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APPLICATIe.N FOR CONS4RUCl �ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION �.J <br /> 3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 � <br /> f l DEMOLITION f 1 COMBINATION � � BUILDING ` i MECHANICAL � ! PLUMBING f I SIGN <br /> PROJECT ADDRESS <br /> 2� G� G <br /> om+ea 'f Mui�oonrss c�rv �ir rr�oHE <br /> �(A) D �I STA�� Sw�,E'�l-1 �-3lb �t�-�AJ `It�l aC9 - S' � S <br /> 15N�NT uan nnonrss rnr ri�� n�or+F <br /> �Pl'NRCC7oR0E51GN[P MA�I.An[)nE55 Gir lir PNONF � / <br /> ��1 i�)p�Tc -A"fF�^ _a�G1p����-.S � � �-��s�/�f�Lb�a/�/D��Z <br /> c � eoNrn�cron u aeonness e:i nr r�roNe sr�reuceNser <br /> �A/�c �` <br /> �MECHRInC CONTRRCTOR MAIL pDDiiE55 CITY IIP PIIONE STQE LICENSf:� <br /> PLUM6IN�CONT�TOR MSRr1[)ORESS CIIV ZIP PIIONC $T�TEUCENEE• <br /> CONT{UCT IYi10E OF WOII • <br /> ����- � HEATING SYSTEM: i CaAS fl ELECTRIC fl <br /> DE,SACrCBE Y/09N ANO SOUARE FOO7AGE INVOlVEO �ONTSCt P SON AND PN(�f1E NO <br /> -/�'-�(/h'�-C- / � _ <br /> /�/� , GU d.! 9 = / <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PRUPOSEDUSE OF BUILOINO PROVISIONS OF LAWS AND ORDINANCES GOVERNINO 7HIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEOAL DESGN�PTION 7F PROPERTV ISNOWN BI!LOW ORATTAGN iWOCOPIE51 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �or , e�ocK__—or AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY <br /> OTHER STATf?OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> �'— OWNER OF THIS P Y TO PERF THE WORK FOR WHICH <br /> APPLICATIO MAD � MPLY WITH THE STATE <br /> P�RCE r ioNu eea � CONTFA RS . N 96.ZOQWAC ^ �— <br /> �Ol�O -- �� � <br /> CONSTRUCTIONLO�NLEND'_11.�0 �ESS.TELEP'I NENUMBER x ; _ <br /> + SIGNATI�RE �TE <br /> CITV OUSINE55 LM.'ENSE NO <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> r <br /> WATER CLOSET(TOILET) � A�C—AMNDLG UNITS—H.P. ! <br /> BATHTUB � FGRCED AIR SYSTEMS—B.T.U. __T_ <br /> IAVATORY(WASH BASIN) � HEAT PUMP _ � <br /> SHOWER UNIT HEATERS—B.T.U. M ; <br /> KITCHEN SINK 8 DISP � CLOTHES DRVEFS _�_ <br /> DISHWASHER � VENTILATION FAY : <br /> LAU4DRV TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKIN6 FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> PLOOR DRAtN � FIREPLACE INSERT(WOOD BURNINO) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SIPIK(SERVICE—BAR,ETC.) GAS PANGE ' <br /> � GAS PIPIN6 � <br /> i E%HAUST FAN � <br /> � <br /> � <br /> — � , <br /> � <br /> _ , <br /> SUBTOTAL $ SUBTOTAL 8 �l� ' _ <br /> � PERMIT $ i PEHMIT S /�� _ <br /> � TOTALFEE S � TOTALFEE S '_ <br /> FOR OrFICE USE ONLY: <br /> fRONT SETO�CK �E��SETBACK 51[lE SETB�CN PUN CNE N N MOER FEE RECEIPT NO. <br /> i �... <br /> usEzoNe �otene� v�e�r+rsire FEE VALUATION _ FEE <br /> llYES fl NO BUIIDINb � <br /> MEIONTLIMI1�ilON NOOFDWEWNG SIZEOFBl00T � <br /> UNITS VI UMBIN6 <br /> OCGUP�NCY NO 0�StOAiE3 OCCUP�NT LO�O B�SEMEN7 MECIUNIC�L � (/�� <br /> GROUP <br /> IIYES (1 NO � <br /> �DOIOONAL VLAN CNECK � <br /> FIPE�LARM PEO-� PE�SON -- <br /> OTNER <br /> FIRESPRINKLERREOD RERSON <br /> STATE BUILOING SURCH�RGE i <br /> iYPE OF CONST PUNS�PPROVED BY CITY OF EVERETT ���BI It;JIOfiN$ i <br /> LOCAISALES -- � <br /> o�rE TAX CODE IS 314� T07I.L <br />