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,1 _ <br /> APPLICATI�.� FOR CONSTRUC7 rON PERMIT <br /> GITY OF EVERETT•BUILDING DIVIfiION � <br /> 3200 CEDAF� STREET• EVERETT, WA 88201 •259-8810 <br /> r! DEMOUTION f ' COMBINATION BUILDING G?' MECHANICAL ' PlU!J!31NG SIGN <br /> PROJECT ADDRESS <br /> / ��: ' • i � /' /��/�� �� , - - - i-Ci i '��'j � � <br /> owNFa Nai�n�Uacss / / cm zir oHpWE <br /> � %� ��' f- � �� iCL/. . r>� Y ..: _� , � / i'�• T�� C � �G! � ��/{�/i����7/% C%Cn: ` �,�� - _ <br /> iENRM MAIL ADCIRE55 CiTV J 7�� PHOHE <br /> AtICMTEC70RpESIGNER MAILIIDDRE55 CIiV 7.IP PHONE <br /> GENERRL CONTAACTOR MhiL/���E55 CIIY 21P PIIpNE Si�TE LICENSE� <br /> • <br /> !AECHANIGAL CONTRnCTOR MAIL PD08E55 CfTV 21P PHONE S,T�ATE+L�CENiE/ <br /> �; S�•E' � <br /> i � i r C <br /> � %:/.j�i'�_ %: �S L� . G - �'T �— <br /> PWNBMGGONiRACTOR M�IL�OURE55 CIIV ZIP PNONE STATELICENSE� <br /> GONTR�CT PNICF.OF WOqN n C� <br /> j✓�j — HEATING SYSTEM: i-I GAS f-I ELECTRIC f� <br /> p[SCRIBE WORK ANp$pU�RE FOOT�pE.`NOLVED CANTPCi r'F RSON PND FIIONE NO <br /> ri[/.l /�LL. �' /y/��I ,,;/F.dAc-t_-'�' Cfc , <br /> ii � �� ��0��� �J�.GT£P i <br /> I HEREBY CEF?IFY THAT I HAVE READ AND EXAMINED TH15 <br /> 1 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> bqprOSEQ VSEOF BUItDIN� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> ���-5 WORK WILL BE GOMFLIED WITH K'HETHER SPECIFIED HERE!N OR <br /> �Eca�scn�vrtoeoFvno�mrfsNowr+eE�owor�An�cNTwocovieSl IJOT. THE GRANTING OF P PERMIT DOES NOT PRESUME TO GNE <br /> iOt BLOCK Or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI LAW RE('iULATING CONSTFUCTIGN OF THE <br /> PERFOHMAIJCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> - OWNEA OF �HIS PROPERTV 70 PERFORM THE WORK FOR WHICH <br /> APPLiCATION IS MADE AND I COMPLV 4NITH THE STATE <br /> PRRCELiF%ID.NUMBER CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> � / <br /> CONSTHVC?ION IO�N LENpEq,pppRE55.?ELLI'NONE NUMBEF � �/'{�—�j //��C' �� � <br /> SITJFTGR[' i DnTE <br /> � �L�. 7��,. <br /> CrtY flU5ME55 l iGCNSf MO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF FIXTURE Oq ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> _.—�_•_—_ � __ <br /> BATHTUB ' '� FORCED AIR SYSTEMS—R.T.U.��M E.A. � <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITFIEATERS—B.T.U. M � <br /> I KITCHEN SINK 8 DISP i CIOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN <br /> LAUNDFV TRAV � RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER <br /> UPINAI WOOD STOVE <br />� DRINKWG FOUNTAIN i METAL FIREPLACE(WOOD EURNING) � <br /> FLOOF DRAIN � FIREPLACE INSERT(WOOD BURNING) <br /> BACKFLOW PREVENTERS � GASFIAEPLACE � <br /> SMK (SERVICE—BAR,ETC.) GAS RANGE <br /> ' i/ GAS PIPING ' <br /> i EXHAUST FAN � <br /> i i <br /> i � <br /> i <br /> _—�— <br /> SUB TOTAL $ ; SUB TOTAL S _� <br /> PERMIT $ i PERMIT $ � <br /> 70TAL FEE $ � TOTAL FEE 5 �"' <br /> FOR OFFICE USE ONLY: <br /> FPONi SFTBACH REM S[tl1ACK 51bE 9ETBACN PI/�N CHECK NUUBER �GE PECEIPT NO <br /> usE zoNE ioT nnEn vncaNr srtF FEES VALUAiION FEE <br /> nves n r�o eunoiea � <br /> NEIOHT LIMITRTION NO.OF�WEWNO SIZE G�BLDOT I <br /> UNITS PLVMBING � <br /> � <br /> OCCUPANrY IN OfSi0MF.5 OCCUPANTLOAD BASEMBii � <br /> GftOUP MFCIUNICRI i <br /> f7YF5 II NO � <br /> FIRE PLAFM REO'0 REASON �DOITIONAL PIAN CNECN � <br /> OtHEP � <br /> FlPE Si'RiNKI F.R REO'0 REASON � <br /> i <br /> RNE AUIIDING SURCHRf1GE I <br /> _ � <br /> TYI'EOFCONST vuvs�vvr+ovEoev ' CITYOFEVERETT �U9Uf,WORKS � <br /> LOCALSALES � <br /> oA,E TAa CODE IS 3105 rora� I <br />