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APPLICATI.N FOR CONSTRUC'. .ON PERMIT <br /> CITY OF EVERETT • BUILDING DIVISION � <br /> 3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br /> f t DEMOLITION � I COMBINATION I I BUILDING i I MECHANICAL � I pLUM81NG f i SIGN <br /> PROJECT ADDRESS • <br /> 3�'�0.� [ �! �'� � , �� <br /> ��/J-n, <br /> owvFn e•an ennnrs� / . cnr nr rno��e Z(Z(.�4 Q8 3 <br /> �'O C l r)�o LOYYII�I�i�i���lY�✓_��LQ-�._._�—.� ' �1-�f j .:l 1'CiIE� ll �', (R���`� <br /> tEN�NT 11ntInIN��•cS filv <br /> )ir runNF <br /> �,�.h1� ' '107..1�V <br /> �qf:111TCCTOqpESIQNEP M�II.WOf1ES5 pTY JIP upqf <br /> �C�l��� <br /> SK�iI�►�� curt�-a /�I��c�,���ssaN ('aRi�stf��c- r3o� ,S�ti uE �,� z«�.� �k�,��. �-.� 4 <br /> CFNCpALCONiMCtdt MML�OOf�E55 Cliv iIP PIIONF. ST�iFUCF.NSE� <br /> 57s-�C-7D u <br /> — Ne,�,n.u,�,.,� �.�ar , l� ► uo�)„E �U t��wr �R `lSo�7�24y� N��,,�nc�t217�,. <br /> MECN�NIC�ICONTRACTOfi M�IL�DDf1f55 CITV II1` PIIpNE STRELICENSE� <br /> NFv,nn u, � � „�tr� �33�1 2�vr� ,��e � ' �'-.e�� u�'� "7f5�cc {�.ettY��t,"111R17�' <br /> PLUMPINOCG.V7R�CTOp M�II�ItDP[55 Cltv Tm VHONE SUlE IICENSE� <br /> C NTRACT PRICE Of WOON <br /> �Y � HEATING SYSTEM: I i GAS f� ELECTRIC fl <br /> �ESCPIAE WOPK�NO SOU�PE FOOT�GF.INVOI.VEO fOM�Ci PERSON�NO PIIONE NO <br /> W �" u � �- 1N f�l.kow - ��c4,- 5211 <br /> E V� m r � r�� 1 <br /> �AfW /UC^A� - I HERtBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> PROPOSED USE D�BUILDINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> y��� ` �eF �� � PROVISIONS OF LAWS AND ORDINANCES GOVERNINp THIS TYPE OF <br /> WORK WILL BE COMPl1ED WITH WHETHER SPECIFIED HEREIN OR <br /> LE01110E5CRIPTIONOFPROPERtt�SNOWNBELOWOR�TT�f,NTWOCUPIESi NOT. iHE 6RANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br /> �oT etocK ov AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> �, OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OWNEfi OF THIS PROPERTV TO PERFOHM THE WORK FOR WHICH <br /> ' APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> P�RCEL T/U 10 NVM9F.R CONTRACTORS LAW iB.27 RCW AND 296.200 WAC. <br /> �\�.1Cn J 5� <br /> CONSTRIKPON LO�N LENOER.�OOt1E5S.TELEPNON[NUMBER x '�,�(.` �j�jC�� I Z'I J�-P�"� <br /> SION�I il. � p�TE <br /> _._ ��lv Fic.E ) <br /> CITY BUSINE55 LICF.NS[NO <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FI%TURE ON ITEM FEE N0. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB � FORCED AIR SVSTEMS—B.T.U. M E.A. ' <br /> �4HATOiiV(WASH BASIN) � HEAT PUMP � T4'<<�" ["J�� � <br /> WER � UNITHBATEPS—B.T.U. M " `"'"'��'�� ��J � <br /> KITCHEN SINK 8 OISP i CLOTNES DRVERS i <br /> DISHWA 1ER VENTILATION FAN � <br /> LAUNDRY TRAY � RANGE HOOD i <br /> CLOTHES WASHER WATER HEATEH i <br /> URINAL WOOD STOVE ' <br /> DRINHINO FOUNTAIN ; METAL FIREPLACE(WOOD BUFNING) i <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD BURNINO) � <br /> BACKF W PREVENTERS � GA�FIREPLACE ; <br /> SINK(SERVICE—BAR.E7C.) GAS RANGE T <br /> GAS PIPIN6 ' <br /> � E%HAUSTFAN � <br /> � � <br /> , — � — <br /> � �— <br /> � � <br /> SUB TOTAL 5 � SUB TOTAL E / � �! <br /> PERMIT $ i PEFMIT S — <br /> TOTAIFEE 3 ' TOTALFEE S r �'t� i <br /> FOR OFFICE USE ONLY: <br /> fRONT SFiPRCN REM SF1p�CN SIOE SETB�f.N PUNCn/FCk/NIIMOf R fEE RFf.EIPTNO <br /> Y <br /> usezoNr: �orenr� WCANIFIIF FE S VALUATION FEE <br /> �'�V[S II NO plII1D�N(1 <br /> NEIOHTUMITRION NO OF DW[LIINO HIE Of Hl[X'irtl � <br /> UNITS P1111A111N9 <br /> GOUP^NCY Np 0�51paiF5 UCCIIP�Nt 1U�0 B�SEMENI MEf1UNIC�L I <br /> I1VES (1 NO — <br /> fIRE�U�MPCO�D �E�SON ���IIIONALPU4CNCCN <br /> O1HER � <br /> FPFS�RINI(LERPFOL RF�SON <br /> SNl!BWLUINC SUfIC1Uf10E � <br /> tvre ov cnrvst ruNs� rraveo nr CITV OF EVERETT ruPur,wonns j <br /> �4 LOCAL SALES <br /> naiE' � - )p S TAX CODE IS 3105 TOTAL � <br />