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APPLICATI�.N �OR CONSTRUC'► .ON PERMIT I <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •255-8810 li <br /> f-1 DEMOUTION �l COMBINATION �l BUILD;NG f-1 MECHANICAL ^ PLUMBING fl SIGN I, <br /> PROJECT ADDRESS I <br /> OWNER ` MA4ADDRE55 CITY IIP P110NE I, <br /> �i.Ei'L`5 — I <br /> IENqN7 MP�I�AD�DtiE $ -��y CItV / 21P / �I/ONE _ �, <br /> W .��U� ^-� /c7u�-fJ'✓ ` / � A�.�v�� rY/7 C /� — <br /> ARCHITGGiORDESIGNSR MAILAODNf55 G�TV � 21P PIIONE <br /> GENERAICONT{1AGTOR IdAI�ADORC:SS CIiY :.�P PNONE SIATEIJCGNSE� • <br /> MECH ICALCONTPACTOR MRILADORE55 .CIT'. ZIP PMONE STRTEIICENSE� <br /> /�Zu���e /I���. ��9 " �7`lO <br /> PLUM8IY(iC0 RCTOR MAIL�ODRE55 GLY ZIP PIIONE STATEUCENSE� <br /> CONTHACT PRICE Of WOfiK <br /> HEATING SYSTEM: (-1 GAS f-' ELECTRIC ❑ <br /> DESCRIBE\YORK/NO SOUARE FOOTAGE INVOLVEO LONiAGi Pf:R50N AND FNONE NO. <br /> �t <br /> 2.� .G(2� - <br /> �� �� I HEREBV CERTIFY TH�T I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> va POSED Us�qF Eoi o PROVISICNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br /> L� C�� WORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAlUESCRIPTIONOFPHOPERTY�SMOWNBELOWOHAT7ACN7WOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> - OWNEfi OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PFacE�Tra i.o,nuMaEa CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ��,. ,�.�7� 0 - r"(� <br /> CONGTfiUCT1CIN LO�N LENDER,ADDRE55,7ELEPI IONE NUMBER x� `/' A�� �� � <br /> SIGNAlUBH DAiE <br /> h �v� �� CITY OUSINFS$LICF.NSE NO. <br /> ct <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. TVPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOINER ' UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES�RVERS � <br /> DISHWASHER � VENtILATION FPN ' <br /> LAUNDFlY TRAV ' RANGE HOOD i <br /> CLOTHE i WASHER WATER HEATER � <br /> URINAL WOOD STOVE � <br /> ORINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRPIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE ' <br /> ' GAS PIPING <br /> i EXHAUSTFAN � <br /> i <br /> i <br /> � <br /> � ; <br /> � <br /> i ' <br /> SUB TOTAL 5 � SUB TOTAL 5 i <br /> PERMIT 5 � PERMIT E � <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: /JOit P �':,%���'i � <br /> FRONTSETOACN RERRSF.TBRCN SI�ESETBALK �UNGIECNNUMI3EP J F[E RECHPTNO. <br /> usezorve ie-nn�n vneAr+tsne �FE S VALUATON FEE <br /> llVES ❑ NO BUILDINO i <br /> HEIGHTlIMIiAiION NOOFOWEWN6 SIZEOFBL�RI j <br /> UNIiS PWMOING � <br /> OCCUPANCV NO Of STORIES OGCUF4NT LOAD BASEMENT � <br /> MECHANICAL � <br /> GROUP <br /> ❑Y[5 C7 NO ,,,���///��� <br /> FIPE AIARM REO'0 REASON ADDIiIONAL PIAN CHECK — ��� <br /> on�ea � L � _ 1�7''J <br /> FIRE LPRINNLER REO'0 RFASON � i <br /> STATE BUIL�I C SVRCHARGE � <br /> TYPEOFCONST. PLANSAPPRCVEDAV CITYOFEVEHETT ruoucwonHs I <br /> �M LOCAL SALES ' <br /> oniE I! Q� � <br /> TAX CODE IS 3105 TOTAL ' <br />