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�\ �\ <br /> APPLICATI4A FdR CONSTRUC7 .JN PERMIT�}�. <br /> CITY OF EVERETT• BUILDING DIVISION �/�� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 �t•�3•�•- <br /> I I DEMOLITION f l COMPINATION I I BUILDING � MECHANICAL f l PLUMBING f 1 SIGN <br /> PROJECT ADDRESS C c Mr� <br /> �(�(�� l Al (�C1�4. i ll(l�� �^��.. \��c�C� �5 r��.. CF�i h R - � Z'� ' <br /> O MAIL 55 CITV 21P P110NE <br /> e' .h"��x�'�n7 �ectt-t�.e ��`51;� y 3 �t � -133"� <br /> �n unannoaEss cirv rm PIIONE <br /> . <br /> � IT GTOROESIU MI1IL�OOPE55 CITY ZIP PNONE <br /> OENERALCONTPAGiOR M�IL�OOt1E55 fliY IIP PIIONE fTITELILENSE� � <br /> MECNI141G1LCONTR�CiOR MAIL�OOi1E55 CITV ZIP PIIONE ST�TELI� NSE� <br /> `-IQ��,�,.��.�}� I�al �h�la��r/L Kei,T �1kD32 ,S�s 9�m t��r�iii��t <br /> PLUE iN�LONTRACTOii MRIL�OOPESS CITY � ZIP PNONE STATE IICENSE� <br /> f.ONTR�Ci PRICE OF W WIN <br /> OIs� HEATING SYSTEM: �GAS fl ELECTRIC fl___ <br /> �5�\RIBE M/011KAND SyOU�NE FOOT�6E I►\{Yp�LVED (� LONT�Ci PERSON�NO PIIONE NO <br /> 1 Q h��l fa 1 1�1�-1 4-11QC1 rF CAC P.7T_n�j _ _'.—.� <br /> �` 1�.a rY. � �-.',6 {� - �2- S <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMiNED TH�S <br /> 1 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> VROPOSE�ItSE OFBUILOINO PRnVISIONS OF LAWS AND ORDiNANCES GOVERNINO THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IEQALOESCRIPi1l'AIOFPROPERTVISNOWNBELOWOR�TTFCNTWOGOPIE51 NUT. TNE ORANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br /> �ot__e�.ocK oF AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSIRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCT�ON.THAT I AM AUTHORIZED BY THE <br /> OWNER OF TIiIS PROPERTY TO PERFOfiM fHE WORK fOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PIRCELT�%ip.NUMBER CONTRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> CONSTRUC710N LONI LENDER.�WRE55.iEIEVHONE NUMBEP <br /> — x (lln�,-.,r.. I . ����u���a I - �•-G S <br /> SIO I�TUR� DATE <br /> CITY BU9NE55 LICENSE N0. <br /> VLUMNNO MECHANICAL <br /> NO. TVPE OF flXTURE OR ITEM FEE NO. TYPE OF FlI(TURE OR ITEM FEE . <br /> T <br /> WATER CLOSET(TOILEn � _ AIC—AIHNDLG UNITS—H.P. _ � _ <br /> BATHTUB ; FOHf ED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEAIERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> •T <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV � RANOE HOOD i <br /> CLOTHES WASHEH � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKINO FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) � <br /> BACKFLOW PREVENTERS ; �ASFIREPLACE � <br /> SINK(SEHVICE—BAR,E7C.) � OAS RAN6E <br /> OAS PIPINCa ' <br /> � EXHAUSTFAN � <br /> � � <br /> — i — � <br /> _ ' — ' <br /> � � <br /> SUBTOTAL S � SUB TOtAL S d ' <br /> PERMIT S � PERMIT E !.� � <br /> TOTAL FEE E � TOTAL FEE E /3� ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETB/�LK RE�R SET9ACN ulOE SETB�CN PUN CHECK NUMBER� FEE NECEIPT N0. <br /> ylv(ilv� <br /> osEzoNc �ornPe� V�C�NTSIIE FEES VALUATION FEE <br /> f7YES �� NO BUILOING <br /> NEIGNTIIMIUTION NO.OF�WEWrA SIZEOFBIDMi <br /> UNITS PlUM01NG <br /> OCGUPANCV NO O�StOPoES OCCUPANIl0�0 B�SEMEhi MEC11�H-0AL <br /> �3f]YES I1 tJ0 <br /> FIREALAHMHEOU REASON �DDIPON�IPLANCNECR <br /> OTHEP <br /> FIRE SP111NKLER REO'� REASON <br /> STATE OUILOINO SVOGNA!IOE <br /> TVPEOFCONST PUNSAPF VE�BY CITYOFEVERETT PUBLICWURNS <br /> LOCALSALES <br /> onte / - " �9� TA% CODE IS 3105 70TAL <br />