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APPLICAT'1�1 FOR CONSTRUC . ' N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERCTT, WA 98201 •259-8810 <br /> I i DEMOLITION I 1 COMBINATION I I BUILDING MECHANICAL Il PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> �Z o �i�bY �ua� <br /> owraF�� Maa�ow�ess r.irr rm ri�oNc <br /> .�1�- !Na Z�3i ���rrKo� �eA' �.c�a�- 9�?a� <br /> TEN�NT � MqUDDRE55 CIIY ZIP PIIONE <br /> �STAtf� 'F.$���t.s�o�t '7� <br /> AR HITfCTORDE5IGNER MRILAODRES Cltt IIP PNONE <br /> ����� <br /> G[NEf1ALGONTRPC7011 MAILA�ORf.55 CIIY 71P PIIONE $IRiEUCEN5E1 <br /> 3DL Go�. <br /> MECHANICq_CO47qAdOR MAILAD�RE55 CITV 21P PIIONE 5TA7EI.ICENSE� <br /> P�BI�C�C7IXi MFILAODqEg$ ��`—� C�� 2�P ' PN09�133 WVIYL��iE��� <br /> iv. �. <br /> COI 7 ICE F ORR <br /> HEATING SYSTEM: I-I GAS �l EIECTRIC fl <br /> UC�flEWOPK�N SOUAAEFW7R�LVE��� CONTAG7P[RSONANOPIIONENO. ���� <br /> � 7 <br /> �L � � <br /> .�T.1- �G� 'i <br /> w���� d" �IG�R� A PL CAB ON ANDIKNOW T1iE SAME TO BE�TRUE AND CO RECT.ALL <br /> rnoroseo uSEOF ouuowo PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LDESL7IPTIONOFPROPEflTY�SHOWNBEIOWORRTTRCHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tor__eiocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTIOY OR THE <br /> PERFORMANCE OF CONSTFUCTION.TNAT I Ahl AUTHORIZED BY THE <br /> OWNER OF THIS PROFERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAD "AND I COMPLY WITH 7HE STATE <br /> PARCELTA%ID.NUMBER CONT TORS VJ 1 . 7 RCW AND 296200 WAC. //////111 <br /> CONSTPUCTIONIOANLENDER.ADURE55,iELEPHONE NVMBEH x (/�� �` � � <br /> SI RE OATE <br /> dIY BUSINESS LIC[NSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR�TEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUD ; FORCED AIR SYSTEMS—A.T.U. M E.A. ; <br /> LAVAIORY(WASH BASIN) —� HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER VENTILATION FAN � <br /> LAUNDRYTRAY ; RANGEHOOD � <br /> CLOTHES WASHEF � WATER HEATER � <br /> URINAL ' WOOD STOV[ ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLODR DR41N � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLONIPREVENTERS ; GASFIREPLACE i <br /> SINK(SEP.VICE—BAR,ETC.) � GAS RANGE � <br /> �_ GAS PIPING ' <br /> i EXHAUSTFAN � <br /> � � <br /> i � <br /> � � <br /> , � <br /> SUD TOTAL $ � SUO TOTAL $ <br /> PERMIT $ � PERMIT $ <br /> TOTALFEE S ' TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSEiOACN RERASETOACH SIOESGTORCK PLANCIIGCKu/'MOER FEE RECEIPTND. <br /> t rns�-, <br /> N� <br /> USF.ZONG LOfAf1EA VRCANTSIIE FEES VALUATION FE� <br /> f1YE5 ❑ NO �p��p�NG <br /> HEIGII�LIMIIATION NO.OFDWLLLINQ SIZEO�BLDG/Tl. � <br /> UNI75 PLUMOIN6 � <br /> GROUpANCV IN Oi510NE5 OCCUPAN�lOAO 9ASEMENT MEGIIM'ICRL <br /> �_ <br /> f1YE5 fl NO � <br /> FIPEAURMOEO'D AEASON ADD1170NALPLANCIIECN I <br /> OiHER � <br /> FIRESPPINRIEfiREO'D RE�SOH � <br /> STA7E�WLDIN�SURCNRRGE i <br /> TYPEOFCO451 PIANSAPPROYEDOY CITYOFEVERETT �UBIICWORKS I <br /> LOCAL SALES �— <br /> oAT� TAX CODE IS 3105 TOTAL � <br />