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.� _ !�w'� <br /> APPLICATION FOR CONSTRI3CT�ION PERMIT/ <br /> CITY OF EVERETT•BUILDING DIVISION L�C���� <br /> 320D CEDAR STREET•EVERETT,WA 98201 •259-8870 � ���T <br /> f� DEMOUTION fl COMBINATION fl BUILDING MECHANICAL �� PLUMBING fl SIGN <br /> PRO�C�DRESS �.p�,bY �i VARE <br /> OWNER M�4LIIODRESS Citt 21P PHONE <br /> �_ D�ING 2131 �w�diE � u��al <br /> IENANT MAILAODRESS qry Z�p pHp� <br /> � ��������e� M�i��'n �✓IGsrSITM �e5� Z�Y�/R 7 PHONE <br /> GENEMI C„`���1M�7�I S GITV ZIP PMUNE STATE LICENSE� <br /> �3DL Go�P <br /> MECHANICALCONTRRCTOR M�ILAD�RE55 CITY 21P PIIONE STATELICENSEI <br /> ll 1��� ��1'Q4�.�"?i..�mC+liB??�_'��J�Ar,��l'��► �Ww.r.� wa�.N�1— <br /> P�MBINOCONTRACTOfi MMLADOPE55 Cltt ZIP �� PI10NE STATEUCENSE� <br /> 11 m. M�tr,��, <br /> C�11CT PRICE OF N+DRK <br /> � � HEATING SYSTEM: ❑GAS f_7 ELI'eCTRIC ❑ <br /> DE BEWdi �N SOWREFOOT�GEINVOLVED GON1�CiPEA50NANDP110NEN0. <br /> • <br /> �T-1- �i� q 1 -- <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMIN[D TN�S <br /> P{IOPOSED USE OF BUILDIN(3 APPLICAT�uN AND KNOW THE SAME TO 6E TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS�iYPE OF . <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEOALOESCpIPT10NOFPflOPERtt�SHOWNBELOWORATTACNTWOCOPIES� NO7. THE GRANTING OF A PERMIT DOES NO7 PRESUME TO GIVE <br /> �or pLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVi510N OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRU TION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF TH�S PROPE TO PERFORM THE WORK FOR WHICH <br /> APPLICATION E AND 1 COMPLY �NITH THE STATE <br /> PARCELTA%LD.NUMBEH CONTR OR 102T4iCW AND 286200 WAC. <br /> CONSTRUCiION LOIW LENDER,ADdiESS.TEIEPHONE NUMBER ���5 <br /> 1 TURE O�TE <br /> tt BUSINESS IICEHSE NO. <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF Fl7(TURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> . WATER CLOSET(TOILET) � A/C—MiNDLG UNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> � , <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN L'INK 8 DISP � CLOTHES DRYERS ' <br /> � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDFYTRAY ; RANGEHOOD ' <br /> i <br /> CLOTHF.S WASHER � WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> ORINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) ; <br /> FLOOR DRAIN � FISEP�ACE INSEflT(WOOD 6URNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> � <br /> SINK(SERVICE—BAR,ETC.) � OAS RANOE � <br /> ' GAS PIP�NO <br /> i E%HAUSTFAN , <br /> i � <br /> i � <br /> i � <br /> � � <br /> SUB TOTAL $ ' SUB TOTAL $ � <br /> PERMIT $ � PERMIT $ <br /> TOTALFEE E � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONTSEiBACN REARSGTBACN SIUESETBACK PUNCIIF KNUMOER FEE RF.CEIPTNO. <br /> � <br /> uSezoNe LOTAREA v�c�rvisirE FEES VALUATION FEE <br /> fIVES ❑ NO BUILDINO <br /> MEIGIIT IIMITATION NO OF DWELLIN6 SRE OF BLD6R.1. � <br /> UNITS pWM01N6 � <br /> OCCUPANCY HJ OFS70PoE5 OCCUP�NTlOAO BASEMENT MECHMlICAL <br /> GRIX1P <br /> ❑YES ❑ NO <br /> FIREAURMREOV REASON ADOITION�IPIANCHECK � <br /> OTIIEP <br /> FIRE SPPINNLER flE0'0 REASON � <br /> STATE Bl11lDIN0 SIIRCNARGE j <br /> TYPEOFCONST PUNS� (i/O�VEDBY CITYOFEVERE7T PUBIICWORKS � <br /> .^� LOCALSALES •—}— <br /> �A _ a TAX CODE IS 3105 TOTAL <br />