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APPLICAT16r1 FOR CONSTRUCT�dN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOUTION fl COMBINATION f-1 BUILDING d(MECHANICAL tl PLUMBING fl SIGN <br />PROJECT ADDRESS 3� 13 R O G K�� LL <br />OWNER MAILAODRE55 qTY ZIP PIIONE <br />1�1%tEisFN � NsEc.S�N .31f3 �ZOcK��-�-aL , ���S-r-�' V.%- �(' �'7-�3 1s`5-G/f¢ <br />IENANT MAILA�DRf55 Cltt ZIP f`HO E <br />S ✓�-wt � <br />RRCHItF.C70R �ESIGNER MAII AD�RE55 CITV )IP PIIONE <br />GENEML CONiR�CTOR MAIIRDORE55 C17Y IiP f`11lJNG SiRTE f ICGNSE � <br />PLUMBING <br />MAIL ADDRE55 <br />MAIL AODRESS <br />/��' P110NF:' . I• STATE LICENSE � QEf fJV H/r <br />��{�2 Nayr �F �v�2Err` �4. 9b'2J,}� Zs9-45i� 4�c�w <br />C'� 21P PHf1NE STATEUCENFE� <br />GONTq�CT PNCE OF WOPK <br />Ci ��� HEATING SYSTEM: �(GGAS �l ELECTRIC f 1 <br />OESCRIB[ WORK pNp SOUAR FppTAGE IYVOLVEO CONTACT PfRSON AND PHONF NO <br />_ R� r�ru� ,�rcrrs,� N�-�r p�.^�n �T�.�. o- �or-� — zs�- <br />��M _GAs�6�Ecr�ce AC NNi�r <br />OF <br />LEGAL OESGRIPTION OF PROPERTV (SNOWN <br />l0T BIOCK <br />PARCEITA%ID. <br />or. <br />CONSiAlICT10NlOpNLENOFR,nDURE55.TELEPHONE NUMBER <br />PLUMBING <br />Na. TVPE OF flXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUNDRYTRAY <br />CLOTHES WASF <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICF — RAR Fl <br />FOR OFFICE USE ONLY: <br />fRONTSFTPRGK RE�R SFTOACN <br />USE20NE <br />MEIGMT LIMI1A710N <br />OCCUPANCV NOC <br />CROUP <br />fIRE AURM REOP <br />nnF srniNKi �n nr <br />SUB TOTAL 3 <br />PERMIT S <br />TOTAL FEE $ <br />FEE <br />SIDE SETBACN � �I <br />I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND K�Y.�W THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERFIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE V� CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTNUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV W�TH THE STATE <br />CONTHAC70RS LAW 1027 RCW AND 296200 WAC. <br />X ���- �-��- i�1��94 <br />SIGNi(fyRE O�TE <br />V <br />qTY pV5MC55 LICENS@ NO <br />NO. 7lPE OF <br />w�. — rvnrvuLv urvl I A— F7.F'. <br />FORCED AIR 5'/STEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNITHE4TERS—B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WOOD STOVE <br />METAL FIREPLACE I <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPI4G <br />EXHAUST FAN <br />iotnnen vnenrvtsire FEES <br />IIYES fl NO <br />�1111OMG <br />NO OF OWGLLING SIZE 0� AIOGRi — <br />1 W ii5 PtVM01NG <br />SfORiES OCCUPANT LOAD I BASEMENi MEC11.1NICAL <br />I1\ES I1 Np <br />RFA50\ AI)DI11pNAL PI AN CHCGK <br />_ orr+en <br />n n[nsov <br />SiAi@ pIItLONG SIIRf,M�RGE <br />vinHsarrnoveoov CITYOFEVERETT runnr,wanK= <br />LOCAISALES <br />,,,,,, TAX CODE IS 3105 ioia� <br />--�— <br />SUB TOTAL S (/ ; <br />PERMIT $ / i <br />TOTALFEE $ i., � <br />fE[ I RFCFlPT NO <br />