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APPLICATIOrI FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 9B2o1 •259-BB10 <br /> �l DEMOLITION f I COM8INATION �BUILDING I 1 MECHANICAL i i pLUMBING f I SI(iN <br /> PROJECT ADDRESS <br /> 3��3 G�. c��N� ti� � �o ��s� <br /> �ER M�a�ooness cm rir rr�or+c <br /> Trr� a���,�� �a, p.�. ��,� �3� �7 �s �H-n� s���, w9 . gg�� � <br /> IEN� T . M�II�ODRf55 r.nr rm PIIONk <br /> o��NG <br /> �RGNITf.CTOf10E51GNE(1 M�IIIdtOPE55 CI1Y )m P110NF <br /> �dE/n/G� <br /> aeN nei r,or+m�crrn uen�o�ess cnv ----�r r�wNc GUI[IICCNSF.. <br /> �/GuWL�/(., � <br /> MECN�NICAL LONiP�CTOiI M�q�Ol1Rf.55 CIIV )IP PIIONf SGLF LIGFNSE� ' <br /> PLUTABINGCONIH�f,TOR NAII�ODRE55 CIfV ZIP PIIONE S1AIFlICFNSE� <br /> CONIMCT PqICE OF WdIN �. <br /> HEATING SYSTEM: I I GAS i I ELEC7RIC f l �� <br /> [IESCRIBE Y/ONK�ND Sq1�RE FOOIAQE INVOlVEO f.ONUCT PFR30N�ND PIIONF NO I <br /> /1.6.�rr+-.1.a-Ne er OP�re65 k O� Sly [�roy,p.,z �C�76o/Gsk�/ � <br /> 1 HEREBV CERTIFV THAT I HAVE REA� AND EXAMINED THIS <br /> vnoroSEo u5E or eNidra APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Qh/��G� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHEF SPECIFIEO HEREIN OR <br /> LEO�l0E5CRIPT10NpFNpPERry�511pWryBELOWORATT/�LNTWOCOPIES� NOT. THE 6RANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or_ e�ocK oF AUTHORITv TO VIOLATE OR QANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW RE6ULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CO�lSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> OWNER OF THIS PROPERTV 70 PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PMCELT/�%IA NIIMBER CONTRACTORS LAW 1827 RCW AND 2962 0 WAC. <br /> CONSTRUCTIp/IOMIlENOER.ADq1E55.TELERIONENUMBER �.�-� � II 2�/7J <br /> x <br /> s�aN�rune o�re <br /> Citt BUSINESS IICENSE NO <br /> P�UMMMO MECHANICAL <br /> NO. TYPE OF FlKTURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—AMNDLO UNITS—H.P. � <br /> BATHTUB ; FORCEDAIHSYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYFqS ' <br /> � DISHWASHER VENTILATION FAN � <br /> � <br /> `' LAUNDRY TRAY ; RAN6E HOOD � <br /> CLOTHES WASHER � WATER HEATEH � <br /> URINAL � WOOD STOVE � <br /> DRINKINO FOUNTAIN � METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DAAIN FIREPLACE INSERT(WOOD BUFNING) � <br /> BACKFLOW PREVENTERS ; 6AS FIREPLACE ; <br /> SINK(SEHVICE—9AR.ETC.) GAS RANGE �— <br /> GAS PIPING ' <br /> i EXHAUSTFAN i <br /> i i <br /> SUB TOTAL 5 ; SUB TOTAL S ; <br /> PERMIT S i PERMIT f <br /> TOTALFEE 5 ' TOTALFEE E ' <br /> FOR OFFICE USE ONLY: <br /> fRONi SFTpACk RF.IJi SFTB�CN SIDE SEiB�CN PUN CIIECK NUMPff1 fFF f1FCFlPT NO <br />' useza+e wr�nee V�L�MSIfE FEES VAIUAT�ON FF.E <br /> IiYES I1 NO —T_ <br /> BUIIDING � <br /> NEIOIITUMIUTION NOOLDWF.LLING SREOf9LDGRl � <br /> UNIIS PlJM61NG F <br /> �GDU�NCY NO M 5)(W65 OCCUP�LO�O B�SEMENI MFC11sNIGl — — — � <br /> / IIVES '� NO � <br /> FIRE�LMMO [1 f1F�SON �OO��IONMPL�NU1lCN <br /> T— <br /> on�en I <br /> FIRF.SPRINKI nneon nF�c� <br /> sre�[nunoivo sunr.r�enre i <br /> �— <br /> Trve o�r.o sr vi nNs�rvnoven er CITY OF EVERETT nuni ir,wonKs <br /> � A / LOCAL SALES — ---- -- ------ — <br /> /V �,,,,t TAK CODE IS 3105 TOTAL <br />� <br />