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APPLICATIt�,.d FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT•BU�LDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f7 DEMOLITION rl COMBINATION �BUILDINfi fl MECHANICAL fl PLUMBINO fl SNiN <br /> PROJECTADDRESS 3�03 U„ Ga.s�Na R/�, LIO ''�.5� <br /> ONMER M�ILiWORESS Cltt IIP PIqNE <br /> �'� Qo�,ivc. Co. PaB 3707 ih sa��3, sa�+�ir�, w,� 9��2r 3Y2��33�9 <br /> TENANi MAILAOdiE55 Cltt ZIP PIIONE <br /> 30�,�� <br /> 11RCNREQCTOROE516NER MNLIDORF55 CITV IIP FHONE <br /> I7���A�G. <br /> UENEMLCONTR�CTqi M/�IL�OWiE59 CITY Zm PIIONE ST�TELICENSE� � <br /> (.umPla�a � <br /> MECHANILQCANiFACTOR MNIADOPE55 CIiY IIP PIIONE ST�TEUCENSE/ <br /> PLUMlIN(iCONTR�CTOR MML�UDNE59 CIfV ZIP PIIONE SiATEIICENSE/ <br /> CpITRIICT PRICE OF Wd1N <br /> Sj00�/ MEATINO SY8TEM: ❑OA8 ❑ELECTRIC ❑ <br /> OEBCRISE WdIN 11ND SOUARE FOOTIWE INVOLVED CONi�GT PERSON MIO PNONE NO. <br /> LtTo.vi1M Td7nl3iR,f�/ 2G6-3�[3 <br /> /�/57At.0 SNer �NC6 � STR.IP UNr3 • I HEREBV CERTIFV THAt I HAVE READ AND EXAMINED THIB <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PnovosEo use os eu�awa PROVISIONS OF UWS AND ORDINANCEB(iOVERNINO THIB TVPE OF <br /> ��LO�N�' m�'�'��'��N�' WORK WILL BE COMPLIED WITH WHETHER BPECIfIED MEREIN OR <br /> LEd1LDE9CRIPTIONOFPipPERTY�SlpWNlELOWp1�TTACNiNOWflE51 WpT. THE 6RANTIN� OF A PERMIT DOES NOT PRE8UME TO OIVE <br /> �oT e�ocK a AUTHORITV TO VIOLATE OR CANCEL T'IE PROVI810N Of ANV <br /> OTHER 6TATE OR LOCAL UW REdULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORI2ED BY THE <br /> OWNER Of THI3 PqOPERTV TO PERFORM TME WORK FOR WMICH <br /> APPUCATION 13 MADE AND I COMPLY WITH TME STATE ,� <br /> PMICELTM I.D.M/AIEER CONTR/ACTORS iB27 D 290200 WAC. / <br /> CpISIMICiION LON1 LENOER.ADDFES9.IELEPIqNE NUMEER % 1 //• `������^���7� I -/ ;///� <br /> 6101��Nf� DAiE <br /> CITY BU&NE55 LICENSE NO. <br /> K�p MLCNANICAL <br /> N0. �Y�E Of flIITtN1E OII ITEM FEE N0. ME OF fl7ITU11E OR ITEM iEE <br /> WATER CLO&ET(TOILEn � AIC—AMNDLO UNIT&—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) � HEAT PUMP � �� <br /> BHOWER � UNITHEATERS—B.T.U. M ' � <br /> KITCHEN SINK 6 DISP ; CLOTHEB DRVERS � _ i� <br /> DIBHWABNER � VEMILATION FAN � � <br /> IAUNDRV TRAY ; RANOE MOOD � <br /> CLOTHES WABHER � WATER HEATER � . <br /> URINAL ' WOOD S10VE ' <br /> DRINKINO FOUNTAIN � METAL FIREPLACE(WOQD BURNINO) � <br /> FLOOR DRAIN � FIREPUCE INSERT(WOOD BURNINO) � <br /> BACKFLOW PFEVENTERS ; OAS FIREPLACE � � <br /> SINK(SERVICE—BAR,ETC.) � OAS'� -NOE ' <br /> � �AS PIPINO ' <br /> � E%HAUST FAN � <br /> � ' <br /> SUB TOTAL S ; SUB TOTAL t ' <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S ' TOTALFEE t ' <br /> FOR OFFICE USE ONLY: <br /> FRONf6EiB�CK pEMSEt&�LN Si0E5ETBACN PUNCNECKNUMBER FEE ���PT�� <br /> useia� wT�nu VACANT&tE FEEB VALUATION FEE <br /> n rea ❑ No BUIlDINO � <br /> r�iaHr ur�raarr rro or owewra BIZE Of BLDO/f I <br /> �N"9 /0 9 a PLUMBINO <br /> OCCWANCY NO Of S70NE5 OCCUPN/T LOAU PASEMENT MELNANICAI <br /> � _ N S <br /> ❑res n r+o <br /> FIRENMMNFO'U AEASOcN ADDITONALPLANCNECN <br /> �f F R SYG . OTNER <br /> FIRE 6PNNNLER REOD REASON <br /> Y�� c x S�� S7ATE BUIIUINO SURGH�POE ' <br /> .� <br /> TYVE OF CONST / FUNSAPM°�U BY CRV OF EVERETT PVBLIC WOi1N9 <br /> �� , N /JIM LOCAL SALES �D <br /> OATE _� TAX CODE IS 3105 TOTAI <br />