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APPLICATIt�rN FOR CONSTRUCI �ON PERMI�Tr <br /> CITY OF EVERFTf• BUILDING DIVISIOIJ FCM���� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•0810 <br /> T.I. <br /> I I DEMOLITION f I COMBINATION DQ BUILDING I i MECHANICAL f � PLUMBING f I SIGN <br /> PROJECTADDRESS 2.�Q.1 �,�jY�vE��� �VE��T"�,w,abHlt•�"�ol�. <br /> om�cn n�mtnnunr�ti n�r rm rna�e <br /> l� -�TNo,3,l�, 21G7 �t,�X1�uE,�,utf�ltB,�VF.�QT,ivA,�if�Lol 2S`i-'�i� <br /> iet�nut unn nunnrss cnv zir nior�F <br /> W�ENT l� �1o1,[�tEh 37s�5 !qG'[i�FL,S.E.,SUtTESoo,�5Er1,6VuE,W/�9�D�1 b�4�-�5`3P� <br /> nnciuiraunrrsir,urn Mnunnnnrss r.nv nr ruot+e <br /> JDtiIES'F�k�N�Kt It�. G�Tol�t��f'�.t.�.`.��TT�:WA 98101 2�'2-82$3 <br /> rlvl`.CI`I[�nl\'�C�(JF�311�►(il�'�n�,(O�/1 VAJ�������lf�' �/ .T�IIWfV7l11�J��� s�niELic�G�' � <br /> MF.GIUIIICALCOtIIR�CI0t1 MMLAODRE55 r,ifV ZIP FIIONE SIAIF.UCENSE� <br /> Tu-��ecc 23��z <br /> rturemnccoumnc�un rann.nuoeess ctrr zir pnot�r STAIELICENSE� <br /> c rnnct rnic�or wo�a <br /> 2� �� � _ NEATING SYSTEM: �GAS I"l ELECTRIC Cl <br /> orscnm�woi�k nuo sounnF.rooinoe n+vniveu cor�incr rrnmn nNo ri�or+e r+o. <br /> � <br /> I,IS4 �t�t•F/r �Ffi�E TFI.�T ►M- �OI�EST`.��4�K1 11�. 2�T2-82b3 <br /> � " "_" '�JT l� r�"2� �ry�rI�LQ��}2�'�G• A PL CATIOIJ ANDIKNOW THE SAME TO BEDRUE AND CO RECT.ALL <br /> rnorosEn use or ouurnr�a PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WNETHER SPECIi'IED HEREIN OR <br /> iecn�oesr,mm�ouorrr�orenrvisuowNoetow�o nAiiYncuTwocori�s� NOT. THE GRANTI�G OF A PERAIIT UOES NOT PRESUME TO GIVE <br /> i.oi ���� ma:K�25 or ` � ����'�'�� AUTHORITY TO VIOLATE OR CANCEL 7HE PROVI510N OF ANY <br /> VOLUHFi 3 � t t.r'�L`—�� p� 'C OTHER STATE OF LOCAL LAW REGULATING CONSTRUC?ION OR TNE <br /> !/Gc g2 PEflFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED DV THE <br /> OWNEP. OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> rnncE�mx�o.r+urnnen CONTP'�GTOFlS .27 FCLV AND 296.200 WAC. <br /> �� �rtcaH��ut Nh" r 7•2 - � <br /> r,or�smucnor�icnNiFuoen.nouness tnrr���n�NUMnen X <br /> L�E `��{�T � scr+niune onte <br /> Gltt OUSMESG LIGENS[NO. <br /> PLUMBINQ MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. S YPE OF FI%TURE OR ITEM FEE <br /> WATERCLOSETItOILET) � NC—NFiNDLGUNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH UASIN) �— HEAT AUMP �— <br /> SHOWER � UNITHEATERS—B.T.U. M ; <br /> � <br /> KITCIIEN SINK A DISP i CLOTHES DRVERS i <br /> DISHWASHER � VENiII.ATION FAN � <br /> LAUNDRY TFAV ; RANGE HOOD I <br /> CI.OTNES WASHEP �— WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WO00 BURNING) i _ <br /> FLOOR DRAW � FIREPIACE INStR f(WOOU BURNIIJG) � <br /> BACKFLOW PREVENTERS � GAS FIR'cPLACE i <br /> SINK(SERVICE—OAR, ETC.) � GAS RANGE � <br /> � <br /> � GAS PIPING ' <br /> i EXHAUSTFAN � <br /> --,— <br /> � � <br /> — � � <br /> � � <br /> - - , — � <br /> :— <br /> SUDTOTAL $ ' SUBTOTAL $ � <br /> � PERMIT $ � PERMIT $ --� <br /> TOTAI FEE $ ' TOTAL FEE $ ' , <br /> FOR OFFICE USE ONLY: <br /> FRUIIfSElOACN RFMSETBnCK SIOESEtOAi:K PLANCIIECKNUMAER ffE NECEIPTNO <br /> �a� �� aa��s� �a i 9�3 <br /> usEzoNe �.ornnen vncnr+rsrte FEES VALUA710N PEE <br /> f7VE5 fl NO pUIL01N0 q � S (� <br /> HEIGIIT LIMITA710N U0110P UW[LLIN6 SIZE OF OIOG/tl. ` <br /> 1 �L� 'T' PLVMOING � <br /> T 1 <br /> OCCUPANCY NO O�SIOfi:ES OGCUP�NT LO/.0 BASEMENf 1dEGI1�NICAI <br /> cnour <br /> �, �ti ,�.�s �, ��o -- ; <br /> ADDITIONAL PLhN CHECK � <br /> fIRE ALARM R�0J�� • RE�SONr-�{�i � <br /> ��ry� /i''V`��• OTII[Il j <br /> fIRES�'RMNLERREOn (iEA50N — � <br /> � �M,�� STAIE BUILUING SUIIQIMGE �`;� <br /> � '/'� <br /> tvreoFcor+sr. ri.nrunrrnw�onv CITYOFEVERETT ruAur.wonKs ; <br /> •r � JM LOCAL SALES � <br /> lL _—_ ����E ��D !� _ TAX CODE IS 3105 TOTAL _ _I__ <br />