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APPLICATIt,A FOFi COIdSTRU►C� .ON P��Mf4 <br /> CITY OF EVERETT• BUILDING DIVISION � . <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> I-1 DEMOLITION COMBIMATION Il BUILDING Il MECHANICAL rl PLUMSING fl SIGN <br /> PROJECT ADDRESS 7 <br /> D l -tft�l'—� /yI/-N.t. '�(. Z , ll _ Z6/ �v�"-T'� <br /> owwea Ma�noor�Ess cm zir rMo��E <br /> 2�c%�5 r�Ft_.0�'�� ��d �';�,r r �F�.� � ��rN 1� S��-� 3FJ30 5��r-r� `�� <br /> TENANT MAILAODRE55 l CiTv 21P PIIONE � � <br /> C�rv�Y 21 - iil 5;�,�v��m�u. c2� �2�-��0 <br /> -- G.�'`l. '6�.C, 2cxy�7�I5 �Zt 7 2_ <br /> �RCHITFCTORDESIGNEA MAILADOR[55 CITV ]IP PH NE <br /> Co�a�=u. ��r-�stc�� ���,P 220� rdin� = ��F mLON;c.��"�r`-a r r„�,�� �7v-�7c� <br /> GEhEf1ALGONiRACTOR 1ARILAOpRE55 CiIY ZiP PIIONF. � StATE ICENSE+ <br /> MECHANICALCONTRACTOR MAILA�OPESS Cltt ZIP P110NE STATELICENSE� <br /> PLUMBINGCONTRACTOR MAILADORE55 CITY ZIP PHONE STATELICENSE� <br /> CONTPACT PRI�E OF WORK <br /> �� pC(�� � HEATING SYSTEM: f l GAS r� ELECTRIC �l <br /> DES�RKA�INpSOUq��pOTAGEINVOLVEO � CONiFGTPER NAkpPNONENp ��O J��O� <br /> / �+ .�� <br /> J � <br /> JinPR-06E1�'%E �3U/ —CV I` <br /> I HEREBY CERTIFV THAT I HAVE READ RND EXAMINED THIS <br /> FROPOSEDUSEOFBUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> 6�i.�GC� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> '.VORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LOESCflIPT10NOFPROPERtt�SNOWN9ELOWORATTACHTWOGOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PHESUI.4[ TO GIVE <br /> �or e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOtJ OF ANY <br /> OTHER STATE OR LOCAL LAV�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 I COMPLY WITH THE STATE <br /> PARCEITA%10 NlIMBER CONTRACTORS LAW-1827 RCW AND 296.200 WAC. <br /> /BZSo� -3- v5� - �Z, � <br /> CONSTRUCTION IOAN LENOER.AODRESS,TELEPIIONE NUMBER u� v..��1. a� <br /> / <br /> IC R NE pATE <br /> CIT!BUS W[55 LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE UR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—A/H�JDLGUNRS—H.P. � <br /> BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS <br /> DISHWqSHER � VENTILATION FAN i <br /> LAUNDRY TRAY ' RANGE HOOD � <br /> CLOTHES WASHER i WATER HEATER � <br /> URI�AL � WOOD STOVE <br /> DRiNKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLO'N PREVENTERS � GAS FIREPLACE ' <br /> SINK(SERVICE—EAR,ETC.) � GAS RANGE i <br /> GAS PIPING � <br /> i EXHAUST FAN � <br /> ---•-- <br /> � , <br /> SUB l'OTAL 3 SUB TOTAL 5 � <br /> _ PERMIT S i PERMIT $ i <br /> TOTAL FEE S � TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> fRONTSF.TFlACN REr1P5FTBALK SIpE5Eif1ACK PLANOIF.HNUMOfR /P� �? RF.f.FIPTNO <br /> L � <br /> usezorve i.orar+en vacnNrsire FEES VALUATION FEE <br /> nvE��_i; r�o � <br /> — amimr�c �7,h `� t !) I rC� <br /> HEIGHTUM17AilON NOOFUWELIING SIZEOfNyLD�G41 -�/�- <br /> 1IN11S ID �11 •1 I. PLUTAOING ( <br /> OCCUPANCV NO OiStORIES OCCUfANTLOAL BASEMEHI I <br /> GROUP 1 T L� MFCII�MCAL � <br /> B l I.I. r/ TI. fI1E5 j�'NO "— -- - <br /> FIFEALAPMREOD qfA50Y 40[I�IIOYAI.PUNCHF.CK � <br /> � ' <br /> , _�___ <br /> OiMFtI <br /> i <br /> FIRf.SPRINKLERREO'❑ Rf�SON __ ' <br /> M� S1�lE�UII.DING SIIRGII�fIGE {J�� <br /> IYPE Off.ONST P�.nNSAPPROVEDFlY <br /> � C;TY OF EVERETT runur,wonKs I <br /> � _ I � LOCAL SALES �----- ----- --�—%— <br /> onns �p b t TAl( CODE IS 3'105 TOTAL � % � <br /> — - - �_1Ci� <br />