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�� � <br /> APPLICATI.i�I FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOlIT10N f 1 COMBINATION f� BUILDINti MECHANICAL � PIUMBING f 1 SI(iN <br /> PROJECT ADDRESS <br /> ��7.� L L �� � � � � � �) <br /> f�'ER MMI�DOPE55 ���ITV i Zi� {`110N[ / <br /> NHM �,LC �1,,�"1 ��1i � O�L� �UL' L�I�CF°cl� ��,��/ ���i��'/ �S� <br /> TEN�N� �IL�I)ORF. 5 f.IIY IIP i`110�IE <br /> / <br /> �RGHIIC ORDESIGNEfi M�II�O�RE55 CITY ]IP PHONF <br /> OEN �I,COM�4LA����l��s`�, 'x�)�� / ; CIIY� t� 71f' PII�_C� �/f�TEIICc%{,� <br /> nl U � in �: S�- v�'/99.�,�..- � . ,� 7� '���� �ea- <br /> �� <br /> E�G �NICQCONTg�CTOR M�IlADW1F.55 f. ZIP P110NE 5T4FUCENSE� <br /> � ' i <br /> ��1�� <br /> PWMBINOCONIR�f. M�ILAODPESS LIfY TIP PHONE SUTELIGENSE� <br /> CONTRAGTPRILEOFWORK J� ^ �� '�l"� <br /> r <br /> � �"'' HEATINC3 SYSTEM: (iAS fl ELECTRIC fl <br /> DESCPo�WORNIINDSOUAqE,f�T� INVOIVED CONT�CTPF.RSON�NCPIIONF � <br /> f L�Q2i�.i.s1bLf� �,���y� ,�.1�'4.�c� <br /> " i �� " 'U ��� / �� <br /> /�� nC iJ`�� � `� _ �' C I HEREBY CERTIFV THAT 1 HAVE READ AND E%AMINED THIS <br /> � 0" �� APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT ALL <br /> �ROPOSEO USE Oi BUIlpNO pROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TVPE Of <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEMLOESCRIPiIONOfPPOPERTY15110WNSElOWOR�TU�CNTWOCOP�ES� NOL THE ORANTINO OF A PERMIT OOES NOT PRESUME TO 61VE <br /> iot e�ocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REQULATINO CONSTRUCiION OR THE <br /> PERFORMANCE Of CONSTRUC110N.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS P R TO PERFORM THE WORK FOR WHICH <br /> — APPLICATIO I COMPLV WITH THE STIITE <br /> wu�cei t�i.o.rxm�een CONTR B. 7 AND 296200 WAC. <br /> CpISiRULiION IOAN IENDER.110M�E49.TFLEPIIONE NI.MEEP ���_ <br /> SIU UR DATE <br /> CITV BUSINE55 LICENSC NO. <br /> /��p MECNANICAI <br /> N0. TY►E OF fUfTU11E OII ITEM FEE NO. TYK OF EOIN'MtNT FEE <br /> WATERCLOSET�TOILET) � A/C—AMNDLdUNfT9—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS—B.t.0 M E.A. ' <br /> LAVATOiiV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS i <br /> DISHWASHER � VENTILATION FAN ' <br /> UUNDRV TRAV ; RANGF HOOD � <br /> CLOTHES WASHEH � WATEF HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKINO FOUNTAIN � METAL FIREPLACE(WO00 BURNINO) i <br /> FLOOR DRAIN � FIREPUCE INSERT(WOOD BURNINO) ' <br /> BACKFLOW PREVENTERS ; OASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � OAS RAN�E _; <br /> � QAS PIPINO ' <br /> � EXHAUSiFAN � <br /> � ' <br /> � ' <br /> SUB T01AL f ' SUP TOTAL S ' <br /> PERMIT f � PERMII f � <br /> TOTALFEE S � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> �pp�7$E}p�R RE�RSF.TB�CN SIOESETB�LM PL�NCIIECNNUMBFR �FF REf.FIPTNO <br /> USEZIXIE IO��RE� v�c�Nisire FEES VALUATION FEE _� <br /> IIVES f1NO Bl11lDINC � <br /> IIEIONTL�MiGT10N NOOFDWELUNO SREOFBLOORI � <br /> UNIfS PIUMP�N6 � <br /> ��_' <br /> OCCIIP�N(:Y NO 0�51(�mES OCCUPANI LO�D B�SH�EN! MECN�NIC�L � <br /> OROUP <br /> fIYES �I NO � <br /> FIRE�IARMREOP RF�SON �DU����NM.M�NG�CCN i _ <br /> � <br /> OTNE� i <br /> RRESPRINKLEROf:O� RF�SON � <br /> Si�IE BIIILD�N6 SIII1C11AliCE � <br /> — —r— <br /> (YPEOif.ONST PI�N5�1'PPOVEOBY CITYOFEVERETT runnr.wonKs I <br /> LOCAL SALES -- ' <br /> „��E TAX CODE IS 9105 TOTAI � <br />