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. ^ <br /> APPLICATIV�A1 FOR CONSTRUCI �ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> fl DEMOLITION f 1 COMBINATION I I BUILDING � MECHANICAL i I PLUMBING ( 1 SIGN <br /> PROJECT ADDRESS <br /> • _p < <_ C/� �- , � CV . <br /> ow�En Mna�oonEss r,rtr rm rr�oue <br /> ic�H�� r rc N wn�no�+lhlt=S �02 �� 13 ) t, ��� -S��n� �=/a �.c,vir�or�<<� 2 ' j��5�; >.l• 7`/� C "� <br /> �RCHITCCT OR OESIGNF.ti MI�IL QH1RE55 C17Y )IP PIIONF. <br /> fENFMICONTRALT(M M�IU�DRE55 CItY 71P PIIONE S1�TE IICENSE� <br /> AIECN�NIC�L CONTR�C70� M�IL��DRE55 CITY 71P PIIONC ST�7E ULFFSE� <br /> �'Ac c Nr-�-T�N<< t A�2 <br /> GIUMBINOLONiR�CTOiI M�IL�OORE55 CItY IIP PRONE SiREUCENSF.� <br /> CO _RACT PRICE OF W011N <br /> � -� HEATING SYSTEM: f 1 GAS �l EIECTRIC rl____ <br /> �ESCRIBE WORN�ND SOU�RE FOOT�OE INVOLVE� CON'�Ct PEPSON�N�PIIONF NO <br /> �A)�I�l2C �iL�NT I-q � 2755.� <br /> _ DV PLL�C �--I+�nr t�' — <br /> I HEREBV CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORREC?.ALL <br /> PF01'OSED USE OF BUILdNO PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TVPE OF <br /> rC S A Li:- WORK N'ILL BE COMPUED WITH 'NHETHER SPECIFIED HEREIN OR <br /> �FO�LDESCNIPTIONOFPR01'ERttI5110WNBFLOWORArtICNTWOCOPIE51 N01. THE ORANiINO OF A PERMIT DOFS �lOT PHESUME TO OIVE <br /> ior atocH or AUTHORITY TO VIOLATE Ofi CANCEL THE PRJVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTIUId UR THE <br /> F EFiFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIIED BY THE <br /> JWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I CUMPLV WITH THE STATt <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> P�RCEL TA%ID.NUMOER � <br /> ///� / <br /> GONS7Al�GT�OMLO�NlENOER,��0�ES5.iElEPNONENU4PER �( / 'h"--' �• K^""���/� �f� y�� <br /> LV e I A 1.I I M!1 ��n.f�i7+�?r{- 77_� _S SIGN�IUPE / ' O�TE � <br /> CIl Y 9USMESS I�CENSE NO. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FUCTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE r_ <br /> WATERCLOSET�TOILET) � A/C—�A/HNDLOUNITS—H.P. : <br /> BATHTUB ; FORCED Alq SYS7EM5—B.T.U. M E.A. '_ <br /> LAVATORV(WASH BASIN) HEA7 PUMP _ ' <br /> SHOWER � UNITHEATERS—O.T.U. M ' <br /> KITCHEN SINK 6 DISP i � C10�HES DRYERS ��_ <br /> DISHWASHER � Z VENTILATION FAN ' <br /> LAUNDRVTRAV � RhNGEH00D � . <br /> CLOTHES WASHEFi � WATER HEATER ' <br /> URINAL ' WOOD S70VE � - <br /> DRINKINO FOUNTAIN i METAL FIRFPLACE(WOOD BURNING) � <br /> FLOOfI DRAItJ � f�PEPLACE�NSERT(WOOD BURNINO) ' <br /> BACKFLOW PREVENTERS i GASFIREPLACE ��_ <br /> SINK(SERVICE—BAR,ETC.) � 045 RANGE ' <br /> a�S PIPIN6 � <br /> i E%HAUST FAN ' <br /> i <br /> i <br /> i <br /> � i <br /> i <br /> SUB TOTAL S SUB TOTAL E ' <br /> PEFMIT E � PEFMIT S � __ <br /> TOTAL FEE S ' TOTAL FEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> fRONiSFTB�CN RFAf15FiB�CK SIDESETB�CN �UNCIIFLN MPE �EE REf,FIPiNO <br /> i <br /> c <br /> use 7oue ior nnee v�c�r+*srte FEEfl VALUATION FEE _ <br /> I1 YES f 1 NO PUILOINO <br /> 4EIOIV I�MITQION NO OF OW[LlINO SIZE OP BLDG�t I � <br /> UNIiS PlU1JPINO <br /> OCCIIP�NCY IqOfilMiES OCWPANILO�O B�SkMENt MECN�NIC�L <br /> GROUP (1YE5 Il NO -- I <br /> AODII'ON�L PUN GNECK <br /> fIf1E�URMREOD �F�SON <br /> onicn <br /> riaFsrAiNKienaeo�o � nE�sor� <br /> sr�ie ounon+a suncH�nne � <br /> � <br /> rwe or cor+st Purvs errnoven nr CITY OF EVERETT runuC wonKs ' <br /> --1-- <br /> LOCAL SALES — ; <br /> ��ArE TAX CODE IS 3105 TOTAL ' _ <br />