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. '� i <br /> APPLICATION FOR CONSTRUCI �ON PERMIT I <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR ST'�EcT• EVERETT, WA 92201 •259-8810 <br /> I 1 DEMOUTION f I COMBINATION I I 3UILDING MECHANICAL I1 PLUMBING f 1 SIGN <br /> PRO�C�p�DRESS � ' <br /> �1.bY ��lP.tiE <br /> owm�n rann.aam¢ss citt zir r��or+e <br /> NG Z?31 �1�Tw�,C ��,�� <br /> ier+eHi rnnnnnoness cn��'���1 r—�a-�--��' <br /> 1'� r�roNe <br /> Jy�� A <br /> ana��o oesicr�en"i�nl`a`oon�s� eitt zir riwrve <br /> eeNenucoNin�cton - 'uni�aonness cnv zm w�or�E <br /> _�7DL �. Sin7EUCEN5E1 <br /> MfC114NICALCONIMCIOR MMLAUDRE55 f.IIY 711` PIIONF ST�TELICENSE/ <br /> J�NII�ikSMY ��_���a?�,, •��y�_ yl� 981�3 t!ylYl�t 343N4 <br /> PlUM91NGCONIRaC70R MMLA�DRESS CITY IIP PIIONE <br /> I'., SUTE LICENSE� <br /> _1lA � � <br /> co nct rnice or wonK <br /> HEATING SYSTEM: �l GAS I� ELECTRIC Cl <br /> DES R BE WORK ANO SOIAqE F00TAfiE INVOLVCfI CONI�CT PCRSON AND P!IONL NO <br /> s�n�►� '��.���p r I NEREBY CERTIFY THAT I HAVE READ AND EXAMMED iH15 <br /> PROPOSEDUSE OF Bull�oiN� � — + APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIN(i THIS TYPE OF <br /> LEGALDESCRIPTIONOFPROPEBIV�SMOWNBELOWqiqT7ACHTWOCOPIES) �'�'ORK WILL BE COMPLIED WITH WHETF,ER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or 9LOCK or- AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTtiER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PRUPERTY TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCELTA%ID.NUM�ER CONTRACTORS W 18.27 ND296200 WAC. <br /> CONSTfiUCTION I.O�N LENDEB.ADDIlE55.tElEP110NE NUMOER � <br /> — 51 tE � 3, <br /> X oare /— <br /> CIiY BOSINESS IIGENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIX7URE OR ITEM FEE NO. TYPE UF FIXTURE OR ITEM FEE <br /> � WATER CLOSET(TOILET) � A/C—A/HNDLG UN�TS—H.P. , <br /> _ BATHTUD ; FOqCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH OASIN) � HEAT PUMP <br /> SHOWER � UNIT IiEATERS—B.T.U. M i <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS � <br /> DISHWASIiER � VENTILATION fAN , <br /> LAUN�RY TPAY ; RANGE HOOD � <br /> CLOTIIES WASHER i WATER HEATER � <br /> UFINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN� � METAL FIREPLACE(WOOD BURNING) ' <br /> _ FLOOF DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS � GASPIREPIACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE , <br /> ' GAS PIPING � <br /> i EXIIAUST FAIJ � <br /> � <br /> � -- <br /> i � <br /> � <br /> _ , <br /> SU�TOTAL $ � SU�TOTAL $ <br /> _ PERMIT $ � PERMIT $ <br /> TOTALFEE $ � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> ff10NTSETOACN REARSF.TOACK 51�[SETOACN PLANCIICCMNUMOGR I'E[ RECEIPTNO. <br /> �ti� <br /> usezoNe L07MER VACpNiSITE FEES VALUATION FEE <br /> nves n r+o <br /> ounoiNa <br /> HE1611T LIMITFiION NO OF OWELLING SIZE OF OLDG?I. <br /> UNIiS <br /> PWMOING i <br /> � <br /> OCCUPANCY NO Of SiONI[5 OCCUPAM LOAU O�SEMENT MECHANICAL . ,� �O\ <br /> Gf10bP Cl <br /> f7VE5 Il NO <br /> FIREALABMREOD f1E1150N ADOITIONpLPLANCHEgg i <br /> i <br /> OTME{i � <br /> FIRE SPRINKLER REO'0 PE�SON <br /> STR1E DUILDING Sl4+GHARGE � <br /> � <br /> Tvr[oFcoNsr PIANSMpnovconr CITYOFEVERETT PUOI.ICWOfiKS ; <br /> ����� LOCALSALES — ' <br /> ___ nae � TAX CODE IS 3105 TOTAL J— <br />