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APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERET7• DUILDING DIVISIOh <br /> 3200 CEDAR STREET• EVERETT, WA 982Q1 •259•8810 <br /> fl DEMOLITION fl COMBINATION I I BUILDIYG f"] MECHANICAL Il PLUMBING SIGN <br /> PROJECT ADDRESS ��0� <br /> �ROha W <br /> o en Ma�nooness cnr zir PI/ONE <br /> �I a tJs G��u6 ��Ncro �bzq N6rc�,�., 1,.��t�r fir�ctr 9b'�y 2A=) �yv — S^i�7 <br /> �e�ur�T uniinnoness arv rir /� rnoue <br /> U�3/U OLU N l'��5 D� AM�CI} �8 0� ��OA��"'� U/i�.�T `9 20/ 2S9- 3/ 9/ <br /> lnncwrccTonoesic�:en Mnunooness ' crtv zm m�or+e <br /> GENEHnLCONIPAG1011 MFILADJllE55 (;ItY )IP PIIOI�E S7ATELIC[NSE� <br /> _�C'�'Ra1 �1c�N 1�C, PD� �D�' 5Z(3! �yNNWons> 9�0�(., .�rX, 7x, �;~>�'L�YNCo77cM <br /> MECNRNICALCONTR�CTOR NAILADDi1E55 CITV pIP PIIONE S7ATELICENSEM <br /> I <br /> PLUMBINGCONiRFC7IX7 MNIAUDR[SS CIIY ZIP rnnr+e STAlE1lCENSE� <br /> NlRAC7 PNCE OF WO� <br />, � ?,?� '�'�jQ— HEATING SYSTEM: fl GAS rl FIECTR7C fl <br /> uescni��on�tiu�souNs rootnc�ivvoiv�❑ � DI�L ;;oN�nc�O o�rvnNi��oBs �g�Z�H N� j NC� <br /> !< N <br /> IUI lN � Mi 77G .:�06 '77(�— t�'835— <br /> �/T�� /IriD �TR9NIC- MCSS�IIb l.G�/CJ� p pL CA�T ON AND KNOW THE SAME TO BE�T UE AND CORR CT.AI S <br /> rn rose SE OF BUILDIN6 PRUVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPF �'� <br /> �CTA"I L SFI�-� WORK WILL BE COMPLIED WITH WH[THER SPECIFIED FEREIN OR <br /> LEGA�pESCAIP110NOfPPOf'ERTVISHOWNBELOWORATf�CHTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESI�ME TO GIVE <br /> �ot e�oc![ or ' AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRIICTION OR THE <br /> PERFORMANCE OF CONSTRUCT�ON.1"HAT 1 AM AUTHORIZED BY TI1E <br /> OWNER OF TH�S PRCPERTY TO PEFlFORM TF!E WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATt <br /> rnA L A I0.NUMBER CONTR T�RS LAW 1827 RC1 ND 29 00 WAC. <br /> - 63- - Doo3 �/p��� <br /> GONSifiUC�ION LOAN LENpEfI,AD�pE55.TEIEPHONF.NUMOFII x V'�` / � <br /> SIGNATUB[ _ �� �� D T[ <br /> l� <br /> LI7V OVSMF.55 UCENSE NO. <br /> PLUMBING MECHANiCAL <br /> NO. TYPE OF FI%TUpE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDLG JNITS—H.P. � <br /> BATHTUB � FORCfDAIRSYSTc�.75—B.T,U. M E.A. � <br /> LAVATORY(WASH BA51�!) � HEAT PUPAP � <br /> SHOWER � UNII'HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES ORYERS i <br /> � DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV � RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATER i <br /> URINAL � 6VOOD STOVE ' <br /> DRINKING FOUNTAIN i M[TAL FIPEPLl�CE(WOOD DURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE � ; <br /> SINK(SERVICE—BAR.ETC.) � GAS R�NGE � <br /> ' GAS PIPING ' <br /> i EXHAUSTFAN i <br /> � � <br /> — � � <br /> r � <br /> � i <br /> SUF3 TOTAL 4 � SUB TOTAL $ � <br /> PERMIT 5 i PERMIT $ � <br /> TOTAL FEE S � TOTAL FEF S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSE;AA�' REA�ETIf�CK � SIOES�T��K PIANCIE NUMOGIi FE§,�� � � RECEIPTNO._ _ � <br /> � � <br /> 7 � L ;�� <br /> u5E iOrvE AREA !� VACANT SIIE FEES VALUATION FEE <br /> _� � �' 7� nres No ow�nn�c 79 3.�A i -��� <br /> HEIGMT LIMITATIpN� NO OF OWElLINO SIZE OF OLU6/I.I. � <br /> � UNITS / PLUMBINO i <br /> �-T� <br /> G OUpANCY NO 04510111L5 (%;GUI'ANl LOAU OASEMENI MCCHANICAL � <br /> f1YL5 fl NO � <br /> PIFEALARMNEO'� RERSON AODITIONALPLANCHECN � <br /> �r� <br /> OTHER � <br /> � <br /> FIRE SPFINKLER REO'D REASON � <br /> STATG OUILDIN6$URCIIMGG � i J��� <br /> TYPEOFCONST. PUNSPPPROVEOOY CITYOFEVERET7' Pl1ALICW011NS ; <br /> �M LOCAL SALES � <br /> omE J� � TAX CODE IS 3105 TOTAL �� � I �/�� <br /> - <br />