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APPLICAT14n1 FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • DUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 90201 • 259-8810 <br />fl DEMOLITION fl COMBINATION fl BUILDING I-1 MECHANICAL �l pLUMBING fYSIGN <br />OWNER — MPILAO�RE55 CITY ZIP PHONE <br />�L�-IIi`( Iwf�NO ���l-ru-s�. ���rn-t� q81 q� 325 (oI (oo <br />TENANT � ��% M�ILA�ORE�)55 /� f.ITV ZIP PNONE <br />1� �1/lA �� YY/il�n r!// W/� /� .�. �/ <br />l.FGHIiCGi Ofi �ESIGNER M�II F[�OIiE55 Cltt ZIP PHONE <br />�G �ta-It� DI�PI�`f �4r�0� ti.11=�1 I�iT R�(� r� n i--�C� q�52 C�12P.PN l710� <br />GENEli�LCONTPACiOR �daILALOftESS QTV � ZIP P1104E SiATELIC[NSE� <br />N/,- <br />MECHANICAICONTR4CTOR MAILAUDRESS CITY 21P PIIONE STATELICENSE� <br />PLURIBINGCONiRPCIOfi MAILRpORE55 CITY <br />7 � `12-.� <br />O TR CT CRICE OF WORK <br />DESCRIBE WORK ANG SOUARE FOOTAGE INVOLVEO <br />NIA�P--� liF � I1�lGi"1�- l.-l.. � F�1A�t1`! 17�1 F--a ', <br />J�/D•l,l Sl C� h-�S �(�T-61�1. � l_LU'�L !NP <br />�3�S��CG�...� �1.5I� <br />r�oseouseo em�oiNc <br />��1-�i4l�iZF�i�-I � <br />IEGAL DESCRIPTION OF PROPEHTY (SHOWN BELOW OR ATfALH 7W0 COPIES) <br />�or o�acK oF <br />p;rr,�-�rt�D <br />PARCELTAJfIA.NUAI�ER <br />� O �2�OS-3 -CL I -OCL"7�T <br />CON5T8UCPONLOANLEN�EH.AOORESS.TEIEPNONENUMBER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />'NATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASINI <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SIIJK fCFFI\/ICF _ RAG GT <br />FEE <br />ZIP PHONE STATE UCENSE � <br />HEATING SYSTEM: fl GAS fl ELECTRIC fl <br />CONTACT PERSON AN� PIIONE N0. __ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE T9UE AND CORREGT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE CUMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED OY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITfi THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />��.�..,��- i �/.���� <br />X <br />SIGNATU DA1E <br />Cltt BUSNESS LICENSE NO. <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />—� <br />A/C — A/HNDLG UNITS — H.P. � <br />FORCED AIR SYSTEMS — B.T.U. M E.A. ; <br />HEAT PUMP � <br />UNIT HEATERS — B.T.U. M ' <br />CLOTHES ORYERS i <br />VENTILATION FAN I � <br />i WATER HEATER <br />WOODSTOVE <br />; METALFIREPLACE� <br />� FIREPLACEINSERT <br />; GAS FIREPLACE <br />L) GAS RANGE <br />' GAS PIPING <br />i EXHAUST FAN <br />i <br />i <br />SUB TOTAL 3 ; <br />PERMIT S i <br />FOR OFFICE USE ONLY: <br />FRONTSFTPACN REAPSETBRCN <br />USE ZONF IOTABEA <br />� <br />IIEIGIITIIMITATION NOOFOWELLING <br />IINITS <br />FIRESP�INKIERPEOD I �F�SON <br />pV <br />UAiE�� I � � h - <br />SIDE SF.TOpCN <br />VACANI SITE <br />(IVES fl NO <br />SIIE OF OLOG�f� <br />IIYES fl ND <br />SUB TOTAL 5 <br />TOTAL FEE 5 <br />PI�NCII�D/M�� IfE�p��� IPECEIPTNO <br />pOILDMG <br />PLU610ING <br />MFCIIRNICAL <br />pppI1104N. PLAN CHGCN <br />OiIlEf1 <br />STATE OUIIfJING SUf1G11nfIQE <br />CITY OF EVERETT nuet.ic vronKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />