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�– — <br /> APPLICATI�.N FOR CONSTRUC'. .ON PERMIT <br /> CiTY OF EVERETT•BUILDING DIVISION �CMr�� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259•8810 <br /> f 1 DEMOLITION f 1 COMBINATION UILDING �I'6AECHANICAL 1�J�PLUMBINO �l SICiN <br /> PROJECT ADDRE S �Z � 1 () <br /> A <br /> OYRIER M111 Q1Df1F.5$ CItV PI10�lG <br /> �����!iSL�����a/l �rS77/Nr�£'9£. �r�1 9�u� �_ �i'$/-4�f�y ���oBGv <br /> TEN�NT MRII.�D�RF55 GLY 71P �NONF <br /> N/f� <br /> �fICHREGTURDES NnEtI'' MMIAfR)f1F55 GrtV ii� PHONF. <br /> OENERALGONifl�Ciqi ��L DOt�1E 5 �('.Il��y� tIP Q t+11Jt���y�ST�TELICENSEr <br /> l/,Il�i�-Q�'/A/f . 1.�6/� �,(-/'l /pl'� .s£ ��i'Zts'- �0�� / '�`'O/-�/.�l/ -LliT/yEc?U 9�Q�� <br /> MECM�NICALCONTRACTOR M�IL�DDRE55 Giv iIP PIIONE STATELICEhSE� <br /> r�/i Tf(S'�S Lo,�ST/,L/� -- <br /> PLUMBM�C ACTOR M�ILAftORE55 Clh' ZIP PNONE SiATEUCENSE� <br /> CONT �C P ICE OF NqRK �`� <br /> � /�/1 HEATING SYSTEM: !'fGAS fl EIECTRIC fl__ <br /> ��/v <br /> OESCRIBE WORR ANO St1U�RE FOOTA E INVOLVFU CONT T PERSON� �PNONE NO /,, <br /> x � i ��,c VC�u,v S F�_ -/���Ls.7�4r�,�lsdc�c i. ,cs- <br /> /�7 � v .5 G�I'T —�`' f�i- �iJ-g�i <br /> T <br /> 1 HEREBV CERTIFV THAT I HAVE READ AND EXAMIN"cD THIS <br /> — APPLICATION AN�KNOW THE SAR;r TO BE TRUE AND CORFECT.ALL <br /> PROP09ED USE OF BUILano `, � PROVISIONS OF LAWS AND ORDINAN;:ES 60VERNIN6 THIS TYPE OF <br /> _y WORK WIIL BE COMPLIED WITH WHf-"HER SPECIFIED HEREIN OR <br /> 1E�3�lDE5rq��T�:MJOb:q01'F.H�Y�SMO\VIIBCIOWOR�T7�CNTWOCOPIES) NOT. THE ORANiIN6 OF A PERMIT DOES NOT PRESUME TO 31VE <br /> ior __eu�cK__ov__ AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> �t_J � SSC 7-2 .1� ,��' f�t�. , PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZE[)BV THE <br /> �---'-r-rY�--�-��I � OWNFR OF THIS PROPEHTV TO PERFORM THE WORK FOIi WHICIi <br /> �c.��� � ���� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCE�o uMe6n CONTRACTORS LAW 827 RCW AND 298200 WAC. <br /> �� 2 f�t �,.�.,�� s,/' 29 9� <br /> CONSTR���IENDEA.�00AE53.TELEPMONE NUMBEII � ___�__��� <br /> �y� scN�run o�re <br /> CITY pU51NE55 UCENSE NO <br /> PLUMlIN4 MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE N0. TVPE OF FI%TURE OR ITEM FIEE <br /> T <br /> WATER CLOSET(TOILET) � AIC-AhINDLO UNITS-H.P. _ ! <br /> BATHTUB ; FORCED AIR SYSTEMS-B.T.U. M E.A. __ ' <br /> � <br /> LAVATORV(WASH BASIN) � � HEAT PUMP � <br /> SHOWER � C� UNITHEATERS-B.T.U. M ; <br /> � <br /> KITCHEN SINK 6 DISP ; CLOTHES DRVERS ._!_ <br /> OISHWASHER � VENTILATION FAN : _ <br /> IAUNDRYTRAV ; RANOEHOOD T_ <br /> CIOTHES WASHER � / WATER HEATER � _ <br /> URINAL ' WOOD STOVE <br /> DRINKINO F(JUN�"i�'N �_ META'.FIFl[PLA�E(WOOD BURNING) -_� <br /> -- FLOOR Df,PIN -" ' '--_._ .. ._ f^ FIR' "L1C�'INSF 7T(WOOD BURNINO) : <br /> --i DAC�. . r: r s r.;._ . . _ . _._ . ._ . , '� .-QA° I'i lFP'.CE ,T_ <br /> '-. . . . . .._ .- _. . __. . .. -- - � <br /> '_C� SINH(SEF��.G --�,.- •.'..:�- -...` . . �.- � CS OA:RANGE <br /> - _ � OAS NIPINQ �_ <br /> -�` - , E%HAUST FAN � <br /> _ �_ <br /> � <br /> � <br /> � � <br /> _ __ _ � T <br /> 1 <br /> I <br /> SUB TOTPI, E � SUB TOTAL f � <br /> PERMIT S i PERMIT E �_ <br /> TOTALFEE E ' TOTALFEE S ' <br /> FOR OFPICE USE ONLV: <br /> FRONT SETB�LN RE�R SE7B�CR 51[�f.°570�f.k PL�N CIIECN NUMflFB �EE RECEIPT 0 <br /> S� f-9� d-Zo� ��i'1�� �/ � �G' S�.3c� <br /> USE20NE iarnnen vneeNrsne FEES VAWAT�ON FEE �� <br /> ��� O 6 / r i i No euaoiNo (p 1 j2`� � �C1 <br /> HEIONT LIMIT�TION� pN1T�OWf WNO 512E Of BLOOT I <br /> , t „�u PLUMPINA �� <br /> O CUC�NCV 1q(KS1pPiE5 OCCUP�NILO�O B�SEMENI � MECII�NICQ <br /> �3 N � �,YES �.� <br /> FIRE MANM REOD PEASON �D�IIION�L t`UN CNECN � <br /> Otll[R l � <br /> FIRE SPRINNLER PEO'0 REASON <br /> SI�IE BUILDIN(15UI1f:N�fN3E �[� ; <br /> TYPEOFCONST PUNs�rrn vFnnr CITYOFEVERETT runur,won�s ��'�' -� <br /> ��� LOCAL SALES �>i I _ <br /> � � � DAtE Z/ /�S TAx CODE IS 3105 70TAL �j�__ <br />