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APPLICATI�.nI FOR CONSTRUC7 .ON PERMIT <br /> CITY OF EVERETT•BUILDING OIVISION � <br /> 3200 CEDAR STREET•EVERETT. WA 98201 •259-8810 <br /> f l DEMOLITION f I COMBINATION I ! BUILDING I I MECHANICAL <br /> PROJECT ADDRESS Ad PLUMBING f l SIGN <br /> 3oelh� — Evc.c�f l3�;IJ I��a <br /> �b-Z2 � 40-23 � 4p.33 <br /> owyen � ,ti;� �i <br /> /� u�u eonnrss crtr <br /> ��! D�0�11 �/b /ny r r�r rnoNE <br /> iEN�Ni , / p Vlre� <br /> Mnll RpDq ` I <br /> r r��oNE <br /> �ACIIRfCiORUE5IGNER MAII.�ppf1E55 <br /> CIIV lIP PNONE <br /> TNe Av�fl.. Co P.0.6� 2357 Evrnif g/1o3 26[�6bD <br /> ceNen�icoNrn�cron M�ii��nnFss <br /> � �� l� rr�oNr. <br /> ST�iE LICENSE� <br /> MECIIANIL�I CONiR�C70R M/�ll A�pRE55 <br /> GTY 71P PIIONE <br /> ST�TE UCENSE� <br /> PLUMBINOCONTHACTOR M�ILADURESS <br /> CITY 21P PNONE <br /> ST�iE LICENSE� <br /> CONTRAC7 PRICE OF WpRN <br /> HEATING SYSTEM: f 1 GAS �l ELECTRIC Cl <br /> OESCRIBE WOqKANO SW�RE FOOTlAGE INVOlVEO <br /> ���r����h f �^ Q !�/4�� ,F.ye,v CONtACiPEP50NANDP110NEN0 <br /> e� a 341-t3zo <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> vaoroseo use o�ew�dNo APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> ����OESCRIPTIONOFPHpPERIV�SNOWNBELOWORA7T�CMTWpCOPIES� W�RK WILL BE COMPLIED WITH WHETHER SPECIFIED HEHEIN OR <br /> �or NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> B��K °F AUTHORITY TO VIOLATE OR CANCEL THE PqOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTHUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCEL TN(10.NUMBER CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br /> CONSTRlICi1pH LO�N�ENUER.ADDRE55.TEIEPNONE NIIMBER x a� L- <br /> SIGN�TURE r� �2��4�9f <br /> Dl1i <br /> CiTY BUSINESS LICENSE NO <br /> PLUMBIN6 <br /> N�• TYPE OF fll(TURE OR ITEM MECNANICAL <br /> FEE NO. TVPE OF flXTURE OR I7EM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB � <br /> LAVATORY(WASH BASIN) ' FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> SHOWER HEAT PUMP ' <br /> � � <br /> KITCHEN SINK d DISP UNIT HEATEFS—B.T.U. M , <br /> � CLOTHES DRYERS <br /> . DISHWqSHEq � <br /> LAUNDRV TRAY ' VENTILATION FAN � <br /> ' RANGE HOOD , <br /> CLOTHES WASHER WATER HEATEF � <br /> URINAL � , <br /> DRINKING FOUNTAIN WOOD STOVE , <br /> FLOOR DRAIN ' METAL FIREPLACE(WOOD BURNING) <br /> i <br /> BACKFLOW PpEVENTERS � FIREPLACE INSER7(WOOD BURNING) � <br /> SINK(SEFVICE—BAR,ETC.) ' �AS FIREPLACE r <br /> �� OASRANGE � <br /> !w�� S A�i1N 7Q ' OAS PIPING <br /> 1 <br />. � EXHAUSTFAN <br /> � ' <br /> � ' <br /> -- � � <br /> � <br /> SUB TpTAL S ' SUB TOTAL S � <br /> � <br /> PEHMIT g �� � <br /> PERMIT S , <br /> TOTALI�EE f �3D �D TOTALFEE 5 � <br /> FOR OFFICE USE ONLY: <br /> FRONTSF.TBACN qEU15E7BACN SIDE SETB�CN <br /> PUNCU.EJC NUM ER FEE RECEIPTNO. <br /> USEIONE LOTME� v�c�Ntsite _y FEES <br /> VALUATION FEE <br /> fIYES fl NO <br /> HEIGNi 11M1iATION BUILOINO <br /> NO Oi D�:S�pNG 5¢E OF BLD(3RI <br /> UH115 <br /> PIUMpINO r � <br /> OCCUP�NCY Np O�SfONiES OCCppANiL0�0 � <br /> GROUP O�SEMENi <br /> MECII�NIC�L <br /> (7YE5 (1 NO �� <br /> FIREALARMPEO'D REASON �DOIIION�LPUNCNECK ( / I <br /> FIRE SPRINI(LER REO D qEA50N O711ER <br /> STRIE 8UIl01NG SUfIC1UfIGE � <br /> TYPEOFCONS� PUNSMPROVEDBY <br /> CITY OF EVERETT Fueuc wonKs � <br /> LOCALSALES I <br /> o�rE TAX CODE IS 3105 TOTAL � �� � <br />