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APPLICATIOI�1 FOR CONSTRUCTI.�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f 1 DEMOLITION f I COMBINATION I i BUILDING I MECHANICAL � ! PLUMBING f I SIGN <br /> PROJECT ADDRESS <br /> 2//> �z <br /> owraen Mnn�onnrs� cin 1 rrr rr�oHe <br /> � �t� t. �>_� �" 1 - � � l_L� .=�.��_/7��/ <br /> IEN�N M��I Rf10Rf55 f�iv ]�P PHONF <br /> �' d e <br /> enomrcronoesirNen � Men�nnaess arv nr rNor+e <br /> 6ENE1Ut CONTO�CTOf1 A��R�0[1PE55 (:Ilv IIP PIIONE 5T11TE IICENSE� <br /> M�N �L NTR�C10ti MNL�DDAF55 CI1V lli' P110NE ST�TEIICENSE• <br /> ��� ���y <br /> 1'�IIMBMG CONIR�CTOiI �MaUf1DRE55 CIIY IIP PNONE $TATE LICENSE I <br /> CONTMCT PRICE OF WORN <br /> HEATING SYSTEM: I I CiAS I 1 ELECTRIC fl <br /> DESCPIBE YIORIt�ND SOU�RE FOOT�OE INVOIVE� f.OMACt PEPSON�ND PIION[NO <br /> I HEREBY CERTIFV iHAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND COPRECT.AlL <br /> vnoroseo use or em�on+a PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEO�LDESCRIPTIONOfP(10PERiY15NOWNBEIOWOR�iIACN1\VOGOPIE51 NOT. THE ORANTING OF A PERMIi DOES NOT PRESUME TO aIVE <br /> ior n�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHEFi STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTV TU PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> P�RCEITA%ID.NUMAEP CON7RACTORSLAWIB. CWAND2�.200WAC. <br /> CONSfiRKT10N LO�N IENDER.�DUf1E5S.TEl FPHONE NUMflER �/ `- <br /> ANATUf1 ��TE <br /> CIiV Ol15MF.55lICENSE NO <br /> PLUMBINO MECMANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TVPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � NC—AMNDLa UNITS—H.P. ' _ <br /> BATHTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) HEAT PUMP ' <br /> SHOWER ' UNITHEATERS—B.T.U. M ' <br /> KIiCHEN SINK 6 DISP ; CLOTHES DRVERS � <br /> DISHWASHER � VENTILATION fAN ' <br /> LAUNDRY TRAY � FANGE NOOD � <br /> CLOTHES WASHER i WATER HEATER ' <br /> UFINAI ' WOOD STOVE � <br /> DRINKINO FOUNTAIN i METAL FIREPLACE(WOOD BURNINO) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BUFNIN6) ' <br /> GAS FIREPLACE � <br /> BACKFLOW PREVENTEFS � � <br /> SINK(SERVICE—BAR,E1C.) � OAS RANCaE ' I� <br /> � 6AS PIPING � <br /> i EXHAUSTFAN � ' ' <br /> � <br /> i i <br /> SUB 10TAL S � SUB TOTAL E � <br /> PERMIT S � PERMIT E � <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETP�CN RF�RSFTPACN SIpE5ET8�CN �I�NCHFCN flFR fEE FECEIATNO <br /> 2 ` <br /> USFIONF ioTene� vee�r+rsire FEEB VALUATiON FEE <br /> I1YE5 II NO PUII�IN(i <br /> HEIOIITLIMIT�TION NOOFOWF.LlINO 512FOfPlOGRI � <br /> IINITS PLl1MflING <br /> OCCUPIVGY N00[SIONiES OCCUP�Nil0�0 AASEMENt MECIUNIGI <br /> OROIIP ` <br /> flYES 11 NO <br /> AD�IOON�I PI�N CHECN � <br /> FIREQAPMRE00 PF�SON <br /> 0T11ER <br /> FIRESPRINNIERRF.OD PFASON � <br /> STAIE Bl➢lUINO SURCIUROE � <br /> rviceacoNsr rur+servnovenev CITYOFEVERETT ���eiicwonKs � <br /> LOCAL SALES I <br /> oArE TAX CODE IS 3105 TOTAL �. <br />