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APPLICATION FOR CONSTRUCT�ON PERMIT <br /> CITY OF EV[RETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259•8810 <br /> fl DEMOUTION f 1 COMBINATION I 1 BUILDING I 1 M4CHANICAL i PLUMBING SIGN <br /> PROJECTADDRESS ��� � �S �� 5,�,'�, ,� <br /> OWNER MA�I�DdiF.55 CITv li� �I�ONf <br /> �(�,Qu.,..l�' ?�c �'�. �� l��0 S-HN�o �l5%o/-/3ar� _ �� <br /> IEN�N� MMI�bORf55 f IV IIP P�IONE <br /> ln/l�ee/r� C�.���n�y�� a�i �' Cc.s �,� �'v����1- �i�aosr 3Sr-s�.�� <br /> ex�a*cci on oes�cNrn n�noness - aiv r�r ivwar <br /> N//� -- <br /> ncNcneicuNmnr.ron •a�neooncss c.nr n� rnor+r surriicrNsr. <br /> -G.P� � �« li3„zy �.,«y�o �.�-�r��l�� 5�.�7s 35s��v ,r.�.o«-�aoy�� <br /> MECN Ifqf.ONiR�f,iJ^�' MAR�D�Pf55 G1V 71C PIIONF S1AiF1.ICEN$E� <br /> 4 V/� <br /> PUIMBINGCONiMCi(M/� � /�MMI�DOAE55 CP�' IiP oqON'� STAIFIIGFNSE• <br /> %V�/� — <br /> conrn�cr rmr.r or vronK <br /> 1i J� � HEATING .c,YSTEM: I i GAS ! I ELECTRIC ( I_ <br /> DESCRIBF VIJRN�NU SOU�RF F(pT1GE INVOIVE� CONi�Ci�[RSON�NO f�NN�f NO <br /> ,�ntf.// �no Scf .o'F �..�ll- i o.m�' �n� <br /> �ef'l'ris /�/ � 1c �?l� _ 3S5=0i1.2y <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALI <br /> P1kN'OSEOUSE O�PUILDINO pROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS TVPE J� <br /> �(�,r,� :s, � O WORK WILL BE COMPLIF_D WITH WHETHEF SPECIFIED HEREIN OR <br /> �ea�ioescmrnar� vrroventtis�awnaeiowauerrecNrvrocories� NOT. THE ORANTINO OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> l01__BIOCN or_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHEF STATE OR LOCAL LAW REO�LATINO C()NSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCiION.THAT I AM AUTIIORIZEO BV iHE <br /> OWNER OF THIS PROPERTY TO PERFOFM TNE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PMCEL T�X ID NIIMBER CONTRACTORS LAW 1827 AND 296200 WAC. <br /> CONSTqUCTONIO�NIENDER.�bM1E55.tELEPNONENIIMPER x /ti�-1.0 �'/�' / � <br /> �/a SION�TUfiE D�TF <br /> f,ItY BUSINf53 UCENSC NO <br /> PLl'MBIN6 MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEC <br /> T <br /> WATEFCLOSET�TOILET) � A/C—AMNDL6UNITS—H.P. _ ! <br /> BATHTUB � FORCED AIR SVSTEMS--B.T.U. M E.A. �_ <br /> LAVATORV(WASH BASIN) HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M ' <br /> KITCHEn SINK 8 DISP i CLOTHES ORVERS _ � <br /> DISHWASHER VENTILATION FAN _ : <br /> LAUNDPV TRAV � RAN6E HO00 _. _T_ <br /> CLOTHES WASHER i WA?ER HEATER __ ' <br /> URINAL ' WOOD SiOVE � <br /> OfiINKINCi FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR ORAIN FIREPLACE INSERi(WOOD EURNING) ' <br /> BACKFIOW PREVENTERS � GASFIR[PLACE _ i _ <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE ' <br /> � GAS PIPING <br /> � i EXHAUST FAN �_ <br /> — � <br /> i <br /> i <br /> � T <br /> SUB TOTAL S � SUB TOTAL S __T_ <br /> PEFMIT a PERMIT E � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> TONiFFIPMK AF�IIgFTB�CN S�DESEIPK.� PI�NO?CNNIIMPff ffF / RFff��iNO <br /> �/aa.� ._33 C�y - <br /> use.or+f// im�nu v�c�r+t5irr FEES VALUATION _ FEE _�__ <br /> iires �� mo � I r <br /> --C=J�— —' nunrnr+c - -- _ �1� � <br /> HE16111 LIMIT�bON NO Of DWFLIING SIZE Of Alf%i41 � <br /> UNi1F PIUA�fliNC � <br /> ___ —__ _____--{-_. <br /> _ <br /> OCCUI'�NCY �M�rici��m�5 p:CUP�NIlU�O P�SEMENI MFC�UNiUI i <br /> cnouo ____ ____._— _—..—_ ___—_�__. . <br /> i1rE5 ii NO i <br /> FlIIEM��MPfU� �F�SON �b11i110NNPI�NU�H:N -- --- � <br /> _--� - _ <br /> _ OIIIfP ____ � <br /> fl(IiSPRINNIFRIIFQO rF�F7N <br /> �,UtCFlUiIDRUV511nG1�Of.E —_-___ '"__'__� ._��� <br /> �rreorcoNsi rin�venrrnqvrnnr GTYOFEVERETT �runi��-wonxs <br /> � n'L, LOCAL SALES ---- —- -—------ —�----- — — ;. <br /> n.�F . 1.4 TAX CODE IS J105 TOTAL --_-- -- ��l�2_,,' <br /> ---�----�_Z --- <br />