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APPLICATIG.1 FOR CONSTRUC? .JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETf, WA 98201 •259•8810 <br /> fl DEMOUTION � I COMBINATION BUILDING f l MECHANICAL I 1 PLUMBING I l SION <br /> PROJECT DD SS <br /> �oo� fn�, e�s �N�� yo - �3 c- <br /> owrven /� uuinooness I� �j arr zir rr�oNe p <br /> _ ��f"l.f �JOEiNI: C[/. ('0• /,Ak �7d`� /�2 O r— 9 � 73•�Q' <br /> .�� IS /t /3 S�R�/fC.C. L.//a AI L� �Y2 � �� <br /> TEN�N(T) MRIUppqE55 QfV IIP y PIIONE <br /> UO��NG ' <br /> ARCNITF.CTORDESI6NER M�IL�DOf1E5S CiTY JIP PNONE <br /> 1'���NG . <br /> OENERQCONTR�Cidi MAIL�DItf1E55 Giv z11` PIIONE ST�TEUCENSE� <br /> G'l� Gv v!L G� , <br /> MECH�NICAICONTRACTOq MAIIADDRESS CI7V pIP PMONE STRTELICENSE� <br /> PLUMBINOCONTR�CiOR MNL�DDRESS CITY IIF pNONE STATELICENSE• <br /> CONTMCT VRICE OF WORN , <br /> �7 n U HEATING SYSTEM: f"I OAS �l ELECTiiIC ❑ <br /> UESCRIBE VARK�ND SO �qE FOOTA6E INVOIVED CONiACT PERSON AND PIIONE N0. <br /> I�STA �LrMc�/N�R-[{LtS PA�R-T/ 7-ICNS Lt�'c�Nqn„ T(S/+� Ba25� <br /> To �,�L�sr.�Tur A�i`G6 S�n-c� 2�G 3J S'3 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> raoroseo us¢oF euaoiNc APPLICATION AND KNOW THE�AME TO BE TRUE AND CORHECT.ALL <br /> C+jF��G� PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TVPE OF <br /> LEUALOESCPIPiIONOFPNOPERTY�SHOWNBELOWOqATT/�CNTWOfAPIE51 WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTINQ OF A PERMIT DOES NOT PRESUME TO 61VE <br /> �ot e�ocK oF AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHEH STATE OR LOCAL LAW REGULATINO CONSTRUCTION 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 COMPLV WITH THE STATE <br /> GMCEL TAIf IA.NUMBER CONTRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> GONSTRULTIGVIOANLENOER,AD011E55.TELEPHONENUMBER Z ��C.�/VV/l�-1l / . �.����'�"�� S/y�� <br /> SIGN�iURE � DATE <br /> Cltt BUSINESS LICENSE NO <br /> P�V�� MECNANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF fl%TUR!OH ITEM FEE <br /> WATER CLOSET(TOILEn � A/C—AMNDLQ UNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.TU. M E.A. ' <br /> UVATOPV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV � ' RANGE HOOD � <br /> � <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> URINKINQ FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) , <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) � <br /> BACKFLOW PREVENTERS ; OAS FIREPLACE � <br /> SINN(SERVICE—BAR,ETC.) � OAS RAN6E , <br /> ' OAS PIPINO � <br /> � EXHAUSTFAN � <br /> ' � <br /> � , <br /> � , <br />� � � <br />� SUB TOTAL S <br /> � SUB TOTAL S ' <br /> PERMIT S i PERMIT S � <br /> TOTAL FEE S � TOTAL PEE E � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACN REAR SETBACK 51DE SETB�CN PL�N CIIECN NUMOEP FEE PECEIPT NO. <br /> use zoNe IOTAREA VACANI SIiE FEES VALUATION FEE <br />� f7VE5 fl NO BUIlDINO � <br /> HEIdHTl1MIGilON NO.OF�WElUNO SIZEOFBlDO/fl <br /> (- o0 <br /> UNIiS 6DO <br /> PLIIMOING <br /> OCLUPANCY Iq Of510NE5 OCCUVANTl0�0 B�SEMENI <br /> (3ROUP / � � MECl/ANICQ <br /> f1YE5 NO <br /> FIRE ALARM NEOD RE�SON A001710NAL PIAN CIIECK <br /> .Fs Fxsr(, , <br /> OTIIER <br /> FIRE NIN(KIEPP[OD REASON <br /> �J � �ST��, ST�TEPUIL�INOSl1RC11MGE �'Q <br /> rvveoFeor�sr PIANSAP noveoer CITYOFEVERE7T rueur.vronKs I <br /> �l � v LOCALSALES <br /> o�Te �3 - S� TAX CODE IS 3105 TOTAL <br />