMML FLAW DOCA .. <br /> 47,- ) O - <br /> L' FETE ALARM Pea TREASON <br /> i''• SUTE�IYIOEG SUF'CIOROS • <br /> .. <br /> TwE o¢carr aAM+AFFRONEo er f C f OF E11ETT ?vac sone .•. . <br /> (((JJJ 1 LOCAL SAWS <br /> �'Al DATE / 1 TAX 000E 1SSieS�'. 'Glint . <br /> •' <br /> �. . <br /> :p, I; A <br />