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FROM:CITY OF EVERETT BLDG DPT TO: 2068820226 SEP 25, 1995 10:39AM 9048 P.02 <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEREI I, WA 98201 4259 8810 <br />DEMOLITION I COMBINATION L7 BUILDING MECHANICAL PLUMBING I I SIGN <br />PROJECT ADDRESS �,-� V $)c)� <br />6I+cks rZL 5 �!cnr�e.Ja y ✓rre�L- <br />..... .nnut cc CITY 7'P PHONL <br />QTC -,2 13rxQ4iay fyr'rti gq-201 <br />n�NrP-N11 MAIL AIKR'1 FS ,1�61'FIGStD1T 71P / PHONE <br />rJ /l.I buG�S ���AR 22o'J Afir/kY•Y S. 9VI'Li <br />cn• urtr r, on nl •Jr,NI R MA-1 AMInt I,$ clly JII• PHONE <br />lu811 rANTM�CTOO 4A'I AIBtOI SS <br />41*hAv <br />fiH JII' <br />C.P»Tof�Ps 9Y1o4 <br />rrILINL SIA11 IIt I y.I. <br />VrIco-r COT51f.c7a� P'S /U <br />•!t(:HAIII(AI CONIAAMOn NAILAnfIPI SS <br />'rJFC P.O. (3ox35,50 <br />('II/YJ <br />/PFcvi.+o+T+l <br />�7 L.P <br />gQnsa <br />PIIO�L 51/dr llrl N.I, <br />(uc)86'I 3zN7 TECM65c IH3HA <br />/11er4an1yd <br />I'1!W0INr:CO%lf4AGICKI MAIL AOOIIt Ng <br />Clly <br />71P <br />PIIONC SIAq'IIC.RU.I. <br />N <br />Lolj)n CI PIIICI:OI N'INIK <br />HEATING SYSTEM: <br />I I GAS i I ELECTRIC 1 I —_ <br />I,t.[.('TITHE WONK M:I)AMIIAnr rDOIAOt INvolm, <br />COI '1 rIJISON ANn PIIDNfi NO. <br />new ra—w^ Ar•Ik also ;,,T,tl I <br />rt 1 �n}�'[ Ur d!nlnMft <br />16nAl UrSCn I OIItIOPFniY 15v10t•1'f+dI IOW OR ALbi <br />IATII\YO�vq/� � <br />LOT � __— BLLKM CG/ II Or^—IR_ I�i A- CJ (1) . <br />euT cv+A V..-re.e.11eor-"' ISO-7/ <br />To�Tti+ t;fA p"c ez, v .- 47 ar .L a I$44'-r/2 c 1 <br />i, 'L �'3ol.t�poJl1 <br />I•AnhLl lAX 1 n NIIMnrn <br />i134�Go`7-OWN' 0003_ ___ <br />ul•C:Iupf..liONICrAN If NUI11.AppHI SR 1rICNIONCN1,10FH <br />PLUMB ING1KITCHT4SINK <br />TYPEOF FIKTUREOR ITEM FEE <br />R GI OSET (TOILET)0HY(WASI I DASINER 8 DISP_ASHER — ..i_.�. <br />LAUNDRY TRAY •-•-----• „ . ._.---�-•_ <br />_CLO711ES WASHFH <br />URINAL ...--- ..__.._.._. _. <br />DRINKING rOUNTAIN <br />FLOOR DRAIN - _ ..._ <br />DACKFLOW PREVENTERS_ <br />SINK (SERVICE • BAR, ETC.) <br />...- _... .. ...SLED TOTAL S I <br />..._ .. ---J—._.... PERMIT S <br />70TALFEE $ J. <br />FOR OFFICE USE ONLY: <br />I11fW1 SrT WK - -__ RCAn SCTniC.K dIPk 4FiHM1CK <br />••"—"_ Ills ANFA VAf:ANi FItI. <br />U':[JONI IITFS 1t NO <br />Ol ntlp UVOn1tON — •Nb fier lJNU F17F er nLnn!1.1 <br />IIn11S <br />nr <br />..UPhNOY N^ pl 54K113 Of:t:IflgNl t(Igl PASFMF.HT <br />1 LPL ALAIIM HFbt.. IILhC(1N •_ <br />11nC,HNINKI Ti nrOT, •" Ilr A�rY+ <br />'r'inNcnrnlnvtaoY CITY OP EVERETT <br />LOCAL. SALES <br />IInT1 — TAX LODE IS 3105 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 1HIH <br />APPLICATION AND KNOW THE SAME TO RF 1 HUE- AND CORRECT At 1. <br />PROVISIONS OF LAWS AND ORDINANCES GOVFRNINCI I I IIS TYPE Of- <br />WOHK WILL BE COMPLIED WITII WHETHER SPFCIf II D HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PREWME 10 GIVE <br />AUTHORITY 10 VIOLATE OR CANCEL 1NF PROVISION OF ANY <br />Ol HEH STATE OR LOCAL LAW REGULATING CONS I H11C11ION OR THE - <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AVI HOHIZLO BY THE <br />OWNER OF 1HIS PROPERTY TO PERrORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY W11H 111E STATF <br />CONTRACTORS LAW 10 27 RCW AND 296.200 WAC. <br />16 <br />4'(,NATIInt, —Poll <br />'friv I1115INe•S LICEN9e NO. <br />MECHANICAL-------- ... ---• <br />N0. TYPE OF EQUIPMENT _— FEE�- <br />__ A!C - AJHNDLO UNITS -- H.P. <br />rORCr:D AIR SYSTEMS - B T.0 M C.A. -_•_.. <br />HEAT PuMp <br />VNIt HEATERS - B.T.U. M - ... _. ._.`.. <br />CLOTHES DRYERS__ <br />" VENTILATION FAN _-, .-., i ....- <br />•• - RANGE HOOD.-'r--- <br />WATER HEATER _ ' -- <br />WOOD-STOVE;--- <br />__ • MFTAL FIREPLACE (WOOD BURNING)_ ._._ <br />FIR - EPLACE INSERT (WOOD DUnNING) _. <br />GASFIREPLACE _.,-., _. -__.. ;••-- <br />GAS RANGE <br />---- GAS PIPING <br />EXHAUSTFAN .. -..-- <br />J I _ <br />_ -SUBTOTAL. • 5 „�4J <br />PERMIT .5. _...�.14�!•-- <br />..�---».. i01 Al rCE 5 _,»W.'•'-_ <br />-- <br />�---. rrr alnmlNo <br />1T AN rnrcK mlvncn <br />'• FEES VALUATION <br />r <br />n1111U1N'1 <br />NICOAKIf:AI--••• -. <br />M1POIfl(f•:M P. AN CIRa:K .. .._..—. .. .. � <br />r7n11dl <br />M AI I EUn i flyn WNCHAmc <br />TOTAL <br />