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.�. <br /> APPLICAT14�1 FOR CONS�RUC? �ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f-1 DEMOLITION �l CQMBINATION BUILDING f-1 MECHANICAL �l PLUMBING fl SIGN <br /> PROJECT ADDRESS �� � <br /> E 7�C� � 03 <br /> O ER MAILADDRE55 CITY ZIP PHONE <br /> �n.N w�,m,�ht, �.�.�oCo�M��cral �.���.�o� -2a6 ��r7 �SS�— <br /> IEN�NT� MAILA�OPF55 f.IIY 71P i`110NE <br /> '�`� <br /> ARCHITF.CTORDES�GNEfi M�ILAOORE55 Cltt 71P PMONE <br /> J�Ih�L� <br /> AENERAL CONIIIAQOR MAILAD[1RE55 CIIY ZIP P110N[ $7qT[I ICMSE� <br /> �Ul'(�e� <br /> MECH�NICALCONTRACTOR MMlAODRF.55 C�IY ZIP PIIONE STqTFLICENSE� <br /> PWMBINGCOIlTR�CTOR MAILAOU�ESS Cltt .'IP PIIONE STA/GUCENSE• <br /> CONiMCT PRICE OF WORN <br /> HEATING SYSTEM: I l GAS fl ELECTRIC <br /> DESC E NLRN AN�S�OAj1E FOOT�GE INVOLVED CON CT VERS 1. HONE N0. r <br /> I HEREBY 'JEHTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE OF PUIL�ING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> l':ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPT OFPROI'ERTVISHON'NBELOWORATTAGHTWOCOPIESI NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> iot e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW AE �ULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI7.ED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> VARCELT/1J^(I.D`.NU•MBER CONTR CTORS LAW 10.27 RCW AND 296.200 WAC. <br /> K� �� � <br /> CONSTAUCTIONIOAN LENDER.AWilE55,TELEPNONE NUMPER x . <br /> �N URE OATE <br /> CITY BUSINE55 LICENSE NO. <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) ' A/C—AMNDLGUNITS—H.P. ' <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK S DISP � CLOTHES DRVERS � <br /> DISHWASHER <br /> � VENTILATION FAN ' <br /> LAUNDRY TRAV i RANGE HOOD � <br /> GLOTHES WASHER � YJATER HEATER ' <br /> UHINO.L ' WOOD STOVE � <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE ' <br /> GAS PIPING � <br /> i <br /> i ExHAUST FAN ' <br /> � <br /> i <br /> � � <br /> SUBTOTAL E ; SUBTOTAL $ __',� <br /> PERMIT 5 � PERMIT S <br /> TOTALFEE S TOTALFEE S ' <br /> FOP OFFICE USE ONLY: <br /> FROYTSETP�CR REAR$ETBACR SIOESETP�LK PLANCIIECNNIIM�F.R fFF RF.CEIPTNO. <br /> USEZONE iotnnen VACANi51IF. FEES VALUATION FEE <br /> t I VES f 7 NO p111101NG i � <br /> MEIGHT L�MIi�TION NJ Of UWELL�NG SQE Of BLDGR I <br /> UNIfS �'�UMUING <br /> � <br /> _ � <br /> OCCUPANCY NO Of 90RIF5 OCCUPANT 104D BRSEMENT AIFCIInNIf.AI � <br /> cnouv <br /> fIYES 1� hU <br /> -- �DDIIIONPL t'LRN CNECK <br /> FlRE�URMRE00 RE�SON <br /> on�en <br /> FIRE SP�INNIER REOD �7FA�ON ;��) <br /> STAIE DUIIDING SURC11ARf f _ <br /> Tviceorr,or+sr n�nHsnr�roveonv CITYOFEVERETT rumir.wonK� � <br /> LOCAL SALES —'� � � .j <br /> DAIE TAX CODE IS 3105 707AL <br />