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CITY OF EVERETT A BUILDING DIVISION <br />L 3200 CEDAR STREET • EVERETT, WA 90201 • 259-8810 <br />L�7 DEMOLITION U COMBINATION ❑ BUILDING LI MECIjANICAL <br />PROJECT ADDRESS:] �flllJ 2�(j� <br />❑ PLUMBING ❑ SIGN <br />TENANT MALL AIKMrss C.11♦ —, <br />AIICIATCBT d111ES10NEn M4, AUDEIESS <br />1R• PNONF <br />i IATE I ICFNSE A <br />MECHANICALCONIRACIM MAILAG,'ESs CITY-- —'--'— <br />t'P PHONE STATE LICENSE.- <br />PLUMBING CONDI&C, IDFI MAIL AMMIESS CITY------- <br />t" � PIMNE SGIE LICENSE A <br />AM SOUAFIE FOOTAGE INVOI to <br />LEGAL OESCWDON OE FIX" <br />LOT BLOCK <br />CONSTEUCTION LOAN LEND", ADOFIFSS. TREEMIONE MMABEn <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />(:MTACT PERSON AIM PI. w <br />I HEREBY CERTIFY THAT 114AVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. 714E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR S W t ZF":ND 296.200 WAC. <br />-- <br />SKTNAIIMKf DATE <br />�_ n•llllwn ll IqF NSL NO <br />MECHANICAL <br />OF FIXTURE OR ITEM <br />FEE NO. TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) ---- <br />'4NDLG <br />FEE <br />, <br />' <br />, <br />BATHTUB M UNITS <br />; __ <br />LAVATORY (WASH BASIN) _FORCED AIR SYSTEMS, <br />14EAT PUMP <br />SHOWER -- <br />' <br />IT HEATERS <br />KITCHEN SINK 6 DISP ; <br />CLOTHEB DRYERS <br />DISHWASHER <br />' <br />RANGE HOOD <br />LAUNDRY TRAY <br />, <br />WATER HEATER <br />CLOTHES WAS <br />,_ WOOD STOVE <br />URINAL _ <br />METAL. FIREPLACE (WOOD BURNING) <br />i <br />DRINKING FOUNTAIN _ i FIREPLACE INSERT (WOODBURNING) <br />FLOOR DRAIN <br />I GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />_ ; GAS RANGE <br />, <br />SINK (SERVICE — BAR, ETC.) <br />, GAS PIPING <br />— EXHAUSTFAN <br />I <br />SUBTOTAL S' SUB TOTAL f <br />PERMIT f PERMIT f <br />I <br />TOTALFEE S TOTALFEE S <br />' <br />OR OFFICE USE ONLY: <br />l RDI/T SETBACK <br />IIFCKMIMEITn <br />rtr <br />nFCEIPT NO <br />usE toNE <br />IFW..AnETBACK =9IDFSfTB�kqW <br />EA <br />UVIELLINO BITE of BLOORI <br />FEES <br />VALUATION <br />FEE <br />/IEIGIIt LIMTAIN7N <br />G <br />-- <br />INnOCCUPANCY <br />Iln(MFI(MELS <br />OCCUPANT LOAD <br />BASEMENT--_--nnddFF <br />NIf.AI— <br />_-FIRE <br />SPRINI(LEn REO'D <br />TITASM <br />NAI EY AN(;INCRFIRE <br />ALARMREOU <br />RF ASON <br />IM DINn SI IIIOIARO[TYPE <br />DE COAST <br />PI ANS APPFIOVF D ByCITY <br />OF EVERETT <br />VlnnKsLOCAL <br />SALES----- <br />DATE TAX CODE IS 3105 <br />