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� <br /> � �� <br /> APPLICATIVN FOR CONSTRUC7 �ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> f 1 DEMOLITION f l COMBINATION §�I BUILDIN(3 �l MECHANICAL � 1 PWMBING f 1 SI(iN <br /> PqOJECT ADDRESS <br /> 30�3 lN. C/-1-s i,�n 2� . `�a -3�3�1�S <br /> M�q�ppqE55 cm zir r��oec <br /> TEN��E ►rJ� r pv6n� >?�'7 N� 5 �1+-13, S�R�#�� �va 9��z� Z6�-3S63 • <br /> M�I111nORF55 Gtv 71P rMONE <br /> 'g0�1,�6 . <br /> ������Tf.CT OR DE5IGNER M111 AppRE55 f.ITY 71P PNONF <br /> _�-g� �N6 <br /> �ENE�[CONtMCidi M�IL�DOqE55 f.IPr )iP P�IONG 51�iC IICENSE� <br /> �-'C,�7GN�,�.. ��rlCn./.i.t� <br /> MECN�NICU CONIRACTOR M�II nODiiF.S' f.ltt )IP PIIONf. STRif UCENSE• <br /> PLUMBINGCONTP�CTOR MM��OpqE55 f.ItY ZIP p110HE SUiEUCENSE� I <br /> CONiO�CT PRICE Of V/0f1R <br /> ,30 L�00 HEATING SYSTEM: I i GAS � I ELECTRIC f 1 <br /> DESCRIBE WORR�Np SpUARE FOOT�GE INVOIVED CONT�CT PiF50N�NO fpONF NO <br /> GoN5T2ucr' �Y'�6n. R��a� Z�'7 �f�� C,E�n��.tir� �5?E�QnRsKi Z6� -s'J!3 <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND E%AMINED THIS <br /> PROPOSED USE OF BUILdNO APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT ALL <br /> A�l2C,/LN�T Ml- L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEO�LSIESCNIP710NpFPROPERTY�51qWNBEIOWORATI�CN1YqLOPIES� NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> wT e�ocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTNER STATE OR LOCAL lAW REGULATINO CONSTRUCTION OR THE <br /> _ PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TC` 'ERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARGEL LV(1 O.NUMBEN CONTR��J1CTORS LAW 1827 RCW AND 299.200 WAC. <br /> Cd15T0UCTIONIO�NLEN0ER.11DpqE5S.TELEPNONENUMBER X •'i� •� ^�-^ J (<C�Y�'- ' �`�' ���Y/JL <br /> SI �iUP� O�IE <br /> CITY BUSINE55 UCENSC NO <br /> PLUM&Nd MECNANICAL <br /> NO. TVPE OF fll(TURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATEiiCLOSET�TOILET) � A/C—AMNDLOUNfTS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASINJ � HEAT PUMP , <br /> SHOWEH � UNITHEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP : CLOTHES DRYERS ; <br /> DISHWASHEH VENTILATION FAN � <br /> LAUNDRYTFAV n RANGEHOOD � <br /> URIONALES WASHEH � !/� Gl�L S / yy00D STOVE p � <br /> DRINKING FOUNTAIN O � r/]I�S I ��r� METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN �� FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS . � � GAS FIREPLACE ' <br /> SINK(SERVICE—BAR.ET GAS RANGE � <br /> GAS PIPING ' <br /> � E%HAUST FAN i <br /> i <br /> � � <br /> i <br /> SUB TOTAL E � SUB TOTAL E � <br /> PERMIT S i PERMIT S i <br /> TOTALFEE E � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> f110NTFFTp�CN PERISCTB�LIt 9DESETB�CN PI�NCI�ECNNUMOPn P[F REf.FlPiNO <br /> 5 ������ <br /> use zoNe ior�nr� v�e:�n�srte FEES VALUAT�ON FEE <br /> iirEs �: No aunrnNr, S� I �/n <br /> �r v <br /> �EIGIIfLIMITAiION NOOIOWELLING SREO�BLIXirtI <br /> IINIfS 1'111MpINQ � <br /> OCCUPANCY NO M SffWRS OCCUP�NILO�U B�5 MENT ~— <br /> C �� IIVFS �� MFCIIAlIIC�I � <br /> FIRE�AOMnEOD / f1f�50N M��IIAN�IPIANG�FGK ��l// !S/ <br /> !17 <br /> �� rC�Sll n���en I -- <br /> vinesrniNKiennFon nFncoN — <br /> y�� � S� su�enunoiaasunaunre __ j� <br /> trreorr,oNsr rinqser nOVF00Y CITYOFEVEHETT runnr.wonKs ' <br /> //_,,/ �� LOCALSALES ------;— <br /> i �� ��n�E � - /S,q( TAX CODE IS 3105 TOTAL ; <br />�� <br />