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APPLICATION FOR CONSTRUCI �ON PERMIT <br /> CITY OF EVERETT•pl I!LDING DIVISION � <br /> 3200 CEDAR STREET• E\+CRETT, WA 98201 •259-8810 <br /> f 1 DEMOUTION f I CQMBINATION f I BUILDING kMECHANICAL I 1 PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> 2�0? Y �oieY �uP.R,E <br /> �owNFwn 1 rannnDrn�Ess <br /> �� ���' � CIIY 7�P PIIONE <br /> 1[NANI MMI Ai)fNiE55 �—�—� � <br /> ll,���-���/�,�����,� z��--�i <br /> �-�!L 4nnanoi��ss cnv <br /> y� y�� y zir rnonr: <br /> OENGRAICDNIf1AC70R Mq��pppppgg f.11Y <br /> �I�L ��. ��r ����N� STATELIC@NSf• <br /> AIECII�yALCON784C100 MAILADO(1E55 <br /> /I�1'1✓Y� ��TM Z�� P110NE STATELICENSEr <br /> y�r rdc �j��- a�,_B�r+��;�_____?w,�,�s�.9�1'�f/ef/YN�t3.L3N� <br /> PIIMBIN.CON711ACi011 MRILRDDRE55 QIV ZIP � <br /> PIIONE STRTE LICENSE Y <br /> , CO�` '�Ct PRICE 01'WqItH ' <br /> -�Rr 7-�O m HEATING SYSTEM: I I GAS f 1 ELECTRIC �l <br /> DE R AE WORN AN SOVr1RE FOOTAGE INVOIVED <br /> CON1ACi P[RSON pN0 PIION[N0. <br /> � _�,H �rr�•�oN �fe4-99m <br /> . ����� � ���J�p�� I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rnoroseouse oc ounoiHc — +— APPUCATION AND KNOW THE SAME TO�E TRUE AND CORRECi ALL <br /> PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> ieca�oEscnirnor�oFrnor�nn�s��owrreeiowonnnncirtwocoriesi W�RK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br /> ' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> . ��T eLOCK o� AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTIiER STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED DY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FUR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITN TkE STATE <br /> PAqf.ELTA%10.NUMBER CONTRACTO LAW t CW AND 296.200 WAC. <br /> CONSTRUC710N LOAN LENDER.AD�RE55.iELFP1/0NE NUMOER � <br /> // ,� <br /> / E � <br /> CITY�USINESS I ICGNSF N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR I7EM <br /> WATER CLOSET(TOIi.E7) FEE <br /> ' A/C—MiNDLG UNITS—H.P. <br /> BATHTUB � <br /> i FORCED AIR SYSTEMS—p.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) i fiEAT PUMP � <br /> SHOVJER � <br /> ' UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � � <br /> V[NTILATION FAN , <br /> LAUNDRYTRAY , . <br /> � RANGEHOOD � <br /> CLOTHES WASNER � WqTEH HEATER <br /> URINAL � WOOD STOVE , <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) ' <br /> FLOOR DRAIN � <br /> ' FIREPLACE INSERT(WOOD DURNING) �i— <br /> DACKFLOW PREVENTERS i GAS FIREPLACE i <br /> SINK(SEFV�CE—OAR, ETC.) � GAS RANGE —T— <br /> — ' GAS PIPING , <br /> � EYfiAUST FAN <br /> � <br /> i <br /> i <br /> � <br /> � <br /> � <br /> � <br /> SUO TOTAL $ � � <br /> � SUD TOTAL 5 —� <br /> _ PERMIT '�� <br /> � ' PERNIT <br /> TOTAL FE[ $ � ' <br /> TOTAL FE $ � <br /> FOR OFFICE iJSE ONLY: <br /> �BONTSETOACK pEARiETOACK SIDFSETBRCN PIANCII[CKNUMOEq FEE r� RECEIPTqN �(/ �//} <br /> USEION[ " /v�I /V� I �/ <br /> �oinnee VRCFNTSITE FEES VALUATION FEE <br /> nves n no eunoiNc <br /> IIEIGIITUMIiR710N NUOFDWELLING 5¢EOFBLDNi.I. i <br /> UNIT� — <br /> PWAf01NG � <br /> i <br /> OCCUPMIGY NC OFSi0NC5 OCCUPANTlOA� OASEMENT I <br /> GROUP MECl/ANICAL � <br /> f1VE5 Il NO � <br /> PIRE AURM B[0❑ fiER50N AODI110NRL PLAN CHECK � <br /> i <br /> fIRE SPPIHNLER REO'D REASON OTM@R l <br /> STRTE OUIl01NG SIII7CIIARGE i <br /> TVPE OF CON57. PUNS APP(IOVFO�Y � <br /> CITY OF EVERETT runuc wonres ; <br /> �M LOCALSALES � <br /> uei� � TAX CODE IS 3105 70TAL �s ; � <br /> G'�' � Q—'— <br />