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� � ��PPr�T10N FOR CONSTRUCTI.�N PERMITr <br /> U�� DEC 19 1994 CITY OF EVERETT• BUILDING DIVISION GC� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 � <br /> .........................................................._ <br /> fl DEMqLI'hOR EVEREI�OMBINATION BUILDING rl MECHANICAL I1 PLUMBING �l SI(iN <br /> PROJE � 'lO �I b� � � [.(J <br /> OWNEq MF�LADDRE55 f,1iV IIP p110N[ <br /> Colb,� � • a�31p, A��+►�,o�. ��� �,��. scn ,��e.� Iy1$��igaU� avtD 388•� <br /> �rr� 11 l�nc.�, a7U7 'C�l by Wv�c. �u-�-e,-�� � `�8�1 � a58 6�9� <br /> ARCMITCGTORDESIGNE MRILAODRE55 LI1Y , lIP PHONC: <br /> �ATco•Y, i�Ui.'�on 1�10�1 _ � �c1 _��..� �D �6'i�loy �8��3��ac I�,UC�`i�ll �10`l�l <br />� GENERAICONiSiACTOfi MAILADORL55 Clt ZIP PHONE STAIELICENSEr � <br /> Nln <br /> MECNA ILRICONTt74C10R MnIIRDDRE55 C:'V 217 PIIONE SihTELICENSE• <br /> NI� <br /> PWM NGGONTRRCTOF MAILRUDRESS CITY IIP PIIONE SiATELILENSE� <br /> �I� <br /> CONt R�T PRICE OF WORK <br /> HEATING SYSTEM: � 17 ELECTRIC Cl_ <br /> pE$CqIBE���(�ND0.ARE FOOT�G��V�LVE� '� �� CONiALi�E�SON AND PhJNE NO. <br /> �Vl I � �OM1 <br /> �Vl `�"U� Ot (STTUUC )�'Q.. <br /> I NEREBY CERTIFV THAT t HAVE READ AND E%AMIN�D THIS <br /> � � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> rqo SED USE Of BV ING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> 1NORK WILL BE COMPLiEU WITH WHETHER SPECIFIED HEREIN OR <br /> LEGRLDESCRIPiIONOFPROPER�tt���SHO�iWNBELOWOHRiIRCHTWOWPIES� 40T. TNE GFAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot � —�_otocK i�.SZ—or P.UTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> �`� � �Ue� OTHER STATE OR LOCAL LAW REGULATING CONSTRUC?iON OR THE <br /> �1 C.LT �j PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFI2ED BV THE <br /> ,�� ' �^ �' � OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> 'd APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> f'ARCELTA%1.0.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONS CiION LOAN LENDEF.ADDRESS.TELEPHONE NUMPEN x <br /> SICNRTIIP[ �ATE <br /> GITY OUSMEb$LICGNSE N0. <br /> PLUMBINO MECHANICAL � <br /> N0. PE OF FlXTURE OR ITEM FEE NO. TYPE F FlI(TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—ARiNOLG UNITS—H.P. � <br /> BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A � <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i I <br /> DIS1iWASHER � VENTILATION FAN � <br /> LAUNDRY TR�.Y � RANGE HOOD i <br /> CLOTHES WASHEF � WATER NEATER <br /> U(iINAL WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN FIREPLACE INSERT(WGJD BURNING) � <br /> BACKFLO\N PREVENTERS ; GAS FIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> ' GAS PIPING ' <br /> i EXHAUSTFAN � <br /> � � <br /> — � ' <br /> � <br /> SUB TOTAL $ ; SUB TOTAL $ ; <br /> PERMIT 5 � PERMIT $ � <br /> TOTALFEE $ � TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBpCK REAP SETBACN SIDL SETBACK PIAN CII[CK NUMOFR FEE RECEIPT N0. <br /> �/~ / <br /> USE20N� � ior�nen WCANTSITE FEES VALUATION FEE <br /> �� f7 VES fl NO OUILDING �7� G� <br /> HEIGHTLIMITATION NO.OFDWfWNG SILEOFBLDGRI. � <br /> i <br /> UtllTS p�UMBINd � <br /> OCCUPANCY NO OiSTOW[5 OCLUPANiIORD BASEMENT MECHqNICAI <br /> GROUP � <br /> ❑YES fl NO /�(� <br /> FIREALARMREO'0 REASON ADDI➢ONRLPLANCMECN 7 ��.(,J <br /> i <br /> OTHER 00 i� <br /> FlRE SPRINKLER PEO'0 NEASOV i <br /> SUTE BURDING SURCNAI1f,E � <br /> TVPFOFCONST aiAN raovEoer CITY OF EVERETT rueucwoaKs I <br /> LOCAL SALES � <br /> DATE �J • 70� TAX CODE IS 3105 70TAL � � � � <br />