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APPLICATIG.1 FOR CONSTRUCT JN PERMIT <br /> GITY OF EVERETT•BUILUING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8010 <br /> I1 DEMOUTION Cl COMBINATION BUILDING fl MECHANICAL I 1 PLUMBINCi fl SIQN <br /> PROJECT ADDRESS sn� �, CA-S /RJ o ��-� �- ,3I• � <br /> OWNER MAIL�DO{1E55 CILV ZIP PIIONE <br /> � �nc= iNG Co. �. o. �ox�-�o� �^�t�S �'+ -i`3 SE�r?(,E� c.�A, `�c�7� 342—g��'� <br /> IEN�Ni uuia oness r,nv r rnnNe <br /> QoEIN � <br /> A{iC111ttCiOR0E51GNER M�IL�DbfiE55 C�IV I�� PIqNE <br /> 3e���/� <br /> 6ENEMLCONiPRG7�X1 M�IL�OORF55 CIIY 711` PIIONE STATEl1CF.N5E� <br /> (�t�,w�r� �,. <br /> NECHANIC�LCONIRRCfOR MAILADDRE55 CITY ZIP PIIONE Si�TELICENSE� <br /> PLIIMBIN�CONTO�CTO'1 M�II�UDRE55 CIiY LIP PNONE SU7ElILENSE� <br /> CONTMCT PPICE OF VqRN I �OO <br /> HEATING SYSTEM: f l GAS �l ELECTRIC fl <br /> DESCRIBE WORK�NO SOUARE FOOIM7E INVOLVEO CON7�Ct PERSON AND PIIONE NO <br /> f�/� ' rC� 2E rtiL NH� ��O ..ri/� . <br /> L Lm Nfl-rt-D r-c.rn,Cs o�s K r ?,�6 :3s l3 <br /> I HERE�V CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> PROPOSEO USE OF BUIlDINO �f,, PROVISIONS OF LAWS AND ORDINANCES 60VERNIN6 THIS TYPE OF <br /> �'IIf'N UF�'�— U+�—�i✓G�• WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LE6�LOESCRIPTIONOFPROPERtt�SNOWNBFIOWOR�T7ACNTWOCOPIE51 NOT. THE 6RANTINO OF A PERMIT DOES NOT PRESUME TO QIVE <br /> �ot e�ocK or_. AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY <br /> OTHER 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 MAOE AND I COMPLY WITH THE STATE <br /> 7MCELTA%ID.NUMBER CONTRACTORS LAW 1827 RCW AND 298200 W�IJAC. <br /> CONSTflUC710NLOANLENDER,�IXNIF53.TELEPNONENUMOER ' �� �'`�/K/�v"f • � •%// � <br /> �ATURE O�TE <br /> CI71 PUSINESS LICENSE NO <br /> PLUM8INU MECHANICAL <br /> N0. TYPE OF flXTURE OR ITEM FEE NO. TYPE OP flIRURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLO UNITS—H.P. � � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORV(WASH BASIN) � HEAT PUMP � '�, <br /> SHOWER ' UNITHEAIEHS—B.T.U. M ' �� <br /> KITCHEN SINK 8 DISP i CLOTHES ORYERS i <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAV ; RANGE HO00 � <br /> CLVTHES WASHER WATER HEATER � <br /> URINAL ' WOOD STOVF ' <br /> DAINKINO FOUNTAIN � METAL FIREPLACE(WOOD BURNIN6) � <br /> --•— <br /> FLOOR�RAIN _� FIREPLACE INSEHT(WOOD BURNINO) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � OAS RAf�OE ' �, <br /> ' OAS PIPIN6 � <br /> � EXHAUST FAN � <br /> �— <br /> � ' <br /> � ; <br /> � <br /> SUBTOTAL E ; SUBTOTAL S ' <br /> PERMIT 5 PERMIT S � <br /> TOTAIFEE 5 � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSEiB�CK REARSETBACN SIUESETO�CN PI�NCHEC MOE � FEE OEGEIPTNO. <br /> / <br /> USE20NE LOI�PEA V�C�NTSILE FEES VALUATION FEE <br /> fIVES fl NO pWIDINb �UV <br /> NEIOHTL�MIUTION NOOiDWELlIN6 SIIEOfOIOGRI <br /> UNIIS � Z JV PLUNOiN� <br /> OCCUPANCV NDOfSlOPoES IX:CUP�NTLOIID B�SEMENf M[CIIAHICQ <br /> GjW� <br /> � Z rires y�r+o � <br /> }L �ppI110N�L PLAN CNCCK � <br /> FIREALMt�FEOD �E�SCN __� <br /> � �S t or��EA <br /> FIPE SPPINKLEfI PEO'0 REASON —" <br /> C �'f� S1�iE BUILDINO SUHLH�ROE � <br /> � <br /> Trve or r.oNST auNs erv ED BY CITY OF EVERETT �U6lIf.WOlINS ' <br /> 1 /h� LOCAL SALES �-; <br /> li- � oerE -�u �9 � TA%CODE IS 3105 iOTAL L .:J ' � <br />