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APPLICATIG.� FOR CONSTRUC7 .JN PERMIT <br /> CITY UF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STFiEET• EVERETT, WA 98201 •259-8810 <br /> f 1 DEMOLITION f 1 COMBINATION �BUILDING f 1 MECHANICAL f 1 PLUMBING fl SI(iN <br /> PROJECT ADDRESS <br /> .3003 Gi. C.�S/.✓o �uJ . ��—3Y <br /> ovmen ueiuoonrss ci*v zm r��oNe <br /> Qo�.nrs u . , VoC3 370 "�s ok-/� s�r,p.,� W,�, �,, 3Y�--7339 <br /> 1EN�Ni MMl�00RF5c .ITY PiP PNONE <br /> EOEiN'G <br /> �fiLNRECTORDE510NF.R MMI�ODf1E55 CItY TIP PHp1F. <br /> I.Sd6�NG <br /> OENER�LCONTR�fTOq MRILAD�IlE55 (:IiV )�P P!IONE ST�TEIIGEN5E1 <br /> ��-rcr�c,�, �ENs'n.a�- <br /> MECN�NIC�LCONTR�CTOR M�II�DDPF.55 CITY ZIP PIIONE STATELICENSEI <br /> PWMBINOCONiR�CT0f1 M�IL��DRE55 CI1Y ZIP P110NE STATELICENSE� <br /> CONTR�CT PRICE OF W011N <br /> /Od p/p HEATING SVSTEM: f 1 GAS �l ELEC7RIC �l <br /> OESCPIBF WORN�NO SIXI�RE FOOT� E INVOLVED CONTICT PERSON�NO PIIONF N0 <br /> �i2�ri .�/ ayxZL G��vd�� f.�sr�ao�e,s�� z�e-3r6� <br /> I HEREBV CERTIFV iHAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUqpIN3 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Cti�� SNE �-7"�1✓ PRUVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TYPE OF <br /> WORK WILI BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br /> LEO�LUESCRIPTIONOFP{IOPERTY�SHOWNBELOWORATTACHTWOCOPILS� NUT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �ot o�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHEF STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THl.T I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH ' <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELlA%I D.NUMBER CP:�I"RACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUC710NLO�N lENOER.�WRE55.TELEPNONE NI1MflER x�/ �������/� ^' �/Y�j <br /> 510 TUf D�TE <br /> CITY BUSINE55 L1CF.NSE NO <br /> PLUMBIN6 MECHANICAL <br /> N0. TVPE OF FII(TURE OR ITEM FEE N0. TVPE OF FU(TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � NC—AMNDLO UNITS—H.P. � <br /> BATHTUB ! FORCEOAIRSVSTEMS—B.T.U. M E.A. i <br /> LAVATORY(WASH BASIN) HEAT PUMP � i <br /> SHOWER UNITHEATERS—B.T.U. M � <br /> KITCNEN SINK 8 DISP ; CLOTHES DRVERS � <br /> DISHWASHEF � VENTILATION FAN � <br /> LAUNDRV TRAV � PANOE HOOD � <br /> CLOTHES WASHER WATER HEATER � <br /> URINAL � WOOD STOVE <br /> ORINKIN6 FOUNTAIN � METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) T <br /> BACKFLOW PREVENTEqS � QASFIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) i GAS i7ANGE i <br /> ' OAS PIPING ' <br /> � EAHAUST FAN i <br /> i � <br /> i i <br /> SUB TOTAL S ' SUB TOTAL E ' <br /> PERMIT S � PERMIT E � <br /> TOTAL FEE S � TOTAL FEE E � <br /> FOR OFFICE USE ONLV: <br /> iRONTSFTP�CN RERISETB�CK SIDESETB�CIt PUNCIIF.CN OM➢iR FEE RECEIPTNO <br /> �lr.s� / <br /> USEZONE IOT�RE� v�cev�sire FEES VAWATION FEE <br /> f1YF5 I' NO BWl�INO �2 /68 � A�i <br /> NEIOHT LIMIT�TION NO Of UWF.lUNO SRE OI flLDO/f I � <br /> C/ai <br /> UNI/S <br /> ��y rwunwa <br /> 0 OUP^�r ��SLOAIES OCCIIP�NILO�U P�SEMENI � MF.CIIANIGL <br /> �' � f1Yf5 .RNO <br /> FIRF Q�RMl1E00 PE�SON �D�IIION��PI�N CHECK L"� <br /> N J OTNER <br /> FIRE SPRINNLER REO'D PE�SON <br /> ��� ST�TE Bllll OINd SIINCIIAqaF �—il <br /> TYPE OFCONST PLANS�P OVEUBY CITY OF EVERETT PUBLIf WORNS ; ( I <br /> v. � �� LOCAL SALES ' <br /> oe.e �=1f TAX CODE IS 3105 TOTAL <br />