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APPLICATIOnI FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVEFETT• BUILDING DIVISION <br /> 32�0 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION fl COMBINATION f l BUILaING f] MECNANICAL tl PLUMBING f l SIGN <br /> PROJECT A p7Ip�� � �. ( ^ / � J c� v c�P�r // G.� q /J <br /> D (� � � �T �/ ��i ZU.� 3aJ-i3� <br /> OWNER M�I�ADDRE55 CITY ZIP PHONG <br /> Dua.,e P 5��,:.-�,.,a,� 4�83 8 U G I���u :��, C��-�e ff 30,3 /.�ii <br /> TEN�NT MAILADORESS CITY 21P P110NE <br /> SG.�...,� c� v� L J J� <br /> PRCNITECT OR DESIGNER MPIL ADDRESS CITV ZIP PHONE <br /> /^�/�9 <br /> GEN AlG NTRACTOR MAILADUR[55 C11Y 21P PIIO4E StAIEU [NSE• <br /> l � liFs i �ly� , �.�z � � sf �� /��-/,�-, Sgz � � s� - ? ZY�� '�io o� <br /> MECH�NICALCONTRA�Qq MAILADORE55 f.ITV ZIP PIIONG ST�TELICENSE� <br /> PLUMBINGCONT CTOR\ MRILAUDRE55 CIN ZIP PHONE STATELICENSE� <br /> CONT�CT PRICE OF WORK <br /> 3,.� U � , O o HEATING SYSTEM: �GAS �l ELECTRIC f 1 <br /> DESC BE WORK ANO SOUARE FOOTAGE INVO D / CONT�CT PERSON�ND PMONE NO. <br /> 4.. ,.0 i� � ��'� T—� � <br /> Gu�- '^ � • U� �Cr �� Y- <br /> PROPOSED 5 OFBUILD�� � ��_ �^��4 A PL CAB ON AND1KNOW THE SAME TO BE�TRUE AND CO RE�CT ALL <br /> PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCRIPTIDNOFPROPERTY�SMOWNBELOWOpRTTRCH7WOLOPIES� NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or eiocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION 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 � COMPLY WITH THE STATE <br /> aeace�iNc i.o.r+uueea — CONTRACTORS L .27 RCW ANC 296200 WAC. <br /> i'i - � <br /> � �'=--- ��_ // /(,� � <br /> CONSTN+KTICNLO�NIENUER,�DDRE55,iELEPMONENUMBER X ..' .%�� <br /> SIGN�TIYFE—�� DATE <br /> CIN BUSINESS LICENSE NO. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) � q/C—AlHNDLGUNITS—H.P. ' <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � 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 /> i EXHAUST FAN � <br /> � � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL $ � SUB TOTAL S i <br /> PERMIT $ � PERMIT $ ,� i <br /> TOTAL FEE $ � 70TAL FEE S `'%—' <br /> FOR OFFICE USE ONLY: <br /> fRONTSETPACK PERf15ETBALK SIOESETBnCN PLANCIIECKNUMOC:R FE[ RECEIPTNO. <br /> usezor+e iornaen VRCANi51IE FEES VALUATION FEE <br /> nvEs �� No omiowc � <br /> � <br /> HEIGIIT LIMITATION NO.OF OWELLING SIZE OF BLDGRI i <br /> UNILS p�pM�ING � <br /> --� � <br /> OCCUPANCY NO Ot510RiE5 OCCUPANTtOAO BASEMENT � <br /> CROUP MECN�NICAL � <br /> � <br /> fivES II NO � — <br /> FIRE�URMREOD REASO4 ADDIIIL�..�LPLANGNf:CK � <br /> _.___�— <br /> OTMER � <br /> FIRF.SPRINKIER RE0'O RF�SON � <br /> SiATE OUILOING$URCH4RGC <br /> TYPEOFf,ONSi PIANSRPPROYEDBY CITYOFEVERETT �'��AIIC'NG�KS � <br /> LOCAL SALES --'— <br /> �qTE TAX CODE IS 3105 TOTAL I <br />