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APPLICATIO� FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 96201 •259•8810 <br /> f 1 DEMOUTION f 1 COM8INATION r l BUILDING � MECHANICAL r l PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> �] L 1 � � <br /> � <br /> °tYN ^ Ma��aooaFss <br /> cnr zm !'HONE <br /> ��C� k' �9 �,(E�,/i�u6 Z9z9 C�c�t� �ii�Frr o / Z��x—l7`i-7 <br /> 1ENRNT MnIIA[IpRF55 �I� <br /> ��P �MONF. <br /> aRCHIT[CTORDE9�N[q M�t1A00qE55 <br /> CITV ZIP PHONE <br /> GENE11R�pprytqA�Tpq MRILaUW1E55 <br /> C�TM �m %b� GTAtE LICENSE� <br /> N[CHRNIGAICONfqRCiOR MMLAOORE55 <br /> �j1 c�ry 71p P�b� STaTE I ICENSE� <br /> PLOMBWGGONTRaCTqi M41LA�ppE55 <br /> CITY IIP PHpNE SiAtF UCENSE� <br /> GO TH�CT PRICE OF YpRK <br /> '��� ���• � NEATING SYSTEM: I GAS � I ELECTRIC f 1_ <br /> U[SCRIBE WORN�NU SWpRE FOpUGE MVOlVE/O` <br /> i��� PLC 7 C�C r�/(t/T c Aj /P 7G COMA(1TPfR50NANDFHONENO <br /> � <br /> ! / 9� I`•�/L C iV'.�TALC �U�L✓C �(• <br /> f'1J�ul'r `t �!' T FANS I HEREBY CERTIFY THAT I HAVE READ AND E%AMIIlED 7HIS <br /> �naroseD use ov em�oinG APPLICATION AND KNOW THE SAME TO �E TRUE AND CORRECT ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TYP[ OF <br /> r�����^ WORK WILL BE COMPLIED WffH WHETHER SPECIFIED HEREIN OR <br /> LEG�LOESGRIATIONOFPRpPEpry�SryOWNBELOWOR�TTACHTWpCOPIE5� NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � ��T A��K �� AUTHOf7iTV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAI,�qyy REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I HN AUTHORIZED BY THE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MACE AND I COMPLV WITH THE STATE <br /> P�RCELTA%10.NUMBEN CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> WNSTRUC710N LO�N LENDEII,e0URE55.TELfP11UNE NVMBER • / !� // lJ�/ �5 <br /> X �� _/ V t // /j <br /> 5� �.JRE DATE <br /> . CITV BUSINE55 LICENSE N0. <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FlI(TURE OR IiEM FEE NO. TVPE OP EpU1PMEN7 <br /> WATER CLOSET(701LET) --- FEE <br /> BATHTUB � P✓C—�NDLGIINffS—Fi,P , <br /> � FORCED AIR SYSTEMS—0.7.U. M E.A. � <br /> _ LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOIM1'ER � UNIT HEA7ER5—D.T.U. M , <br /> KITCHEN SINK 8 DISP ; CLOTfiES DRYERS <br /> DISHWASHER � � <br /> VENTILATION FAN � <br /> LAUNDRV TRAY � qANGE HOOD i <br /> CLOTHES WASHER i I WATER HEATER � <br /> URINAL � ' <br /> ' WOOD STOVE , — - <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) ' �`'�� <br /> FLOOR DRAIN � � <br /> ' FIREPLACE INSERT(WDOD BURNING) —i—� <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � � � - � <br /> SIFlK(SGRVICL—DAR, ETC.) GAS RANGE � <br /> � <br /> ' GAS PIPINCa � <br /> � EXHAUST FAN � <br /> � <br /> i <br /> _ _ � � <br /> � <br /> SUB TOTAL $ � SU�TOTA� $ ��^ � <br /> . _ PERMIS $ ' <br /> PERMIT $ /� � <br /> TOTAL FEE $ � TOTAL FEE $ �J � <br /> FOR OFFICE USE ONLY: <br /> PRDNf SEIDRCK AEAq SF.IDAC4 SIOE SETBRCN PUN CIIECK NUMBER <br /> i� fEF RECFIPTNO <br /> SO�?p�; <br /> usEioNe IOt�REA VACANi51fF. FEES VALUATION FEE <br /> f1YE5 I1 NO <br /> BUILDINC � <br /> HEIGNTLIMIiAiION KOOFOWELLINO SIIEOFBLOG?I � <br /> UN175 <br /> PI UMBING <br /> OGCUPANGv Np Of SIftF�ES OCCUPRNT LO�D BASEMENT --t--� <br /> Cn�r MECN�NIC�L � � <br /> f I VES I1 NO <br /> fIqEALARMqEOP qf�SpN AD01710NA�{+�qNGHECK <br /> i <br /> O1N[H � <br /> fIPFSPRINKLFRREOD REAS(h! � <br /> �TAtC OUILL`ING SIIOCHAq(iE <br /> i <br /> 1YFEOFf,ONST PLAHSpPPROVE�BY �-- <br /> CITY OF EVERETT i�uei ic wonKs <br /> LOCAL SALES -- __ _;__ <br /> onTE _ TAX CODE IS 3105 7o7AL I I <br /> – i— <br />