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� — <br /> APPLICATIVN FOR CONSTRi1C7 �ON PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •258•8810 <br /> f"1 DEMOLITION f 1 COMBINATION �l BUIIDING fl MECHANICAL � 1 pLUMBING f I SIGN <br /> PROJECT ADDRESS <br /> z � L �--�� <br /> OMMER M111L�OOIIESS CITV ZIP PHONE <br /> TEIUNT MMl�00HF.55 f,ITY ZIP PMONE <br /> •RCW�ECTORDESiGNER M�II�DDRE55 CiTv ZtP �HONE I <br /> GENERAIGGNIRACTC^ U�IUOORE55 CI'I pIP PIIONE SIRTELICENSE- <br /> �1��,►iG,s,,...1�..,�s.r,�,c lz�� s� A,�,t/1/1 v,� wf� Y%Z�o 6s3-3�o &Y.s6G+�t�'(�v�. I <br /> �MECHANICAI CONTRACiON M�II AOORESS �) GITV 21P tl// '/ PH,O�NE STRTE UGENSE� <br /> �� �'�flf��l �� �. ��PX lMaUl 1.1�� ���Z, L�Vt'Q6TT'�LAiR I D��`( J�f'�'�1^�� ���'µ'��$S�� <br /> ,1 VlU G CON�TRAC1TOR 1 MMl AOORESxS /� �� •' ��-- ZIP PNONE STATE IICENSE� <br /> nLW AOJiYN "7,?l� 44`� 1T�G /�1.� ( NI1'� • - �UE � (DS ��" � .L' <br /> cor+Trucr vrxce oF wanc � <br /> HEATING SYSTEM: f AS fl ELECTRIC fl <br /> DESCPoBE NqRN�ND SOUARE FOOThGE INVOlVEO NTqCT PERSON ANO VMONE <br /> ' S c 8 L�N IJ.� �S � O � <br /> ✓�iv��e�ti /599 �9 ;90 , � <br /> �� O 1 HEREBY CERTIFV THAT I HAVE READ AND EXAM�NED THIS i <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7.ALl E <br /> °C�� �������a� Q^�/ PROVISIONS OF LAWS AND ORDINANCES GONERNING THIS TVPE OF 9 <br /> v FR v �7 / o�+ WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR � <br /> LEGALOESCPoPfIONOFVROPEPTV�SHOWN�LOWdi�TfRGXTWOCOP1E51 NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> �pT��gip�K pF AUTHORITY TO VIOLATE OR CANCEL THE 'PROVISION OF ANY <br /> �S OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE ' <br /> PEflFOfiMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEC BV THE � <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> FNICEI LU(I.D NUMBER ONTRACTO LAW 1827 CW AND 296200 WAC. I <br /> °'-JZ — —O I <br /> `CONSTHUC LOAN lENOER,�ODHE55.TEIEPHONE NUMBER �, ,'q � '� <br /> aN � ( S SIG ATUPE RTE `� ��. <br /> L- 7a-- <br /> ' v CITY BUSINE55 UCENSE NO. i <br /> PLUM&NG MECHANICAL , <br /> NO. TYPE OF RXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE �', <br /> WATERCLOSET�TOILE� � A/C—AMNDLGUNITS—H.P. � � <br /> BATHTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> UVATORV(WASH BASIN) / HEAT PUMP <br /> SHOWER r ' UNIT HEATERS—B.T.U. M . <br /> KITCHEN SINK 8 DISP CLOTHES DRVERS '� <br /> OISHWASHEH VENTILATION fAN <br /> UUNDRY TRAY � RANGE HOOD <br /> CLOTHES WASHER WATER HEATER �. <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN METAL FIREPIACE(WOOD BURNING) <br /> FIOOR DRAIN FIREPLACE INSERT(WOOD 9URNING) �, <br /> BACKFLOW PREVENTERS � GAS FIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE . <br /> GAS PIPING ��.. <br /> El(HAUST FAN � I <br /> -- i <br /> ' SUB TOTAL $ SUB TOTAL S �i <br /> PERMIT $ PERMIT S � <br /> TOTALFEE 3 ?OTALFEE S � <br /> FOR OFFICE USE ONLY: i <br /> FROM SEiB�CK � RERR SETBACK � SIDE SETBI�CN PL/N GHEC�EP� FE����� HECEIPT N �-y� �. <br /> li�� (7 O� �� �-(O I <br /> usE ZouE lOT�RE� �� vr�c��+r srtE FEES VALUl1?ION FEE � <br /> '� fIVES fl HO � d�� <br /> euiioiNs ' � ; <br /> HEIGHT�OW HO OF 0 LLING SIZE OF BLDGrtI � <br /> UNI�$ � 9 S f L,/V/�` PWMAING / �_ I'I <br /> OLWF�NCV XO OF StONIES OCCUPRNi IOAD BRSEMENT MECMANICAI � <br /> cnouo �� <br /> 3 u-I 2 n�es i� — <br /> FIqE�UIIM qE0'D RFASON RDDITIpNM PLFN CHF.CK <br /> OTHER <br /> FIRESPRINNLERRFO'O RFRMN � <br /> STATE BUIt�MG SURf,HARCE L, ��� <br /> *rveorr,oNs* PI4NSAvvnov€oev CITYOFEVERETT ruei.icwonKs �) - ' � II <br /> J�r LOCAL SALES <br /> _�_h/ „q,E � 1AX CODE IS 3105 7otA� __ --__��� <br />