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'f <br /> APPLICATIG.� FOR CONSTRUC7 .JN PERMIT <br />' CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8870 <br /> Irl DEMOUTIOM fl COMBINATION I � BUILDING j�l MECHANICAL (� PLUMBING f-1 SIGN <br /> PROJECT ADDRESS <br />' 2`�3O M PI.E' 5T EV� — 201 <br />� �NTlER NFILqDDRE55 C1TY IIP PHONE <br /> CcrROtlP N _eiTN r'appE�./�TIVE �$21 WRLL Sl. SEr4TRC WA 9g121 �I�,IP- Zy�9 <br /> TEN�NT MFIIA��RE55 LI7V 71P �HONE <br />; �P HF�7�rra E�i•rkE'i� AMG 2°I30 MMPt.�S�E✓E'k�7� WA 4 d201 <br /> ARGMITECTORDESIGNER MAILADDRE55 �IT�� `_ pIP PIIONE <br /> N/ <br />� GENERAL CONTRACTOR MAILADDRE55 C 1/� ,'n` PHONE STATE UCENSE x <br /> I N <br /> MECNANICALCONTRqCTOR M,11LAD�RE55 C ZIP PIIONE STATEUCENSE• <br />; No��4D�y- PA/1KS �,vc. �.o, aoX ��i2G�� S�Az�1.F- �uA. 4916,? 1y�y700 NaG911Pr�� <br /> PWMBM�CONTRACTOR MAILA DPE55 CITY IIP—� PHONE STATEUCENSEM <br />( �_ // <br /> CONTRACTP ILEOFWOPK <br /> � 7, 2D0 �� HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑_ <br /> DESCRIBEWORKA DSOUAREfOOTAfeINVOWED CONTACTPERSONAN�PIIONENO. <br /> Z'utTAfy SPL! T— S TF� <br /> �'r� �ERI/E !_LtV I� h,A-GEt�N �C.�as. <br /> �N �-�JCI ST�� � SLDr4 . I HEREBY CERT�FY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br />� �� L U IN PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />� LEC�ALOESCRIPTIONOFPROPERTY�SHOWNBELOWORATfALHTWOCOPIES� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> I� �or B�p�K oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> SEE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> I� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />� APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> PARCELTA%I.D. MBER CONTRACT/O�RS LAW 18.27 RCW AND 296200 WAC. <br /> �— — �//// <br />�I CONSTRUCTIONLORNLENDER,ADDRESS.TELEPNONENUMBEii X / {� � � �j�� �/`/ <br /> � SIGNA��2653 OATE �—� <br /> rw cc w ,� <br />' — 239D/"114pLE S'7,iPE <br /> CITY BUSINE55 LICENSE NO. <br />( PLUMBING MECHANICAL <br /> NO. TYPE OF fl%TURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> I' WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. i <br /> BATHTUB ' FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> � � <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> V KITCHEN SINK 8 DISP ; CLOTHES DRYERS ' <br /> � <br /> DISHWASHER � VENTILATION FAN i <br /> i LAUNDRY TRAY ; RANGE HOOD ' <br /> � <br /> CLOTHES WASHER i WATER HEATER � <br />� URINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNIN(i) ; <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � <br /> SINK(SERVICE—BAR.ETC.) � GAS RANGE � <br />� ' GAS PIPING � <br />` i EXHAUSTFAN ; <br /> i —;— <br /> i � <br /> � � <br /> � i <br /> 1 SUBTOTAL S � SUBTOTAL S �� <br /> PERMIT 5 � PERNIT $ /,� i <br /> i TOTAL FEE 3 � TOTAI.FEE 3 �� � � <br /> FOR OFFICE USE ONLY: <br /> FRONT SEiBACK REM SETBACK SIDE SET84CK PLAN CHECK NUMUEP FE@ RECEIPT NO. <br />,� usEzoNe IOTPREA vncnNrsire FEES VALUATION FEE <br />' nres n No puaoir�c 1 <br /> HEIGHTIIMITATION NOOFDWELLING SIZEOPOLOGRL � <br />' UNITS PLUM[IING i <br />' GROUPANCY NOOFSTOBIES OCCUPANTLOA� BASEMEN� MECHANICAL I <br /> f7YES fl NO — ' <br /> i <br />, FIRE ALARM REO'0 REASCN AODITIONAL PLAN CHECN j <br />' OTHER � <br /> FIRE SPRINKLER REO'D PEASON � <br /> STAT[�111lDING$URCHAflGE � <br /> TVPEOFCONST. PlANSAPPROVEDBV CITYOFEVERETT PunucwonKs —� <br /> LOCAL SALES , <br /> oqTE TAX CODE IS 3105 TOTAL ; <br />