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APPLICATI�.N FOR CONSTRUC`. .ON PE:RMIT <br /> CITY OF EVERETT• BUIIDING DIVISION � <br /> 3200 CEDAR STRE�7• EVERETT, WA 98201 •259-8810 <br /> f-1 DEMOUTION �l COMBINATION I1 BUILDING fl MECHANICAL fl PLUMBING C7 SIGN <br /> PROJECTADDRESS n�O� ��y �RvE�� , �v���T� W�t <br /> L u�F�»� <br /> owr+en n+niunoncss att zm rno�+E <br /> Jf�F4 G1�UF 270� ��h� �11� 1116 EVE���h 9a2o1 38a-84�- <br /> ievair Mnu ano ess arv zia v��o�ve <br /> 5TP7E FJ�N Ht�(i��t, � ?�TN�N6. 4�1.EH�ot�'ed-� `{l3l'� Fo�/q�3-2C-8o <br /> AfiC!_/ITFCt�[SIGNER_ M� I�R� � ��� ` � �Y`�/���101 ��'��� <br /> v v ..�.1/���'� �� R-+{ <br /> CENE�/LCONTIi�� ���A��������•Il�" `. ���/�� � N� SiAiFUCEN�^� <br /> JV� `'�`• <br /> MECNANICALCONTRnCTOR M�I�AO�RE55 Cltt ZIP P��OM1[ STA7ELICEN�c� <br /> PLNdBINGCONiRACNR SIAILAUORE55 GRV ZIP PHONE SIATELIGErvSEu <br /> CONTRRCT PRICE OP WORN <br /> �33iq��•�� HEATINGSYSTEM: GAS ❑ ELECTRIC ❑_ <br /> DES PIOE WOf.K ANO�OUAAE FOOTAGE INVOlVEO GON ACT P_ ER90N f�D t'_�tyIjy1N[NO�. � <br /> 1�I �F/a�✓ <br /> 1.�6 SQ• �'T O�F�� T��X1�' l�1- �0!-'�'(�K�4NAW I1�. 2-�2a3 <br /> �VGu�i� l'. r�,(.��[�,7� t�Rrru, oF �'Z��-+ I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SA�AE?O BE TRUF AND CORRECT.ALL <br /> raoroseo use oF ew�ov+r pROVISIONS OF LAWS AND ORD�NANCES GOVERNING 7HIS TVPE OF <br /> INORK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALO,ESCRIPTIONOFPRCPERlYISMOWNBELOWONATTPCHTWOCO��P/`E51 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GtVE <br /> LOT �1 �� o�aa..�Zs oe T � �•�� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> p�' OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> pW H� 3 op �t,l�.?�J 1 /{{� �2 PFRFORMANCE OF f,ONSTRUCTIOIJ.THAT I AM AUTHORIZED BY?HE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WOHK POR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> rnnce TA%1 D NU e CONTRACTORS LA 7 RCW AND 296.200 WAC. <br /> ��E �Cperlk�►�T ��" <br /> CONSTRUCTION LOAN lENOER,n0[�fi�55_TE� LFP1101��yV„�ER X D � <br /> E %`V HEv; �( SIG ATURE �RTE <br /> CITV�lI5ME5S LIC[NSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F�XTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE T_ <br /> WATER CLOSET(TOILET) � A/C—NHNQiG UNI?5—H.P. ' <br /> BATHTUB ; FORCED AIR SVSiEt9S—B.T.U. M E.A. _�_ <br /> LAVATURY(WASH BASIN) � HEAT PUMP __�_ <br /> SHOWER � UNITHEATERS-9.T.U. M ' <br /> KITCHEN SINK 8 DISP ; .'LOTH[S DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNORY TRAY ; RANGE NOOD � <br /> CLOTHES WASHER � WATER H°ATER ' <br /> URINAL ' 'NOOD S'"OVE � <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> ' GAS FIREPLACE � <br /> BACKFLO\N PREVENTERS � <br /> SINK(SERVICE—BAR.ETC.) � GAS RANGE ' <br /> � GAS FIPING � <br /> � <br /> ; EXHAUSTFAN ' <br /> � <br /> i <br /> � <br /> � <br /> i <br /> i <br /> SUB TOTAL 5 ' SUB TOTAL S � <br /> i <br /> PERMIT S i PERMIT 5 � <br /> TOl'AL FEE S � TOTAL FEE $ ' <br /> FOR QFFICE USE ONLY: <br /> FRONTSFT�ACK REMSF.iOACK SIUESET�ACK PIANCHECNNUM�F.R FGE _ /._, RECEIPTNO. <br /> 1���-��� �����,d.� � <br /> use zo4r: ior nnen vncnNr sirr FEES VALUATION FEE <br /> nvEs �i No o�nnwc � �' L� � �� � <br /> HEIGHTUMITAiION HOOFOWEI.LING SI71EOfOlfK/11 � <br /> UI!!75 � _ — i <br /> [�`� •7�/ I•1UM01NCa 1 <br /> / 7 T <br /> OCGUI�A4CY HO Of5i0N[5 OGCUPANilOA� OAtiGMLNi q[CHANICAL i <br /> GRpUP T '7� <br /> B I !'I. � _(TI• D�Yf.S Il NO �� i.') � <br /> �D�ITIONAL PUN CNCCN � '1 <br /> f'IREPLAOLMPf.OU R[AS(N1 — <br /> 7�! ��l/l���W��"'l�E oiimn I <br /> nncarruiKirni+ron nrnsorv � /' <br /> Y�'.� . s�nir nminrt+c�suruainnc�r `l t� <br /> irvi'ni�n�r,i---- rinrrini�rii�ieiunr CITYOF [VERETT runiicwon�.^, I <br /> JA� /- LOCALSALES -- — - ------- / , " <br /> 1t I�� /�•/�y' TA% CODC- IS�105 TOTAL _� \'�l �'� '���_ <br /> . ..._ unu--�1-/_�/---,�. -� _. .- -- - ----- ----- <br /> � <br />