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APPLICATION FOR CONSTRUCTION PERMIT , <br /> CITY OF EVERETT• BUIIDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f l DEMOLITION ( 1 COMBINATION f�'j BUILDING I 1 MECHANICAI � ' PWMBING f I SIGN <br /> PROJECT ADDHESS <br /> iais eEvne s; Cu����rw<� 9�>zo� <br /> OMMF.R M�rt�00RF.55 �ItY TiP pNCNE <br /> I�rn� L i3���� - ��l� i�i � s Ced� �► f.-�nx.cl ��q ,s�av i d ov -�s x �a.�v <br /> teN�Nr N�II AbOR•5 cnr lin r��or�—E-7 <br /> �� �� <br /> �RCNIT(.CTORDF.9f.HFR M�tl R1�RE55 �rtV li� P��ONF <br /> n � ►a <br /> aeqenu r.oNtnnr.ton M�n ennncss — env -- — - <br /> 1 7 ��r [L�{7�!)vi��r�� NFja'CZ(o 4 ciRf IICFNSF� ER'M ' <br /> �,(�ph�n l;-, : �"Lcc� an : N � 1�ta�i�A �sz � � CI /iDN�� <br /> MFCH�NiC�1['oNTRer,ton M��ienoness �in, �Q4�17n�e1/iL�u, !)i�_,S�FC <br /> 7ir rr�nvr StnrFUCFNSF. <br /> PIUMBINGCONTR�f,iW MMIQN)RE55 CIt1' )In PHONF ST�TFI.ICFNSf• <br /> CONTR�CT PRICF Of 1W]11N 6 fr --- <br /> �/ �f •— HEATING SYSTEM: ! i GAS �f ELECTRIC f I <br /> pE5C111BF.WdIK�NO SOU�RF FOOUGF INVOIVED LONTACI Pff150N�N�1`I Nf NO <br /> �7onov�.v e��-,20 /ea� � 3tnb com . 1„ t rnc <br /> In ta�� �uw �u.rl,,, a " - ��� , �/.��- 3a � - .��ay <br /> � ��, �/Q fi��yL —/a fyn,��a� I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> rnoroseo usE ov pun,t�Nc �r` APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> /�,I��J PROVISIONS OF LAWS AND OHDINANCES GOVERNING THIS TVPE Of <br /> r�� WOPK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> iecaoEscnmtionarrror[nir�s��ovmaeiowor��rtra:Nrwocx�es� NOT. THE OFiANTINO OF A PERMIi DOES NOT PRESUME TO G�VE <br /> ior niocK or AUTHORITV TO VIOLATE OR CANCEI THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSiRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WIiH THE ETATE <br /> PIIRCEL T�M 1 U M/MpER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> \ <br /> CONSTRUCOONIO�NIENDFR �WRESS.IFIE�Hd1ENUMPEii x f l�,(.Q(,Ci O�iDK��IIu <br /> SICNAiU1iF �TE <br /> dlY BUSINFSE I ICCNSC NO <br /> PLUMBIN6 MECHANICAL � <br /> NO. TYPE OF flXTURE OR I7EM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) y_ A/C—AMNDLOUNITS—H.P. ! <br /> BATHTUB � FORCED AIR SYSTEMS—B.LU. M E.A. � <br /> LAVATOHY(WASH BASIN) i HEAT PUMi' T- <br /> SHOWER � UNIT HEATERS—B.T.U. M _�_ <br /> KITCHEN SINK 6 DISP � CLOTHES UFVERS � <br /> DISHWASHER VENTILATION FAN �— <br /> LAUNDRY TRAV � RANOE HOOD � <br /> CLOTHES WASHER i WATER HEATER i <br /> URINAL � WOOD STOVE <br /> DRINKING FOUNTAIN i METAL FIREPIACE�WOOD BURNING) i <br /> FLOnR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PPEVENTERS ; GAS FIFEPLACE ' <br /> . � <br /> SINK(SERVICE—BAR,ETC.) � GAS RAN�E i <br /> ' 6Au PIPIN6 __�_ <br /> � EY,HAUST FAN i <br /> i i <br /> SUB TOTAL E SUB TOTAL S � <br /> PERMIT S i PERMIT S �— <br /> '--- <br /> TOTAL FEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSFTP�fN Pf�f1SFTp�CR S�M.SETB�f.N PI�NOIff.NNIIM111f1 fif RFCfIPINO <br /> useTo� ror�nte V�C�NISIIF FEES VALUATION PEE <br /> IiYFS "� NU � <br /> pl➢IOiNf. ' `C� � �7.'' <br /> /, <br /> EIOIIT IIMIT�TION NO (N UWFLLINO SIlE Of pLl%141 -- i - <br /> I�NifS PIUMPiN. � <br /> ___ "___—_. _ __—__�_-+___- <br /> OI:CIIP�N(:Y NO 01 S�PBiIc p:�:��P�N110�U p�GFMENT � <br /> C1ICNIP M�f1�sNif.q <br /> � <br /> iIVES iiNO _ __ —_______'.._ '__. —a__—." <br /> fIRFMRINRE011 I1FASO4 �Pf��1111NM PI�NCIIff,X ' <br /> i <br /> _—_" _'—'"—_--_ —____�—__ <br /> bIMfB <br /> fI0F5PNINNIFRRFqO fl(4FliN — - - �//-�- <br /> SI�IE flUll DING 511Rf,11411f:F --— --- -� 1�� <br /> / <br /> rrrF or covs� vi nNs�rrnnv�nnr GTY OF EVERETT nrvn ic wnnKc <br /> LOCALSALES - — ' <br /> i„�t TAK CODE IS 3105 TOTAL _ __ _ _ ���L��j <br />