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. ( _ <br /> �b <br /> APPLICATI(�.y FOR CONSTRUC"'"'ON PERMIT <br /> "`"� Cil Y OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STAEET � EVERETT, WA 98201 •259•8810 <br /> ❑ OEMOLITION ❑ COMBINATION f] BtiILDING �,M[CHANICAL fl PLUMBING f1 SIGN <br /> '40JECT ADDRESS �7(� Q� � ) ) <br /> . �' � Tv�" C Ot.�� / \"� �JZ�I.0�h ��7/`� J -� L. <br /> OWNER MAILpD�RES$ CITY zIP PHONE �� <br /> �-�l �-P_E-�T O�l-l_1,`�� TO(,��lt- Z��- COI�� /�� J� ' �O �CC� <br /> iENRNT `�—MRILADpRE55 CI� 2iP ��`I PHA\� `� — S LLl �� <br /> �. , V��1L Ll(-� 2 l��' Ci o � <br /> ARCMITECT OR S::u-- Ciii iIP PliONE <br /> �Nf S���� R-M�-[ci xNC •t`ba� �+ N�� �Ga, --�Sd83 <br /> GENc AICONT�T� MA�A�E�������iTY ��Q 1��������� S -(n�1LICENSEt <br /> v <br /> MECANICALCONT�P ��RI`AD�RES���� � �,� ICIN��OAIi� �U' ������� SiATELiLENS���� <br /> JUI�J T C�/L <br /> PLUMBINGC NTRnCQTpR MAI�ApDRE55 CIP! LP PH04E AiEULENSE� � <br /> � <br /> CONTRpCT PRICE OF WORH <br /> I Z� OCJV HEATING SYSTEM; f_l GAS ❑ ELECTRIC f_7 <br /> DESCR19E WOP AND SOURRE FOOTAGE INVOLVED CONTnCi PERSON AND PIIONE N0. <br /> � <br /> � Ci l I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br /> PP' "4eo use oF euaoir+c APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECt ALL <br /> � PROVISIONS OP LAWS AND ORDINANCES GOVERNING T/iIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> LEGA;�ESCRIPTIONOFPAOPEPTY�SHON'NBELOWORATiF�Nry/OLOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUNE TO GIVE <br /> tot o�ocic oF_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOIJ OF ANY <br /> OTHER ST4TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERTY TO PERFOfaM THE WORK FOR WHICH <br /> APP�ICATION IS MADE hND I COMPLY WITH THE STATE <br /> PARCFLTA%I.O.NUMBER CO TRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTPUCTION�OANLENDE�.ADDRESS.TELEPMONE NUMBER , <br /> x . C OI..Y� 0 '/S��'-/�D <br /> SIGN q D4TF <br /> CIiY BUSiNE55 UCENSE N0. <br /> PLUMBIN6 MECHANICAL <br /> h0. TVPE OF FI%TURE OR ITEM FEE N0. TYPE OF FI%TURE OR ITEM FEE <br /> WATERCLOSET(TOILET) � A/C—NFiNDLGUNITS—H.P, i <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> ' , <br /> LAVATORY(\YASH BASIN) � HEAT PUMP • � <br /> SHOWER � UNIT HEATERS—B.T.U. A1 � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS ; <br /> _ DISHWASHER � VENTILATIOIJ FAN i <br /> IAUNDRYTRAY ; RANGEHOOD � <br /> CIOTHES WASHER � WATERIIEATER , <br /> URINAL ' WOOD STOVE � <br /> DRINKIN a FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> _ FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> _ BACKFLOW PREVENTEfiS ; GAS FIAEPLACE ' <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE � <br /> � GAS PIPING � <br /> " i EXHAUSTFAN � <br /> i � <br /> i � <br /> - � i <br /> � � <br /> SUB TOTAL 3 ; SUB TOTAL 5 ; <br /> �ERMIT 5 � PERMIT 5 <br /> TOTAL FEE S 70TA1 FEE S � <br /> FOR OFFICE USE ONLY: <br /> FqONTSETBPCK REAASETOALK SIDESETBALK PIANCHECKNUMBER FEE PECEIPTNO. <br /> J3 /�j 1 <br /> usEzoNE �oraAEa VACANTSIfE FEES VALUATION FEE <br /> _ pYES Q NO OUILDINO i <br /> i <br /> '�GHTUMITA710N NO.OFDWEIIING SIZEOFBLDG/fl. � <br /> UNITS PLUMBINO i <br /> C �NCY NOAi5i0RIE5 OCCUPANTIOA� BRSEMENT � <br /> Q,. MECHRNICAL <br /> O�ES fl NO <br /> ADDITIONAL PtAN�HECK � <br /> FIREAURMREO'D REASON i <br /> OTHEP � <br /> �IRE SPPINKLER NEOD REASON � <br /> STATE OUILDIN6 SURCNAAGE � <br /> 7YPEOFCONST PUNSAPPRCVEDBY CITYOFEVERETT �UOL�CWO�HS � <br /> LOCALSALES ; <br /> OATE TAX CODE IS 3105 TOTAL ; <br />