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APPLICATI�.�1 FOR CONSTRUC7 .ON PERMIT�//;� <br /> CITY OF EVERETT•BUILDING DIVISION V.� <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 ��J ' <br /> f 1 DEMOUTION f 1 COMBINATION I 1 BUILDING �CHANICAI <br /> �G I I SIGN <br /> PROJECT ADDRESS L��� L v� �, _ <br /> / <br /> �Ep MAIL�OORE55 Cltt Ti� PHONF: � <br /> c , wi i�,9.�, ��,> � ?�i .4LD1.✓ ��L 9BZ�.3 ��/7'E 7� 9 <br /> lElUNT MRIL/�Od1E55 <br /> •PClM1ECTOFlDESIGNER MA11110�NE55 <br /> CIiY ili' PHONE <br /> GENER�LGONTMCTOA MAILROURFSS <br /> C.liv ZIP P�IONE STRTE LICENSE� <br /> MECHANICAICONTRAC�OR MAILRDDRESS <br /> Cltt 21P PHONE . STAtE IICENSE� <br /> PWNBWGCONTR�CTOR M�III.WRE55 <br /> CIIY 21P PNONE STpTE UCENSE� <br /> CONTMCt PNICE OG WORI(�.ysO Qo HEATING SYSTEM: f�I GAS rl ELECTRIC fl <br /> pES�rygE WpRK�ND SOUARE FOOT�GE INVOIVED <br /> CONTRCT FERSON RND FHONE NO. <br /> I HEREBY CERTIFV THAT I HAVE READ AND El(AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORREC7.ALL <br /> Pnov�oseo use oc euiiar+c PROVISIONS OF LAWS AND OHDINANCES GOVEFNING THIS TVPE OF <br /> �� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFlEIN O't <br /> `E����p�PT����pEqry��pyyrygE�pWpp�TT�CMTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CRNCEL THE PROVISION OF ANY <br /> ior �°CK °F OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH <br /> APPLICATION �S MADE AND I COMPLV WITN THE STATE <br /> CONTRACTOFlS LAW 18.27 RCW AND 296.200 WAC. <br /> PARCELT1UlI.D.NUMBER � ��- � - <br /> B-s-q6 <br /> �pN51qUG110N LOAN LENOER.I1DME55.TElEP110NE NUMBER S RE DAtE <br /> CITY BUSINESS LICENSE N0. <br /> . �u�� MECHANICAL FEE <br /> Np. TYPE OF FlXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT <br /> WATERCIOSET(TOIIEn ' A/C—NHNOL6UNITS—H.P. <br /> � FORCED AIR SVSTEMS—B.T.U. M E.A. __T__ <br /> BATHTUB � HEATPUMP <br /> IAVATORV(WASH BASW) � UNIT HEATERS—B.T.U. M <br /> S��R CLOTHES DRVERS ' <br /> KITCHEN SINK 8 DISP VENTILATION FAN � <br /> DISHWASHER i RANGE HOOD ' <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER YyppD STOVE <br /> URINAL METAL FIREPLACE(WOOD BllRNING) ' <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD&JRNING) � <br /> � <br /> FIOOR DRAIN i GAS FIREPLACE ' <br /> BACKFLOW PREVENTERS � GAS RANGE <br /> SINK(SERVICE—BAR,ETC.) � � GAS PIPING <br /> i <br /> � EXHAUSTFAN <br /> i <br /> SUB TOTAL 'S � <br /> SUB TOtAL E pEFMIT E ' _ <br /> PERMIT S TOTALFEE $ <br /> TOTAIFEE S <br /> FOR OFFICE USE ONLY: FFE RECEIPT NO <br /> PtqN CHECN NUMBER <br /> FHONTSE�B�CN f1EAN5EtB/�CN SIDESETBRCN `,�J�(� <br /> USEZONE 1OT11RE� V�GRNTSiiE <br /> � FEES VALUIITION FE__E__� <br /> i <br /> I I VF.S ��� Nn BUIL�MG <br /> HEtOM LIMIT�TiON �'TOF D�MELLIN, 512E OF BLDG/�I pLUMBMG --�— <br /> BRSEMF.NT MECHAYIGL --- <br /> ���y Np Of StOMES OCCUV�Nt L0110 - - <br /> IIVES fl NO <br /> ADDIiIONM Pl RN GHFCK _-- <br /> fIRE AIMM REO'� RERSON <br /> OIHER <br /> p�pp 9pqIN1(LER RE00 FE�S(X� STATE BUII�MG SURCHARGE — <br /> Ty�a��sr VLANSl1PVROVEDBV CITVOFEVERETT ruaiir.a+onKs _ -- - � <br /> � LOCAL SALES <br /> TAX CODE IS 3105 TOTA� _ — <br /> o�rE — <br />