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� ^ <br /> APPLICATI4.� FOR CONSTRlaC7 .JN PERMIT� <br /> CITY OF EVERETT• BUILDING DIVISIOfJ <br /> 3200 CEDAR STREET• F.VERETT, WA 98201 •- 259-8810 <br /> f 1 DEMOLITION f I COMBINAT�ON I I BUILOING MECNANICAL � i PLUMBING i ' SIGN <br /> PROJECT ADDRESS �v� G CA s•�y0 tjd �•v�K�T? �!A 9 P L tl Cf <br /> /C <br /> OMMER M�IL�noRE55 cltv )m rnONF <br /> �ola� wilax ut 6 usi��L�r�cso���+� — <br /> TEN�NT�' s MaIIApOnFSS rliv lin rMONF <br /> -�Ct�,��.t� yot fr _c.At��v��P1� tu%�' ��L• d �S'T �'3zt— _ <br /> � cr�rtccr f�516Nf.f1 M�II�DOR[55 arv rir rnor�F <br /> 6ENEMLCONIIU(:1IX1 MMI�DOnf55 Gtr 7i� P1�09f ST�IEUG^�- 4 • <br /> j?A�✓�1 `s �.,.�Qecra,J �069 Wi E�t r�7M��r,+ w,+ P�.� �P�•�= �"c <br /> �}1� U6l f�f� x� ,�.ve <br /> MECN�NICAICONTRRCTOR M4L�OIl�F55 CITV ]IP PIIOHF SUEUCENSE� <br /> PLUMBINOCONiRACTOR M�IL�ODRE55 Cltv IIP PIIONF ST�IF.IICENSE/ <br /> CONTR�CTPOIf, OFWqIN <br /> HEATING SYS7'FM: I 1(3AS fl ELECTRIC f� <br /> pE$CPIBE WOR 11N0$OUARE FOOUOE INVOIVEU f.ONUCT P[fISpN�ND P11O4f NO <br /> �I/C U� . _ _ <br /> I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME T4 BE TRUE AND COFRECT.ALL <br /> Pi10POSE0 USE OF BIOl01N0 PROVISIONS OF LAWS AND ORUINANCES OOVERNtNO THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ieaeioescnirrior+orrrmr�arvlsrrovmaeiowoneTuc��rvrocories NOT. THE 6RANTIN6 OF A PERMII� DC)ES NOT PRESUME TO aIVE <br /> ioi_ etoc�: or AUTHORITY TO VIOLATE OR CANGEL THE P�70VISION OF ANY <br /> OTHER STATE OR IOCAL LAW FE3ULATINO CONSTRUC?ION OR THE <br /> PERFORMANCE OF C0�lSTRUCTION.THAT I AM AUTHORRED BV THE <br /> OWNER OF THiS PROPERiV TU PEqFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMFLY WITN THE STATE <br /> CJNTRACTORS LAW 18..^.7 RCW ANp 286200 WAC. <br /> PMCEL TN(I D.NUMBER //� A ^ <br /> CONSTRUGTpI LO�N LENOEII.�DOl1E55.TElE1'NONE Nl1MAER x ��"'�/ // i�� <br /> SI6N�Uf1E vO�TE <br /> CITY BUSINE55 LICFNSF.NO <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlfITURE OR ITEM FEE f70. TYPE OF fl%TURE OR ITEM FE�_ <br /> WATEH CLOSET(TOILET) � A�C—IIMNDLd UNITS—H.P. ! <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> IAVATORV(WASH DASIN) � HEA7 PUMP � _ <br /> SHOWER � UNIT HEATERS—B.T.U. M ; <br /> i <br /> HITCHEN SINK 8 DISP I CLOTHES DRVERS � <br /> DISHWASHER � VENT�IATION FAN : <br /> IAUNDRV TRAV RANGE HOOD i <br /> CLOTHES WASHER � N'ATER HEATER ' <br /> URINAL ' WOOD STOVE � <br /> DRINKIN6 FOUNTAIN i METAL FIREPLACE(WOOD BURNINCa) � <br /> fLOOR DRAIN � FlREPLACE INSERT(WOOD BURNINO) ' <br /> BACKFLOW PREVEN7ERS ; OASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � OAS RANGE ' _ <br /> � OAS PIPING � <br /> � E%IIAUST FAN � <br /> i <br /> � <br /> � <br /> i � <br /> � _ � <br /> _ i <br /> i <br /> SUB TOTAL S ' SUB 70TAL S <br /> PERMIT S � PEAMIT S � <br /> TOTAI FEE S ' TOTAL FEF. S ' <br /> FOR OFFICE USE ONLY: <br /> fRCNTSFTP�fN AE�RSFTB�CN SIOESE7BAf,1t M�Np�ECN)NCMt1FR �EE RECEIPTNO <br /> � /G�_ ' <br /> usezoee ioTenee `/�CRNTSITE FEE8 VALUATION FEE <br /> n ves i� No nminiNc <br /> 11EIONT UMIT�TION NO Oi fIW[lLllq SIIE O�PlD6Rl -- i <br /> UNIIS P�UMAINtI � <br /> � <br /> OCCUPANCY Iq U[SIORIES OCCUP�NT 10�0 B�SEMENf MECIUNII:AI i <br /> �R�P IIrES Il NO i <br /> — �DOIIIONAL R�N CHECK � <br /> FIRE�URMREO'D REASW <br /> 1 <br /> OiHER i <br /> 1 <br /> FIRE$PRINNLER RF.O'0 AEA50N � <br /> ST�IE PWLDMG SUfICNM1aE � <br /> _ i <br /> TYPE OF CONST PLANS APPt10VED BY CITY OF EVERETT PIIPIIC W011K5 I <br /> LOCAI SALES � <br /> o�,E TAI(CODE IS 3105 TOTAL _i___ <br />