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.--• ---- <br /> APPLICATI�... FOR CONSTRUC7 .vN PERMIT� <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> fl DEMOUTION fl COMBINATION KI BUILDING I 1 MECHANICAL I l PlUM81NG f l SION <br /> PROJECTADDRESS 300? �/�/, G,¢S/�t/� TO�(�� ' <br /> owr+ Mei�enoness Larr nr r�wr+e <br /> E/N b p v , (�c�c j 7 U'�� M/� �,�-i3 .3'Lr�r•rYtif', WA- 9�i�Zy <br /> IENANT , MML�DD11E55 CIIV —� 21P PIIONE <br /> 6a�-iNG• <br /> �RCIII7ECTONOESIONER M�ILADU9E55 Cltt IIP PMONE <br /> ^�� 6 <br /> OEN RALCANTR�CTOB M�IL�UUOE55 CItY 7�P P110NE STATELICENSE� • <br /> �L�Tcll�� In/�uS-Y2�gl� <br /> MECHANIC�LCONTR�CTOR M�IL�O�RE55 1:11V 71P PIIpNE STQELICENSE� <br /> PLUMBINOCONIRIIC7D� MAIL�ODRESS Cltt ZIP PMONE STUEUCENSE� <br /> CONTMCT PR1LE OF YIOpK <br /> ���OO HEATING SYSTEM: fl GAS �l ELECTRIC Cl <br /> DESCR�VIORk ANO SOU�RE FOOTA�IN COLVEO CONT�Gt PERSON ANO PNONE NO <br /> Ird� l%V o S <br /> GL�'iN/FR� �L� O/LSI�I Z66�3.�63 <br /> I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USF.IO�F B�UILDINO APPLICATION AND KNOW iHE SAME TO BE TRUE AND CORRECT.ALL <br /> TG7T�/✓LS • WORKSWILL BE OMPLIED WITH WHE HER SPECFEDHHE EN OR <br /> IEG�LUESCRIPTIONOFPROPERTY�SNOWNBELOWOR�TI�CNM'OLOPIE51 NOT. THE GRAN71N0 OF A PERMIT DOES NOT PHE5UME TO OIVE <br /> wT eiacrc oF AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTHUCTION.THAT 1 AM AUTHOHI2ED BY THE <br /> OWNER OF 7HIS PPOPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCEL TIUf ID.NUMBER CONT//p/�p'CTORS LAW 1827 RC.W� AL�fD 298.200 WAC. <br /> GCNSiflUCTON lO/U/LENOER.�DdiE53.TELEPNONE NUMBEfI xi:���.�� `���'Lry1w��� /����9 y <br /> 51 N�TURE O�TE <br /> CITV BU9NE55 LICf:NSE NO <br /> PLUMNN(i MECHANICAL <br /> NO. TYPE OF flIRUNE OR ITEM FEE NO. TVPE OF FURURE OR ITEM FEE � <br /> WATER CLOSET(TOILET) � A�C—AMNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS i <br /> DISHWASHEH � VENTILATION FAN � <br /> LAUNDRYTRAY � RANOEHOOD i <br /> CLOTHES WASHER � WATER HEATER T <br /> URINAL WOOD STOVE ' <br /> DRINKINO FOUNTAIN � METAL FIREPLACE(WOOD BURNINO) i <br /> FLOOH DRAIN � FIREPLACE INSERT(WOOD BURNINd) � <br /> BACKFLOW PHEVENTERS i GASPIREPLACE i <br /> SINh(SERVICE—BAR,ETC.) � OAS FAN6E � <br /> ' OAS PIPING ' <br /> � E%HAUST FAN � <br /> � ; <br /> — i — � <br /> � <br /> � ! <br /> SUB TOTAL S ' SUB TOTAL E ' <br /> PERMIT E � PERMIT E � <br /> TOTAL FEE 5 ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> Ff10NT$ETBACR NGRSCTO�CK SI�ESEi9�CK PUNQIECKNUMBEIi FEE RECEIPTNO. <br /> us¢zor+e �ut�nEe vecnNtsite PEES VALUATION FEE <br /> nves ri No eunomc � oy � <br /> HEIOIIT 11MITATION NO OF�WEWNO SIIE OF BIDC✓11. � <br /> ❑NI�S _1 � PIUMBRlO <br /> 1.. <br /> OCCUP�NCY Np0iS10AIE5 OCCUP�NTLORJ B�SEMEIIf MECII�NIG�L <br /> G UP /� 1 <br /> N•1 (�J �� (:YES 11 NO � <br /> fIRF RM REO'D REASON ADOIiION�L PIAN CHECK <br /> � �S 2+5t1, . <br /> I on�en <br /> fIHE SPPINIlLER PEO'D PEASON <br /> ��y ��� ST�iE OWLOINU SUM:IIARGE <br />� TYPE OF CONST PUNS PROYE�9Y CITY OF EVEREIT �U9lIC WOfINS � <br />� � �l� LOCAL SALES � <br /> 1� o�T _q TAX CODE IS 3105 To7AL <br />