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APPLICATI�1 FOR CONSTRUC'�iON WERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f-1 DEMOL�TION f I COMBINATION I l BUILDING MECHANICAL I1 PWMBIN(3 fl SION <br /> PROJECT ADDRESS �J �J/� " � <br /> � <br /> owr�en M�II�DDRF55 a /1 cirv am r�roNe " �� <br /> N��'�' S1Tt�ET' .Tu icTm�.NI /�U Sy�y Fv �1' is 9,f2�7�> Lo6 ��,�"y�J`—Jr <br /> TEN�NT M�II.�IlURF55 Cpv ]IP PNONE <br /> �ur�.t►? B.,�d„'uc a Pqot.o <br /> �RCIIIiF.CTOf1�E51GNER MN/�00tiE55 ptY 71P PNONF. <br /> LQ� akN �ea C�v� <br /> A^�NEnai Ntn�cton Muuooness crtv nr m�oNE SUTE LICENSE r <br /> l dCL_�4Ns l2. <br /> MECN�NICAL CONTR4CiOR M�IL ADORESS CIiY lli' PIIONE STATE LILENSE/ <br /> E�cc+�.T Cl�M.imtTlr 3310 Cbc� Evr�tlf uA Sg�o� 1o(,•as�lYdy F..E_QKei�a�na <br /> PLUMBINOCONTR�CTOfI M0.1L���RE55 CIIV ZIP PNONE ST�TELIfENSE� <br /> CONiN�CT PR�CE OF WORN <br /> L°, HEATING SVSTEM: QAS fl ELECTRIC fl <br /> pE$CRIBE WOIIN ANp SOU�RE FOOT�OF.INVOLVED CONUCT PE1150/N�,A�NO P110NE NO <br /> � � /l.�. �il � ��i <br /> � <br /> I HEREBV CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> vRoroseo use ov eunoiNa APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES OOVERNINp THIS TYPE OF <br /> WOHK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR <br /> LEOIILUESCRIP710NOiPROPERtt�SNOWNBELOWOR�TT�CHTWOCOPIES� NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �oT___n�ocK ur AUTHOfiITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF TH�S PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PARCEL TA%I D.NUMPER CONTRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> CONSiRUC710N LO�N I.ENOER,�OOPE55.TELEPIIONE NUMBER 5��u�(�,/(�J�O//!'J�(�{.( �' `�TE96 <br /> dTV BUSINF55 LICENSE NO <br /> PLUMBINO MECNANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TVPE OF FOCTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLO UNITS—H.P. � <br /> BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 6 DISP � CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRYTRAV � RANGEHOOD � <br /> CLOTHES WASHER WATER HEATER � <br /> URINAL � WOOD S70VE ' <br /> DRINKINO FOUNTAIN i METAL FIREPLACE(WOOD BUHNINO) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) � �AS FAN6E � <br /> 6AS PIPINO ' <br /> � EXHAUSTFAN j � <br /> i i <br /> i i <br /> SUB TOTAL S ' SUB TOTAL E ' <br /> PERMIT S � PERMIT E i <br /> TOTAL FEE E ' TOTAL FEE E s�' <br /> FOR OFFICE USE ONLY: <br /> fRONTSETB�CN RERISETP�CK SI�ESETB�LN 1'L�NCIIECNNUMAFR fEE RECEIPTNO. <br /> use zor+e �or�nE� veceNr sire FEES VALUIITION FEE <br /> f 1 YE5 fl NO OUILOINO <br /> NEIONT LIMIT�TION NO OF OWELLINO 512E OF PlD[371 � <br /> UNIIS PIUMPIN� <br /> OCGUP�NCV Iq 0�SIORIES OCCUP�N(LO�D B�SEMENT MFCIIANIC�L <br /> OROUP <br /> flYES fl NO <br /> FlRE MAPM REOD PE�SON ADp90N�L PUN CIIECK <br /> OTNER <br /> FlPESPRINKLERREO'D RE�SON <br /> ST�IE BUILOINQ SURCH�MiE <br /> TYPE OF CONSi PI�NS�Pf'ROVED BY CITY OF EVERETT ruaur,wonKs � <br /> LOCALSALES <br /> onrE TAX CODE IS 3105 TOTAL <br />