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� � <br />APPLICAT16.d FOR CONSTRUCT.ON P�RM�T <br />CITY OF EVERETT • BUILDING f�VISION <br />3200 CEDAR STREET • EVERETT, WA ;,d201 • 259-8810 <br />f� DEMOLITION fl COMBINATION I-1 BUILDING f�l MECHANICAL �1�WMBIkG fi SICN <br />?RUJECT ADDRESS G� 3 U <br />� � tis2 G-��E.�� w � �/ <br />OWNER MNLAODfiE55 CITV ZIP PIIONE <br />�511 p2oPEQ�tiS JovS p.0 JvE�? PY�vk E, T���cc.•�c_W 581HFi�..SS�.�OC� <br />TENANT 61AllADOPE55 CRY 21P PIIONE <br />h�P� �r-.'lkwNSPo2v-�T,��I <br />ARCHRECT OP DESIGNEN MAII. A�ORE55 ��ry � -- <br />Zlr nHnuc <br />GEN'cfiALCONTfiACTOR MnILA0DRE55 CIIY ZIP p110N[ STA1Eti'C�15E� <br />ASECHAl11CALCONTR4CTOR fAAILAD�RE55 CITV ZIP PIIONE STA7ELICENSE� <br />?LUMBING <br />CONTRACT PRICE Of <br />MAILAD�HE55 <br />DEpSC�RIBE WORK AND SOVAPE FOOTAGE INVOLVED <br />, �. � L L Z L.14 V S f� � U Q 1 IV t4 <br />L�� 5 P r4 L �/.1 E�J S � ti �� <br />PROPOSED USE OF BUItDIN� <br />�FF�c� <br />LEGAL UESCRIPTION OF PROPERTr �SH01VN 9EL0 W OR ATfACH TWO CUPIES) <br />L9T BLOCK OF <br />PMCEL TA% I.D. NUMBEH <br />�i328o�f-� -a�Z- 000c, <br />CONSTRUCTIONLOANLENDEfl.A�DH�55.TELEPHONENUMBER <br />PLUMBING <br />N0. TYPE OF FlXTURE OR ITEM <br />WP.TER CLOSEi (TOILET) <br />9ATHTUB <br />LO.VATORY (WASH BASIN) <br />SHOWER <br />_ KITCHEN SINK 8 DISP <br />OISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINO.L <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />� SINK (SERVICE — BAR, ETC.) <br />fITY ZIP <br />� SUB TOTAL $ ` � <br />PERMIT $ �j <br />TOTAL FEE $ 1/ft <br />. � <br />FOR UFFICE USE ONLY: <br />FRONTSETPACN REAR SETBACK SIDE SETBACK <br />USEZONE LOTAREA VACANISIiF <br />(IYES fiNO <br />HEIGIIT LIMIIATION NO. OF �WELUNG 512E OP BLDG�TI <br />UNITS <br />0� <br />omE <br />OY <br />fIYES I1 NO <br />T1+ <br />HEATING SYSTEM: I l GAS � EI..f:CTRIC , I-' <br />CONTACi PERSON AND PIIONE N0. <br />u <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE S4ME'f0 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORC INqNC,.3 GbVERNING THIS TVPE OF <br />WORK WILL BE COMPI.IED WITi �:�: 1ETHEH SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERi.��" DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOM OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE� BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICAT{ON IS MADE AND I COMPLY WITH THI: STATE <br />CONTRACTORS LA!'! 1827 RCW AND 296.200 WAC. <br />x n� � �; �� <br />SIGNF RE OATF <br />CITV BUSINESS LICENSE NO. <br />NO. <br />A/C — A/HN�LG UN�7'S — H.P. <br />FORCED AIR SYSTEMS — B.T.U. <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE 1 <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EJ(HAUST FAN <br />PL4N CHECK NUMBER <br />OOILDING <br />PLUM[iING <br />MECIUNICAL <br />ADDIiIONnL PLnN C11F.CK <br />pi11ER <br />STNE BUIL�RIG SURCHnRGE <br />CITY OF EVERETT runiir,wonKs <br />LOCAL SALES <br />TAX CODE IS 3105 70iAL <br />SUBTOTA!. $ <br />PERNIT $ <br />TOTAL FEE $ <br />FEF I RECEIPTNO <br />FEE <br />