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pPPLICAI �ON FOR CONSTRW.TION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISIUN �(C���� <br /> 3200 CEDAF STREET• EVERETT, WA 98201 •259-881� <br /> f I DEMOLITION f i COMBINATION I� BUIlD1NG I I MECHANICAL ! 1 PLUMBING I I SIGN <br /> PROJECT ADDRESS �� O T �n.., ?T� ( <br /> _ J n} Z cHo E <br /> pMMER M�:iADOAESS — <br /> C11Y T�p PHONE <br /> IEN�NT MNI RDMF55 <br /> C1TV ��p f�HONE <br /> �pCNITECTOR0E51ONER MAIll�O0PE55 <br /> CIIY IIP PHONE S�RTEnt,IC,ENSEF <br /> � GENE!'LLCONT4� CiOA MaIL�ODRE�55 /�� R� A(a � � �v. („53 H.�b /YJC� �'µil�Au.� <br /> 1 �114 r ����� S��N!�� 4! �7 <br /> Z�p P��ONE STATEUCENSEA <br /> �' MECHRNIC1�LCONTRPCTOR MPIL DDRE55 I � � � � � � ��� /� � s <br /> S � 'y�' ��,1„ � �11Wi u �. <br /> '`�l �ry �.n, Z�p PHONE STRTE IICENSE� <br /> _—' t� oK 2C� <br /> GLU^�Gf.OHtRPCTOP MAIIAWRE55 L` � _ �AJ <br /> � �-6,� fi'I� 94� �rv !�•E i�N�T� 5 �b <br /> �QDJT{UGT PRICE woA� �J O � HEATING SYSTEM: � GAS �I ELECTRIC f-1 <br /> C NTACTPER�NTNOPNONEN ���� �3- b <br /> $�q�gE MIORN�ND SOUARE FOOTAGE�oLVED ;« Lx � . <br /> S S �� <br /> �vnv, 13 �� �� _ <br /> ,.�j(Q �-S8� APPE CAB ON ANDI KNOW THE SAME 70 BE�TRUE APID CO RECT ALL <br /> p{pPOSED USE OF�1��aN�'' PROVISIONS OF LAWS AND ORDINANCES GOVERNING?HIS TVPE OF <br /> Sr WORK WILL BE COMPLIED WITH WHETHER SPECIFIF.D HERE�N OR <br /> T <br /> iE��� ������pn.�y�eEiowonnrtncMTwocovicsi q�THO TVT OTVIOLATEAOR CANCELETHE PROVISION OF A'NV <br /> ipT�__e�ocK � OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> n_ �( PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> —'"� �G 1 `� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> qpPIICATION IS MADE AND I COMPIV WITH THE STATE <br /> NTRACT LAW 1827 CW AND 296200 WAC. <br /> PMCE�TS��' — �( <br /> /L-F--t"'.'/� )'� <br /> �p�STqUGAONLOMILECu1�fQ�ER AO[%iE55 TELEPHOME IUMBER /1 DRTE <br /> � � D JI /. .��Vy 51 RTURE ��� _�'� <br /> �Y <br /> / <br /> CITV BUSINESS LICENSE NO. <br /> IZZIO SN� '����� MECHANICAL <br /> PLUNBING 7YPE OF EOUIPMENT FEE <br /> FEE NO. <br /> Np, �VPE OF FlXTURE ON REM aC_qh{NDLG UNITS—H.P. <br /> WATER CLOSET(TOILET) FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> BATHTUB HEAT PUMP <br /> �. UVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER � CLOTHESORVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD � — <br /> UUNDRV TRAY � WqTER HEATER — <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) ' — <br /> DRINKING FOUNTAIN ' <br /> FIFiEPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR.ETC.) � GAS PIPING <br /> E%HAUSTFAN / � <br /> � SUB TOTAL $ <br /> SUBTOTAI 5 pERMIT 5 <br /> — PERMIT 5 TOTAL FEE S <br /> TOIALFEE S � 1� -� <br /> ��'�p„_J7. n � U2. � . �' � <br /> FOR OFFICE USE ONLY: ,_. newivr,Ap <br /> REr1Acccccc TBRCN ID S TBPLN f lr1N CNECN NUMBER FE��� ^' //'/ry„-J <br /> FFOH�SEtPRCK �� J�S �/O J � �� (J d vvi <br /> ���/ '`/ FEES VAIUATION FEE <br /> lOT AF[� VPCRNT SITE � n/ ;/ � <br /> USE IONF f'�VES f"� N� v � (G <br /> �� BUIl01NG � I i <br /> NEiGHT LIMIlPTION / NO OF�WELLING ;RE LDG I — __7�+_ <br /> pNIT$ �f ClVlnl�i + PLUMBMG <br /> o f a l00', <br /> B/$EMFNT MFC�iANICAI ___ _ – <br /> ��Uv�,q�y 11�p{SrCsiES OCCUPANi LOAD �� _ __- <br /> 1 IIVES IINO <br /> a 3/✓,, 1— —_ ADDIIIONAI �'IANG�ff,K -- _ _ <br /> FiPE>LMMAEO'O �FASCN <br /> OIHcP ��'/'� <br /> WKLtAAFO� RF�SON _�i�l/l � <br /> FIRF S�P STATE 9UIIOING SURCHARCIE <br /> P1/�NS4GP OVEDBV �'UBIICW0�1K5 �� �� <br /> rvve�"ar+sT CITY OF EVERETT ,_____ __ <br /> -- � LOCAL SALES — � _ _ �1/�y_r� <br /> �_— � TAX COPE IS 3105 TOTAL_ _ <br /> nl �ArE 3 26 9 --- <br />