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APPLICATI�ii FOR CONSTRUCTJN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> I-1 DEMOLITION I-1 COIABINATION f i BUILDING rl MECHANICAL � � PLUMBING f I SIGN <br /> PROJECT ADDqESS <br /> ��ERE7'T /�1Utdf�C ToWGIe SWr� /Sio/ Evc,eGTr wA.S�r/inlcr�N <br /> oNNER M4IUWBE55 pirv Zir rr+o��c <br /> �[�t-� �r���0 ��731 W�e���oro �v � �vA���-4- �'�'�c1 .'�'`G_ 454�b <br /> TFN�NI —Mpii ppppF55 f11Y Ilv pHONE <br /> /�1a°�:/GL LYNcH gpo .CcuOAERS /1!/LL R�. P��9iNsdoRc,NJ �>Ss36 FAx�6o9J Z 82-�f Z.So <br /> �pCNRfCTUNfIF51GNE� MPIt�f1bRE55 CIiY lin PIIONP <br /> GF.NC�AL CONip4CiIX� M�IL AUD(iE55 Citv 7�P P�10Nf. ST�TE I.ICG45F� <br /> NFCN�NICALCfiNTPnCTpP MnllA�bRE55 Citt ii� PIIONE SinTFUf,FNSE� <br /> wEsrEieN sr,�res FiREP�e����r,�� '7�oz /BoTyti'vc NE, Su�r� A/05 _ <br /> PLUM0RIGCONiPaq�OR M41LApURE55 CILY LP PIInNE ST�.tELILENSE� <br /> RFom�vo �. 98osZ �z�)88r o�� WCSTESF /36Q�F <br /> coNrn�cr raice or vrone <br /> �GSG.� HEATING SYSTEM: I 1 GAS f l ELECTRIC I 1 <br /> DESCRIBE WORK�N�SOUARE FOOTpGf INVOIVED rLNinC PfR50N AN�P��ONf NO <br /> �Ed�dT im�•c'�d�m�iJT /N�oc.vi� � 'icic Sn�i rN <br /> /3 sP�PiNKcE,es ��/-o/oo <br /> i HEREBV CERTIFY TNAT I HAVE READ ANb EXAMINED TNIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CORREGT ALL <br /> rrroroseo usE or eunon+a PROVI;;IUNS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> 1EG11L0E5GRIPiIONOFPR01'ER�VISHOWNBEIAWORRTiACHiWOCOPIE51 NOT. T�4E GRANTING OF A PGRMIT DOES NOT PRESUME TO GIVE <br /> �oi BLOCK o� AUTHORITY TO VIOLATE OH CANCEL THE PHOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CON:iTRUCTION OR THE <br /> PERFOIiMANCE OF CONSTR�CTION.THAT I AM AUTHORIZED BV THE <br /> (1WNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLIC4TION IS MADE AND I COMPLY INITH TFiE S1ATE <br /> PARGELTAR��.NUMBER CONTFACTORS lAW �827 RCW AND 296.200 WAC. <br /> CONSTi1UCilON LO�N I.ENOER.PDbI1E55.TELEI'HONE NUMAER x�� G'�,� 6�/S �/� <br /> 51 .T�R=AAozvss's DpT' <br /> ciTv eusn�ess i iccr+sc r+o <br /> PLUMBINO MECMAN'CAL <br /> NO. TYPE OF Fl%TURE OR l7EM FEE NO. TVPE OF EOUIPMENT FEE <br /> � <br /> WATERCLOSET(TOILET) � �VC—AMNDLGUNITS—H.P. <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> iAVATORV(WASH BASIN) � FIEAT PUMP <br /> SHOWER � l�N1T HERTERS—�.T.U. M <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS i <br /> DISHWASHER � �ENTILATION FAN � <br /> LAUNDRY TRAY � F.ANGE HOOD � <br /> CLOTHES WASHER � VIATER HEATER <br /> I;RINAL � VJOOD STOVE <br /> DRINKING FOUNTAIN i WETAL FIREPLACE(WOOD�UFNING) i <br /> FLOOR DRAIN FIREPLAC[INSERT(WOOD�UFNING) � <br /> BACKFLOW PREVENTERS � GASFIREPLAC[ � <br /> SINK(SERVICE—BAR, ETCJ GAS RANGE � <br /> � GAS PIPING ' <br /> ; EXHAUSTFAN � <br /> _. _�— — — <br /> � � � <br /> i � <br /> � � <br /> _�� -T <br /> 1 <br /> SUB TOTAL $ ' SU�TOTAL $ � <br /> i <br /> PER�d1T $ � PERMIT $ � <br /> TOTAL FEE 5 � TOTAL FEE $ _ <br /> FOR OFFICE USE ONLY: <br /> fRONTFFTPACN RF.�RSF.TPACN SIpESETBACN P141lCIICCSNUMAfR fEF �p Pff.PPtNO <br /> �� h�� �ao �iyvC�� <br /> uselor+[ iotnncn vncn�asire FEES VALUATION FEE <br /> �— <br /> i�vrs r�� ��o om�on+c� � <br /> � <br /> IIEIGIR(.IMITATICN NOOPOWFLLING SIIEOFBIU(b'il � <br /> UNi1F PiUMpING � <br /> ___�.. <br /> O(:OUPARffY NO OL 51pPIL5 IX;CU�'RNL LOAO 845EMENT MFCHANiL�1L � <br /> f.ROl1P _ — <br /> IIVES �� NO --�— <br /> � <br /> AOUI11pNt L%RN OICCN i <br /> FIRE�I/��A��CO� �FASON �— <br /> o,�,EA , yv ; �,� <br /> �IqF.SPRINNIbRRE011 RFA�OY � <br /> STQE OW:GI G SUR�;HnAf,E � <br /> �mecxr,or+s vinNsnrvnovener CITYOFEVERtTT ri.ie�icwonKc <br /> JM /,, LOCAL SALES — <br /> ❑A�e G ZO`��1 TAX CODE IS 3105 TO�AL_ _ <br />