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tlil :--. <br /> APPLICATION FOR CONSTRUCT��N PERMIT <br /> CITY OF EVEFiETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f� DEMOLITION rl COAA9INATION fl BUILDING S�� 67ECHANICAL r 1 PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> 35<5 � ���y Av� <br /> ownen MRRAD;11iE55 cm zir PMON6 <br /> Car3�t�T �RouP �9s�> u���imoe�rAvc cvE�rr,.,q 9,�� �Q/�.,_�� xa -S�t�7 <br />� TEN�NT M/JLAD�RE55 QiY r zIp P110NE <br /> Ule �._ . �(�/3�/l15�I� <br /> RRCHITECTOPDESIGN[t1 MFIUCORESS CITY 7m PHONE <br /> /'u�icr!s.��tl Gvien. <br /> GENEf1RLE0YiMCiqi MnILADORE55 �IIY 11P PHON[ $tn1ELIC[NSE� <br />� D�yinpic_ MC�-lbJN�c,e� i?J.�3U-l's3dLt Lyn�n�wat��u.y_S��YI 7�N-��f� n�Y��„z i���� <br /> MECH�NICAL COYTRACiOR MAq ADDPE55 CITY ZIP ANONE 5 ATE LI�ENSE� <br />� PLUMBINGCONIR�f,TOR MAILAODFE55 CITY ZIP PHO�JE STATEtICENSE� <br />� � <br /> � GONTRA(T PqiCE OF WOfiK <br /> ��UD"- HEATING SYS7EM: �AS �l E�ECTRIC �l_ <br /> DESCRIBE WORR RND SOUARE FOOT�GE INVOIVED CO4TAGT I'ERSON ANO FIIONE NO. <br /> �/si ��_ uCTwweF. N+�o FFu ��s `t z�l3L_. 7�/- ��F l <br /> � ON 2� N (.'7L /G�J✓Hr� (� Ou+� �. <br /> ;� 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> PROI'OSED USE Of BUIlOIN6 <br /> APPLICATION AND KNOW THE SAME TO BE 7RUE AND CnRRECT ALL <br /> i � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />�I ; WORK WILL BE COMPLIED WITH WHETH�q SPEqFIEO HEREIN OR I <br /> LEG�LDESCRIPiIONOFPROPERTY�SHOWNBELOWORATT�CHTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> i ; �or BLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON OF ANY � <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE I <br /> . PERFOFiMANCE OF CONSTRIiCTION.THAT 1 AM AUTHORIZED BY THE <br /> I� OWNER OF 7HIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PARCELTA%ID.NUMBER CONTRACTORS LAW 1827 RCW AND 296.20D WAC. <br /> f CONSTRUCTIONtO�NIENDER.ADURESS,iELEF110NENUMBER x���J����� ����-� 6 <br /> ISIGNRT� y - DATE <br /> CITV�USME55 LIGENS[N0. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) � q/C—AMNDLGUNITS—H.P. � <br /> BATHTUB ; FORCEUAIRSVSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATERS—D.T.U. M � <br /> KITCHEN SINK 6 DISP ; CLOTHES DRYERS ' <br /> _ � <br /> DISFiWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV ; RANGE HOOD ' <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i NETAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DPAIN � FIREPLACE INSERT(WOOD BURNING) ; <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE T <br /> ; GAS PIPING ' <br /> i EXHAUSTFAN � <br /> i � <br /> SUB TOTAL $ ; � � SUB TOTAL $ ; <br /> I PERMIT S � PERMIT $ � <br /> TOTALFEE $ � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: '-� <br /> fpONTSETpRCH REaR5ET8RCK SIDESE70RCN PLANCIIECNNUMOFN FEF � RECEIPTNO. <br /> � <br /> U£[20NE iornn[n vncaNiStte FEES VALUATION FEE <br /> !t YE5 f 1 NU DNIDMC � <br /> _ � <br /> NEIGHTLIMITRTIDN NOOFUWELUNG SREOFBIDGrtI i <br /> UwfS PWMUTA, i <br /> � <br /> OCCUPANCY NO OfStCMiES OCCUPANilORO BASEMENT � <br /> GROUP MECIIANICAL <br /> IliES I1 NO — <br /> FIPE�IAPM REOD RFASON AODI110NAL 1'lAN GMf.CK <br /> —_T— <br /> Oir1EN <br /> FIRESPRINKLERREO'� FEASON ' <br /> SIAIE OUIIOINC SUpCNAAGE <br /> ivreorcoNsr vinNsarrnovener CITYOFEYERETT rum.�cwonKs <br /> LOCALSALES -- — <br /> uATE TAX CODE IS 3105 TOTAL <br />