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APPLICATl� FOR Cl�NSTRIIC�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION f 1 COM8INATION I I BUILDING �l MECHANICAI i.-�LUMBIWG f l SIGN <br /> PROJECT ADDRESS �,�v 7 �/`a ��L <br /> OWNER MRILApDRE55 1 jIP p110NE <br /> �vE-c<.�•r n,L.'r7..�G �s.✓! Z7o'� r �rV f��- <br /> � <br /> IENANT MMLADIXiE55 Gtt Z�P CIIONE <br /> �'r'9� ��d�..-. �720 — 274"> �N-�IgY F•�E2ET <br /> ARGIIIT[C7p9DE51GNGR MAl1AppRE55 CITY IIP PHONF. <br /> GENEf1At CONTMLiqi M41LA��R[$5 �IIY 71P pIIONG S1A7E IICGNSE i <br /> MECNANICALf,ONiRACTOR MRILAODP855 CITV 7m PIIpNE STATEL�CENSF.� <br /> PWMBINGCONTRnCTOfi MAILADORESS CItV 21P PNONE 51PiEUCENSEM <br /> U...r v�.e�r.^y �E�i...,.,�ic.a� cc.�'2.�c ..< n/. E r v �.a. �4- �4ra <br /> CONTRRCi PRICE OF WORK <br /> Na� .r,.io,., HEATING SYSTEM: I l GAS I 1 ELECTRIC f 1 _ <br /> DESCF19E WORK qN0 SOUARE f00tAGE INVO�VEO GONiACT i'[RSON�Np pHONF.KO <br /> SrNK /NrT<`GLdT�o.J Fp.Z E..-t��UyEc <br /> ���U� ��r I HERE�Y CERTIFV 7HAT 1 I1AVE AEAD AND EXAMINED THIS <br /> rnoro5eousE oF e�nioiNo HPPLICATION AND KNOW tHE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOb'ERNING THIS TYPE OF <br /> WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HERFIN OR <br /> LEGIILDESGRIPT�ONOFPROPERTV�SIIOWNBELOWORAttRCHTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PNESUME TO GIVE <br /> tor c�ocK ov AUTHORITV TO VIOLATE OR CANCEL THE PfiOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEFFURMAIJCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFnRM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPIY WITH TNE STATE <br /> PnacE�rwc i o.rauMeea CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> /i /// � / <br /> CONSTRULTIONIU�NLENOFR.A0DPE55.TElEPHONENUMBEP x C�. ��L+.!/� /�//^j /s�- <br /> SIGN�TURE I1qIC <br /> CITY BUSINF.55 UCENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—AMNDLG UNITS—H.P. <br /> BATHTUB ; FORCEC AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRVERS � <br /> DISHWASHER � VEIJTILATION FAN <br /> LAUNDRVTRAY ; RANGEHOOD ; <br /> �LOTHES WASHER � WATER HEATEF r <br /> URINAL � WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPIACE(INOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTEFS � GASFIREPLACE � <br /> SINK(SERVICE—BAR.ETC.) � GAS RAhGE � <br /> GAS PIPING <br /> i EXHAUST FAN i <br /> � � <br /> � — <br /> � � <br /> � � <br /> SUB TOTAL $ � SUB TOTAL S � <br /> PERMIT 5 i PERMIT $ <br /> TOTAIFEE S �`7 � TOTALFEE $ ' ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSETPACR Pf.�RSF.TMCK SIOESETPRf.1( PIANCRECN/U. 0!/�/�.,.� fEf �ECPPTNO. <br /> ( <br /> uSGZor+G iotnnEn wcaNrSitE FEES 1 VAWATION FE8 <br /> I IYG$ I1 NO OUIl01NC � <br /> i <br /> 11EIG117 UiAItRTION NO DF UWfLLING SIZE Of BIUC/11 -- i � <br /> IINrtS pLUlA01NG <br /> � <br /> OGGUPANCY 110 Of SIOPi15 OCCUPnNI�04p BRSCM[Ni MEpUNILAL � <br /> cnam <br /> IIVCS II NO � <br /> fIfIF�LAl1N RF.00 IIfASrtt� A[10111QNAI 1`IAN CIQ.CN : '.I <br /> --i I <br /> 011lfll � � <br /> � <br /> fIf�F51`PII1RIFflpfqD �1f��0�! <br /> f:iMC 0111lDINA$bPC11AliC.F � <br /> i <br /> �imi�ircor�s� rinNSnrrimvrnnr CITYOFEVERETT runnr.wonKs <br /> LOCALSALES - ----� — — — I <br /> i,��� TA% CODE IS 9105 TOTAI __ _ <br />