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.� <br /> APPI�ICAT14.� FQR CONSTRUC7 .ON PERMIT� <br /> CITY OF EVERETf• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ UEMOLI710N Cl COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br /> PROJECT ADDRESS �. wp3 t� �U��'Cr,�. L.�[�� <br /> //Z 5. E• Ec/E�6'Tr-Ml3 i , <br /> OWNER MAILAO�PESS Cltt 21P PHONE <br /> l3�r viEN /2 �0/ 3 -33}�r4v�'. 5� E�,� 9��r� <br /> �ENANT MNLADDRESS Cltt 21P PHONE � <br /> i,.°�a,��`�ac.�' iiz s-E. �vf��rrN,a�.wpy �v�ir. 9sr�os' <br /> ARCHITECTOHOESIGNER MFILA�DRES$ CITV ZIP PNONE <br /> GENERaL CONTPRCTOF MAILADDRESS CITV ZIP PHONE STA7E LICENSE x � <br /> Q��2e4�N�o�l co . po. aoxsz�9 4yNNwoa� 980°�6 776-SS�3S ��/Z�'YNG077GM <br /> IAECHANICALCONTHACTOR MAILADORESS C17Y ZIP PHONE STATEUCENSE� <br /> PLUMBING CONTRACTOfl MAIL ADDRE55 Cltt ZIP PHONE STFTE LICENSE M <br /> CONTRAC PRICE OF WORK � <br /> ��2 � 76�s' a _ HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> DES�BE WORK ANO SOUAR�F00%AGE INVO�VED COtJTACT PERSON r1ND PHONE NO. <br /> 1��5^l�.l� 3-/o x8-/ - 30, 9� �] G12E(�- FUL'Z�T� 7�d- $� S <br /> D/F s/G�v o n� E'K is�ING- B l2l c k. _ <br /> � <br /> /V�O/�/UM EN T � � S I�, I HER[BY CERTIFY THAT � NAVE READ AN� EXAMINED THIS <br /> — APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE Of Bl11LDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> ��U�TE+'ACr� GO- WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPROPERtt�SHOWN9ELOWORAiTACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or BLOCN oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �'E'E P�-o'�" Pt-�N PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> - OWNER OF THIS PROPERTY TO PERFORM TI1E WORK FOR WHICH <br /> 3 6 "C7OC9 � 0�2 —OOC� I APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTA%I.D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> CONSTRUCTION LOAN LENOER,qDORESS,TELEPHONE NUMBER x � Q/i �.0 O� Oc "' �- I � �� <br /> SIGNFTUP.E 0�� ��6 DATE <br /> CITV BUSINES$LIC[NSE N0. <br /> PLUMBiNG MECHANICAL <br /> . NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF FIXTURE OR ITEM FEE <br /> WATEF CLOSFT(TOILEn � A/C-�-A/F!NDLC UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORV( ASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN INK&DISP i CLOTHES DRYERS i <br /> DISHWASH � VENTILATION FAN ' <br /> LAUNDRY TR � RANGE HOOD i <br /> CLOTHES WAS ER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FO NTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAI � FIREPLACE INSERT(WOOD 9URNING) ' <br /> BACKFLOW REVENTERS ; GAS FIREPLACE � <br /> SINK(SERVI E—BAR,ETC.) � GAS RANGE ' <br /> � GAS PIPING ' <br /> � � — <br /> ; EXHAUSTFAN � <br /> ' S/G'^ ' <br /> , — � <br /> SUBTOTAL 5 ; SUBTOTAL 5 ; <br /> PERMIT S � PERMIT S � <br /> TOTALFEE 5 � TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK P A ETBACN SI�E SETBACK PIAN CIIECH NUMOER FEE RECEIPT��� <br /> ��5'�S io'" � 4'S'� a- �o� /0 <br /> use iONe nEn vncnNl srte FEES VALUATION FEE <br /> � —� "'�� 5q•��. ❑ves ❑ No BUILOING r ; <br /> HEIGHTUMITATIqN � NOOFOWELLING SREOF9LDGR.1. � <br /> IINITS p�UMpING � <br /> 8 �o I <br /> OCCUPANCY NOAFSTORIES OCCUPANTLOAD BPSEMENT MECHANICAI i <br /> GROUP <br /> ❑YES ❑ NO � <br /> ADOITIONAI.PLAN CHECK � <br /> FIREALAHMREO'0 REASON � <br /> i <br /> OTHER i <br /> FIRE SPRINNLER REO'0 REASON � <br /> STATE BUILDING SURCH4RGE � <br /> TYPEOFCONST PlANS l+�VEDBV CITYOFEVERETT FUBLICWORKS i <br /> �r' ! LOCAL SALES <br /> DATE� �`\J TAX CODE IS 3105 T07AL � `� <br />