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APPLICATIOrI FOR CONSTRUCTrJN PERMIT <br /> CITY OF EVERETT• BUILDIIJG DIVISION �i,� <br /> 3200 CEDAR STREET• EVERETT, WA gB201 •259-8810 � <br /> rl DEMOLITION (1 COMBINATION r 1 BUILDING �j, MECHANICAL r 1 pLUMBING f l SIGN <br /> PROJBCT ADDRESS � � <br /> a � io C'oL � �� � ✓C= <br /> OWNCR MAI�AOD(tE55 <br /> Citv 2ir <br /> �` ��OI �;111lV Yr�'li.]� lU N^�i�lJ�'r� i�i � r_� . . !'110N[ <br /> TENRNT � , I� r.'.:�� . .. L �' � • - - _ .. . -i <br /> MqILADOPFSS CIIV 21P <br /> N/(� � fnONE <br /> AqCNIT[CT OR DE5IGNER MPII/JlDRE55 CITY <br /> t��'�r Iic P10NE <br /> GFNE(lAI CONiMCiOq MAILAD�NIE55 CITV <br /> �/:/�< z1�' M�ONE 51ATE LICCNSE Y <br /> MF NICAI CONTRA,TOR , IAFIL RpDRE55 drI <br /> ` (, ,.y ��� FHONE $TATE L�CENSE• <br /> �" ����n'm'� ) uN�rr rz r7r r <br /> PLUMBINGCOHiRRfiOR // MAII AppqE55 �I7Y <br /> r�Ir �� 11P �MM1E STAif.LICENSE� <br /> cowrn�cr vnice w wonK <br /> � �� ������� HEATING SYSTEM: I 1 GAS I l ELECTRIC �� <br /> D[SCRIBE WORN ANp SOUARE fOOTA�,E INVOLVED <br /> _FCI'-FCi �;..� 51-�.�� .�ic (�- 3T�'rl f'ooF-�ar fA� .� coNrac/ty as nNo �nor�S-No -/�� <br /> {71�� IfYI$�(� <br /> dj:. u;d�?: Wina �.1Cu/ a.diTS ar- Sn,:,.c srzC <br /> n�;• � <br /> fNf [nNFiG�IinT�.n� (NEiN �iJO Ol4 p�!�� ��E�p.r � � I HEREBY CERTIPV THAT I HAVE READ AND E%AMINED TF:IS <br /> oaOroseouseoFsmirnn•cc; APPLICATION AN�KNOW THE SAME TO BE TRU[AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEGIILDESCRIPTION0�1'ROP[RTY�SHOWNB[LOWOqATiR�NTWOCO��ES� H'ORK WILL �E COMPLIED WITH WHETHEF SPECIFlED HEREIN OR <br /> NOI�. THE GFiAN71NG OF A PEFMIT DOES NOT PRESIJME TO GIVE <br /> LO7 A��N no� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> /�_,I � (L -^ OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> W RUG . PERFORMANCE OF CONSTRUCTION.THAT�AM AUTHORIZED BV THE <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPIY WITH THE STAiE <br /> raace�rnxio nvMeen CON�AC�182 RCW AND 296200 WAC. <br /> i �j ^ <br /> CONSTRUCTION(OpNICNpER,qppR[SS.TEIEPHONENVMpER —/ - J �.fC+ <br /> ��i /� � � <br /> . .Nn1URE D�iE <br /> QiV pUSRJ[55 UCCNSC NO �'; � D L <br /> PLUMBING MECHANICAL <br /> M TYPE OF FIIfTURE OR I7EM FEE NO. TYPE OP EQUIPMENT FEE <br /> � WATERCLOSET(TOILEn ,j _ NC—A/FiNDLGUNITS—H.P. �— <br /> THTUB � FORCEO AIR SYSTEMS—O.TU. M E.A. � <br /> LAVA ORY(WASI�BASIN) ' <br /> HEAT PUS�p �— <br /> SHOW � UNIT HEAiERS—B.T.U. M i <br /> KITCHEN INK 8 DISP i CLOTHES DRVERS <br /> DISHWASH � VENTILATION�AN � <br /> LAUNDRY Ti7AY � RANGE HOO[1 � <br /> CLOTHES WASH � WATER NEATER � <br /> URINAL � WOOD STOV[ � <br /> DRINKING FOUNTAIN i MFTAL FlREPLACE (WOOD BURNING) ' <br /> FLOOR DRAIN � FIREF'IACE INSEFT(WOOD�URNING) � <br /> BACKFLOW PREVEN7EPS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE —T— <br /> GAS PIPING � <br /> � EXNAUSTFAN � <br /> � <br /> i <br /> � � <br /> _ SUO TOTAL $ � SUB TOTAL S � /, <br /> PERMIT $ PERMIT $ J_�� <br /> TOTAL FEE $ � �lUTAL FEE S .7� _ <br /> FOR OFFICE USE ONLY: <br /> fRONiSFTpACR qFM5ETp11CR SIDESFiBRCR P�ABC11Ff,NN11MAfP f[F qfCE1PTN0 <br /> usezoruc ror�aen vnr.nwsne FEES VALUATION FEE <br /> I�YFS II NO � <br /> — OUp pING � <br /> H[IOHTLIMIT�iION NO (R'UWFIUNG SIIEO�BLIXirtI <br /> UNILS <br /> PI IIMpINp � <br /> OC:UP�VCV NO 0[SIPNf 5 IX;CUI'�M 1 OAU pqSEMENT —� <br /> fiEOUP MfCHAWf.�I <br /> i <br /> IIVfS II qp - ___�_ <br /> FlPEAtPtiMftEOP IIFASON AODiIIONA�,p�.qNGNFCN i <br /> rmFsrniNKiFnaen�n nFnc� <br /> ou�en I <br /> � <br /> srme nunoiNr cvnr.Hnnr.e � <br /> i <br /> *m�orr,o�+st vinasnrrnovenev CI7YOFEVERETT rum�r,wcm�a <br /> LOCAL SALES — _;—_ <br /> _ _ uan. TAX CODE IS 3705 l TOTAL _ __ <br />