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�. <br /> APPLICATIt..� FOR CONST�iUC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR S7REET• EVERETT, VVA 98201 •259•8810 <br /> ❑ DEMOLITION fl COMBINATION fl BUILDING f� MECHANICAL PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> 3 SD y Cl .1� E ,,��+� <br /> owr+m Mnit n�ss cm rir rnovi / <br /> l <br /> c �, Jc Dl� 7��3� /=L� ��dQ/ ��-�l-�i < <br /> TENANT � MAILADORE55 CITY ]If� PhONF <br /> ARCHRECTOHOESIGNER MAV.ADCP.ESS CITV ZIP PIIONE <br /> GENERALCONiR�CTOR MnI1.A�l1fiF5S CITY .'IP PHONE STATELICGNSE• <br /> IdELHANIC4LCONTR4CTOR MNLADDRE55 CITY ZIP PHORf STATFLICENSE/ <br /> r��seZ� e�ir�in s�F (.�uwlo. /.2yOSf-S�4/d.�eS.€ EtxK,!' 9A'xs' �37�60�5{ �r�sn,w��42G� <br /> PLUMBING CONTRACT MA1 ADDRE55 QtY ZIP PHONE ST�iE LICENSE� <br /> CONTPRCT PRICE OF WOOH <br /> HEATING SYSTEM: f-1 GAS ❑ ELECTRIC ❑ <br /> OESCFIBE 1YORK AN�$OUARE FOOT�GE INVOLVED �pYTnCT P[RSON n D PIIONE NO. <br /> � � � <br /> 3�SY-7251� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEO USE OF BUI�OING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING T41S TYPE OF <br /> WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�lOESCRIPTIONOFPROPERiY�SHOIYNBELOWORATTACNTWOCOPIE51 NOT. THE GRANTING OF q pERMIT DOES NOT PRESUME TO GIVE <br /> �oi BLOCK or AUTHORITY TO VIOLATE OH CANCEL THt PROVISION �� 4NY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCT�ON.THAT I AM AUTHORIZED BV THE <br /> ON.'NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PAflCEL TA%I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> CONSTRUCTION LO�N tENUER,ADURESS,TELEPHONE NbMBER x�,L�.�t �_ ��/(�� 9 S <br /> SIGNATURE f1ATE <br /> NE'w�EA �1[07��CO <br /> CIN BUSINE55 LICENSE NO. <br /> pLUMBIN6 MECHANICAL <br /> NO. TVPE OF flXTURE OR ITEM FEE NO. TYPE OF F�XTURE OR ITEM FEE <br /> WATER CL08ET(TOILET) � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB _ � FOR:ED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORV(WASH BASIN) i HF 11'PUNP i <br /> SHOWER � R.i�HEATERS—B.T.U. M � <br /> / KITCHEN SINK 8 DISP ; CLOTHES DRYERS ; <br /> DISHWASHER � VENTILAT�ON FAN � <br /> / LAUNDRYTRAY ' RANGEHOOD ' <br /> � <br /> / CLOTHES WASHER T WATER HEATER � <br /> URINAL WOOD STOVE � <br /> ORINKING FOUNTAIN ; METAL FIREPLACE(WUOD BURNING) ; <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PqEVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> ' GAS PIPING ' <br /> � EXHAUSTFAN � <br /> i � <br /> � i <br /> � � <br /> � � <br /> SUB TOTAL S � /f ; SUB TOTAL 5 ; <br /> PEHMIT S ,'G' i PERMIT S � <br /> T07A1 FEE $ �j(,J ' TOTAL FEE 5 � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAfI SETBRCN SIDE SETAACN PLAN CIIE NIIM�ER FEE RECEIPT NO. <br /> CO3 <br /> VSE20NE LOTAPEA VRCANiSITE FEES VALUATION FEE <br /> T <br /> fIYES fl NO Ol11LU1NG i <br /> i <br /> HEIGHTLIMITATION NO.OFOWEWNG S12EOFOLIX'i/fl — � <br /> UNIiS P�UMOING � <br /> OCCUPPNCY NO OFSi0RIE5 OCCUPANiLO/•0 BASEMENT i <br /> GROUP MECNANICAL i <br /> ❑VES Cl NO <br /> i <br /> FIRE AUR1A REO'� PEASON AUOIfIONAL PLAN CIIECK i <br /> OTMER � <br /> FIRE SPRINKLER RFO'0 R[ASON � <br /> STATE OUILDING SIIRCHAPCE � <br /> TVPEOFCONST PLANSAPPROVE�AY CITYOFEVERETT P�D�ICWORKS i <br /> LOCAL SALES � <br /> DATE TAX CODE IS 3105 707AL ; <br />