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APPLICATI�..� FOR CONSTRUC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION �/ <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> V�'� DEMOUTION I I COMBINATION I i BUILDING I I MECHANICAL � I pLUMBING I 1 SIGN <br /> PROJECT ADDRESS <br /> 7 ;. PZa� <br /> owr�en Men�oonrss <br /> crtr �u• �v�ervr <br /> ��e��c���_�_��2.0_/_91 sT�.�a�,��� 9�a�6 �7o.�GG 9 <br /> �eHer�r M411 �nnnr�s ,-irv vu• rr�ar�r <br /> Sr.-�-► C <br /> �ncw*rctonoesrNen M�nacaness — �,nr nr m�rn�e <br /> �•r,�n,.��"f��s Yb.Zo iy � `T s� �.y���5�.��_—� �o-i� � 9 <br /> 1 q Nen covrnectaa Mui.�onncss cnv im rnoar srnieuceNse. <br /> \� <br /> MECNIINIC�LCONTR4CTOR MAIL�DOtiF55 CI7V Ti� PnCNE Si�iELICFNSE� <br /> PWMpINOCONTR1CifHi MAILAf)OFE55 (;ITY 71P PIIONG STRTELICENSE/ <br /> CONTR�CTCRIf.E OF WOIIX <br /> HEATING SYSTEM: I � GAS f 1 ELECTRIC (l <br /> DESCRIBE M/0lIN�ND SOU�RF FOOT�GE INVOLVED LONt�Ci PFRSON RND PIIONF NO <br /> Rt.«e✓ e e/� d�o/ ro�oiv�� • <br /> I HEFEBV CE-RTIFV THAT I HAVE HEAD AND E%AMINED THIS <br /> rnoroSeDusE oF B�n�gNct APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �' �.�J PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LE4�LUE5 1 P�ERTY�SNOWNAELOWOR�TT�CNiWOCOPIE�1 NOT. THE ORANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> �cr e�ocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINQ CONSTRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> G G �� APPLICATION IS MADE AND � COMPLV WITH THE STATE <br /> �MCEL TAl!I D.NUMBER CONiRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUCpON I.O�N lEN[IER.��diE55.TEI F.PNONE NUMPER x � <br /> �/ ' <br /> _y(�Q 5 sN�i❑ �TE <br /> CIiV pU$MFSS IICFNSE NO <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM rEE N0. TYPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSFT�TOILET) �� NC—NHNDLG UNITS—H.P. i <br /> BATHTUB � FORCEDAIRSVSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) i HEAT PUMP , <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 6 DISP i CLOTHES DRVERS ' <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRV TRAY RANGE HOOD � <br /> � ' <br /> CLOTHES WASHER � WATERHEAT[R —T <br /> URINAL � WOOD STOVE <br /> ORINKING FOUNTAIN _ � METAL FIREPLACE(WOOD�URNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> SINK(SERVICE—DAR,ETC.) GAS RANGE � <br /> OAS PIPING � <br /> i EXHAUS7FAN � <br /> � � <br /> i <br /> i � <br /> i <br /> SUA TOTAL S ; SUB TOTAL S ' <br /> PERMIT S i PERMIT E i <br /> TOTA��EE S � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> fROYTSfTp�CN R[an�F.TpACN 51[IESETB�CN .+UNCNECNNUMOEf1 fGF PECEInTNO <br /> useiowe ioT�nEe vee�Ntsire FEES VALUATION FEETT <br /> _ rires ii r+o nwiniNo � <br /> 11E10NT LIA11i�ilON NO Oi UWCLLING SIZE Of AIDbrtI <br /> UNrtS <br /> PI IIMOMR � <br /> OCCUPANCY Iq 0[SION.[5 OCCUP�NTIO�D B�SEMENt � <br /> ORUUP MCCII�NIC�I <br /> f1VF.5 Il NO <br /> naE�I�RM REOD RF�SOh �IX11110N�L PL�N CIIECN � <br /> OTIIER � <br /> FlRF.SPPINNIEAR[O� RF�S(k! y_ <br /> i <br /> STAIE AUILOINO SURf.IURCE <br /> iwE oF coNst nuNs�nvnuvEo er CITY OF EVERETT runi ir,wonKs ; <br /> IOCALSALES <br /> oae TAX CODE IS 3105 TOTAL j <br />