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/LPPLICATION FOR CONSTRUCTION PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f 1 DEMOLITION I '� COMBINATION i � BUILDING I MECHANICAL PLUMBING SIGN <br /> PROJECT ADDRESS <br /> /� � �� �� � � . � � � <br /> pwNEe uan�rnness r.irr rm r�a��r <br /> ��a.(. t,Wnl � � � :� � . ._ i' - , �, � ���—�� <br /> TEN�NT �' M�II iN�RF55 fnY )t� 1'�IUN! <br /> �RCNIRCTORpE51GNF.N M�ILAppRE55 f.ItY �IP PNONF <br /> OENEP�L WNTMCTOR M�q AfIlI(1E55 (ilv )iP PIIONE S1�TE LIC[NSF.� <br /> • <br /> AIECN�MLQ CONTRIICTO� IAl11l�DDAr55 CI�V 71P P110Nf ST�TF IICF.NSE• <br /> PWMBMUCONTR�CTOR MML�OONESS Cltt IIP Pr�ONE SGTELICFNSE� <br /> CONTMCT PRICE OF WdIN <br /> HEATING SYSTEM: I' GAS I 1 ELECTRIC �1 <br /> pESCR18E WORt�ND SW�RF FOOT�OF.INVOLVEO LONiRCI PFf15UN�NpPIIONF NO <br /> ! � l � n s <br /> I HEREBV CERTIFV THAT I HAVE HEAD ANO EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PN01'OSED USE OF BUILdNO PROVISIONS OF LAW�AND ORDINANCES GOVERNINO THIS TVPE OF <br /> WORK WILL BE COMpLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEOQDESCNIPPONOFPROPERiY15NOWN8ElOWOR11Tt�GHTWOGOPIE51 NOT. THE 6RANTING OF A PEFMIT DOES NOT PRESUME TO OIVE <br /> ior aiceK or AUTH0�71TV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHF9 S1ATE OR LOCAL LAW RE6ULATINO CONSiRUCiION OP THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> P�RCELT�%I D MIMBER CONTRACTORS LAW 1B.27 FCW AND 296200 WAC. <br /> CONSTRUCTION LO�N lEN[fER,�DDRE59.iELEM10NE NU49Ef1 x1.� (- �� f�� t • ./�� � ���[y �/�` ���'� �/ <br /> SI(NAt11RE � � O�TE <br /> C17Y BUSINF.SS L ICENS[NO <br /> PLUI�MINO MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATEH CLOSET(TOILET) � A/C—A/HN�L(3 UNITS—H.P. � � <br /> BATHTUB ' (�GRCEDAIHSVStEMS-�� 8.'.U. ME.A. ' <br /> LAVATORV(WASH BASIN) i HEAT PUMP � <br /> SHOWER � UNITHEAIERS—B,T.U. M ' <br /> KITGHEN SINK 8 DISP i CLOTHES DRVERS i <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRV TRAV � RANGE HOOD i <br /> CLOTHES WASHER i WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKIN�FOUNTAIN i METAL FIREPIACE(WOOD BURNING) � <br /> FLOOH DRAIN � FIFEPLACE INSERT(WOOLi BURNINO) ; <br /> BACKFLOW PREVENTERS ; I �ASFIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) dAS RANGE � <br /> GAS PIPINO ' <br /> i EXHAUSTFAN � <br /> i � <br /> � � <br /> i � <br /> SIIB TOTAL S SUB TOTAL S .5 '— <br /> PERMIT S � PERMIT S T � <br /> TOTAL FEE S � TOTAL FEE S ' <br /> FOq OFFICE USE ONLY: <br /> fRONTSFTP�rN f1[��SETP�CK SIDESETP�CN PL�NC11fCNNUMflFf1 (FF RECEIPTNO. <br /> usezoNF imene� vec�r+rsrte FEEB VALUATION FEE <br /> IIYFS ft NU p�p�OINA <br /> NEIOHTIIMIT�110N �AO�UWFLLINO SIIFOffltU(1�t1 <br /> UNIIS PLUMflINO <br /> IX:CUP�Nf:Y NO pf S10PIF5 (%:Ci�Pl1M IO�U P�SE�AENI MFC11,1NICM <br /> GROUP <br /> I1VE5 fl NO <br /> fIREQMMREOD PF�SON �OD�tION�LMANCNEf,N I <br /> OTNER <br /> PIPFSPRINNIFRPEO'� RFASON <br /> STAIE BUIlDINO SURCNIII(iE <br /> trvEorcor+sr PUNS�Pi'ROVFOPY CITYOFEVERETT runiir.wones j <br /> LOGAL SALES — --- — �— � � <br /> „�,� TAX CODE IS 3105 To7AL I <br />