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APPLICATIC Y FOR CON�TRUCT''7N PERMIT � <br />�� TO BE COMPLETEQ IN BLACK INK—PLEASE PRINT <br />j;� d <br />L� . <br />BUILDING DEPARTMENT HEATING SYSTEM: IJ GAS }jJ ELECTRIC U <br />259-8810 � <br />I 1 DEMOLITION � i COMBINATION I}9 BUILDING I I MECHANICAL I I PLUMBING I I SIGN <br />OWNER M41LODpqF55 cirv zm r�wr�e <br />Rovice FerRuson 2828 Colby Avenue Cverett 98201 (206)258-9311 <br />7ENANT AUILA�DRP55 CITY 21P PIIDNE <br />ARCNITECTpf10E51GNEf1 MML�DDRESS C17V <br />Garv Farkinson, Architects 2812 Col <br />GENERALCONTR�CTOII MMLADURE55 nrv <br />ME^.HANIC�� <br />PW MBING GONTRACTOP <br />CONTR�CT PRIGE OF WORK <br />nDDRE55 <br />$65,000 <br />DESCRIBE WORNl1ND SOU�AE FOOTqGE INVOLVEO <br />VROPOSED USE OF B WLOINc <br />Attorney's office <br />IEGAL OESCRIPTION OF PROPERTV �SHOWN BELOW OR AiTACH TWO COPIES� <br />�or � e�ocK 685 oF <br />PARCEIiANID NUMBER <br />CONSTRUCTIONLOANLENDER.4DDRESS.TELEPIIONE NUMBER <br />NO. <br />feller Ave. Everett <br />BATHTUB <br />IAVATORY <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUN�RYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR URAIN <br />BACKFLOW PREVENTERS <br />ROOF DFAINS—RAINLEADERS <br />SINK (SERVICE—BAR. ETC.1 <br />SU6 TOTAL $ <br />FEFAiIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FpONTSETBACK RERR SETBACN <br />� , Q / <br />USE ZONE LOT nFE� <br />� <br />iYPEOiCONSi. NOOFSiURIES <br />� <br />SIZEOFBIDG Hl1[SPRINNIBRSREOD <br />J <br />OCCUPANCVIOAD FIREAL�RMREOD <br />� N O <br />INTAKE OY <br />:.� <br />6 � <br />21P PIIONE <br />Ave Everett, 98201 <br />ZI1' <br />cnr ZIP PIIONE <br />CILV 21P PNONE <br />CONT�CT PERSON �NO PNONE N0. <br />(206)252-2153 <br />STATE UCENSE � <br />STATE LICENSE � <br />SiATE LILENSE / <br />06)252-2153 <br />i HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED NEHEIN OR <br />NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 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 PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE N I COMPLY WITH THE STATE <br />CONTRA TORS L 18.27 R ND 296.200 WAC. <br />Y � : � �' I�� •�(d- <br />PL�N <br />TVPE OF EOUIPMENT <br />A�C—ArHNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE i <br />FIREPLACE INSERT <br />GAS PIPING <br />E%HAUSTFAN <br />�� VES I1 NO BUIIDING <br />nccuru�cr xoao-xnuxr,uxns <br />�caour PLUMBING <br />oASEMENT � MECHAIJICAL <br />f�l YES fi�TJO <br />NEiGtIT uMrtnnoN AD�IiIONAL PLAN CHECH <br />OTHER <br />S7ATE OUIl01NG SURCHAfiGE <br />CITY OF EVERETT PU�LIC WORKS <br />LOCALSALES <br />TAX CODE IS 3105 rorn� <br />SUB TOTAL $ <br />PEfli�11T b <br />TOTAL FEE $ <br />FEE �/ RE <br />� 13 • 30 <br />0 <br />� <br />� <br />• <br />