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❑ DEMOLITION <br />'LiCATIC�'1 FOR COM�TRIDCT ��1 ��Rf1�IT <br />CITY OF EVERETT • BUILDING DIVISIOtJ <br />3200 CEDAR STREET • EVEPETT, WA 98201 • 259-8810 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL {,]' PLUMBING ❑ SIGN <br />CENEOAI CONI(lApTO(1 M�ILADp0E55 QIY IIP PIIONE Sf�IE LICENSE � <br />MECHANICALCONTRACTOR MAILADDRE55 CIfY 2�P PIIONE SU�EUCENSE� <br />1}'I— �I-��uw��n�v-r SZ`�CX- lc%�'�nG,c�t' l'J'1-sx�,Su�l���,�7v /;�7�� .Ti'r�;��� �5��.;.� <br />IEGAL <br />LOT _ <br />OLOCK <br />(5110WN <br />CONSTf1UC7�ON LOAN IENDER, ADORE55, TEIEPHONE NUMOEfi <br />PLUMBING <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASFI BASIN) <br />KITCHEN SINK 8 DISP <br />LA�NDRYTRAY <br />URINA: <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN� <br />SINK (SEAVICE — BA <br />SUB TOTAL E <br />PERMIT S <br />TOTALFEE E <br />FOR OFFICE USE ONLY: <br />FRONTSETO�CK FBAf15ETUACK <br />USEZONE <br />IIEIGIIT LIMI7AilON <br />OCCl1PANCY NO Of SIOPIES <br />LOT�REA <br />NO OF OWEILING <br />UNIi� <br />�EACON <br />SI�E SETD�CR <br />VACANf SIIE <br />❑YES <br />SIIE OF OLUG/ti <br />��n <br />�I1EA71NG SYSTEM: � GAS p ELECTHIC ❑ <br />CONiACT 1'ERSONANO PHONE NO <br />� <br />� <br />� <br />O Nb <br />❑YEi ❑ NO <br />oFr,otisr PLANSAPPf10VED0Y CITY OF EVERETT <br />LOCAL SALES <br />,,..� TAX CODE IS 3105 <br />I HEREDY CERTIFY THAT I HAVE REAO ANO EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVEflNING THIS TYPE OF <br />WORK N.'iLl BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PflESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONS7flUCT10N OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND i COMPLY WITH THE STATE <br />CONTRACT RS LAW 1827 RCW AND 296.200 WAC. <br />� � � ����� ����6 <br />5 N�Tuf1E AlE � <br />CITY BUSINESS LICENSG NO <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />A/C—AMNDLG UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />FEE <br />0 <br />0 <br />� RANGE HOOD � <br />WATER HEATER ; <br />WOODSTOVE � <br />MEfAL FIAEPLACE (WOOD BURNING) ' <br />FIREPLACE INSEflT (WOOD BURNING) i <br />GAS FIREPLACE � <br />GASRANGE ; <br />GAS PIPING � <br />EXHAUSTFAN � <br />i <br />�� � <br />i <br />_ — �— <br />SUB TOTAL 5 ; <br />PERMIT S � <br />TOTAL FEE S � � <br />PLANCIIECNNUMIIPII fEF RECFIPiNO <br />FEES VALUATION FEE <br />nunowr. ' <br />I <br />i <br />PIUM�ING i <br />� T <br />IAECIUNIf.AI � <br />� <br />RD��IIONAL PUN OI@f,N � <br />� <br />��� <br />Q111El1 � <br />$TAIE DUIl01N65UliGlUpfE i <br />_�__ �- <br />rum ir, vmnKs <br />—_I— <br />TO7AL i <br />