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�� _. <br /> APPLICAT� JN FO�t CONSTRUC . ION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f7 DEMOLITION f-I COMBINATION I-I BUILDING I� MECHANICAL f� pLUMBING � SIG <br /> PROJECT ADDRESS <br /> /ni.2/ ��/,���:�-',=�-�, �.��:t, �i` i� �VF�'FTT GU,q- 9 �ao� <br /> OWNER MAI�ADDRESS LIN ZIP � pNONG <br /> (�vr�L; n� SEGui�IG g�/AcuirM /0/c� / ri/,cRGi2i_�.J �}-+� £Ud�FT'ri l//rF- 9�0��/ �1d�3-3o�5/ <br /> TEN(A�T� '� AILADDpF.55 �7�� //���J��S� 7.IP� �/ ^�/K/J /�� IOC'f / <br /> � � y ,� _ <br /> �� a /1�/tn. ,i1 � <br /> ARC TF.CTOR�ESIGNEH Y MAILAD�PE55 �ITY ZIP �b rHotie <br /> ��Ri�� n)ko,� Co _4N � � P� NsV � z69 �,,�,�t.000+, , �/a, ��ov6 �76•8�35 2��eQh.��o��� <br /> GENERALG NifiACTOR Mnl pDUf1E55 GIV ZII• PIIONE SiAT[LIC[:�SE� <br /> MECHpNICpLCONTR�CTOR MAILADDRE55 CITV ZIP PIIONE STqTEUCENSE� <br /> PLUMBINGCONTFACTOR MAllA00RE55 CIiY ZIP pHONE STATELICENSE� <br /> CONTRACT PRICE OF wOPK - <br /> � /O, 7(00,°'L HEATING SYSTEM: CI GAS 11 ELECTRIC I-1 <br /> DESCP19E WORK ANO SOUARE F T GE INVOLVED GONi CT PFR PHONF NO. <br /> NST� t� r�� a �r.-rs oF iar�;�;c,� ,� �co3s ���-8f3S <br /> /L/ lrr���NArF.'7 L="!'Tl=�C'S nJ o�'?7i W6S'r' <br /> >la ��, ���S • ��/• a t� r-G �rQ �� T- I HcREBY CERTIFY THAT I HAVE READ AND EXAMINED THI: <br /> PROP SED USE OF Al11LDING APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT.ALl <br /> ��� L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF <br /> LEGALDESCRIPTIONOFPROPERTY(SHOWNBEI.OWORATT�CHTW�COPIES� NOT. THE GI'.ANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or BLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANl <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � SEc T T,qCH-r=_i) PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICh <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TPX I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> �H 2$0 - z_po� - 000/ / n <br /> CONSTRUCTIONLO�NLENOER,�UORESS.iF.LEP110NENUMOEfi X��Y��`.,,�i� � /fliv�a�/ 9/2Y// �j <br /> �r � <br /> SIfiN�TUf1G (/ p4fE <br /> CI1Y OUSINESS UCENSE NO. O Z�['{ � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF EqUIPMENT FEE <br /> WATEFiCLOSET(TOILET) � A/C—A/HNDLGUNITS—H.P. - � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) HEAT PUMP i <br /> SHOWEFi � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS ' <br /> DISHWASHER VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD ' <br /> ^ CLOTHES WASHER _ � WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) ; <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> ; GAS PIPING <br /> � EXHAUST FAN � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL 5 ; <br /> PERMIT $ � PERMIT $ • <br /> TOTAL FEE $ � TOTAL FtE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETf1ACK RFnI15FT0ACK SI�ESE70�CN PL�NCIIGCNNUMO[R FBf n� RECEIPTNO. <br /> N.F � � � .� I( �-/ <br /> N <br /> use20 1[�rnnen VACANf51IE FEES ALUATION FEE <br /> �"� - � 8� � I1VE5 , NO ��,�«��N� n��o %-; - <br /> IIEIG 1T LIMITATION NO OF DWEILING 512E OF OLDGR.I <br /> / UNIIS � <br /> [Jr L I/�I� N�- PLUMOING <br /> T <br /> OCGUPANCY NO 0[510PIE5 OGGUPANT LpAD OASEMENT <br /> GROUP MECIInNICAL � <br /> I1VE5 Il NO — <br /> FIREALMMPEOD f1fA50N <br /> pppI1,JH�l.PLAN�NCCK � <br /> on��n <br /> F�pFSPRINKIERPEGO RFASON • <br /> STNE OUIlO�NG SURGHMGE ,�, i�(� <br /> TYPEOFf,ONST PLANSAr�Ei_oveoov CITYOFEVERETT rum.ir,wonKs � <br /> �M LOCAL SALES � <br /> unre IO ' TAX CODE IS 3105 70TAL ; <br />