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APPLICATIL.� FOR CON�TR�C7 .ON PERMIT <br /> CITY OF EVERETf• f3UILDItJG DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 9A201 • 259-8810 <br /> I-1 DEMOUTfON ��COMBINATION I-1 BUILDING I� MECHANICAL �l PLUMBING f l SIGN <br /> PROJECT ADDRESS <br /> ��c> �� �=l_/fa�Tr �^/-�c.L ��/R Y'. �i�ir�-' ��l _ <br /> �WNER MPRqDORE55 CITY � ZIP PHONE L� �L,.�j�� <br /> C .1wu� i�l.u� % cot,u�� ►�.�s���. &b-�� �-r�.�,�a�►�la�f- <br /> IENANT MNLApORE55 CIiY lIP C ONE —� -� <br /> ���cG�ia�r�s��` �-������s�=����r c�U�1F , �� (2�v.��3- z.�c�o <br /> ARCHITECT OR DESIGN[F MAII a DRE55 CI'Y ]iP �HOhb <br /> 1.7.hU147'�L l'�l'.5(F�n/„ (��u��1 �2� E GV���11 DU� �(��� ���� 10�o n � <br /> GEN LC NTRACTCR M4ILFDORESS J CIIY ]IP P�ION[ _�J SiATELICENSE� <br /> viLS t,�- r�� S� � ��v�-J'�:�J <br /> ME PNI�;ALCONTRACTOR MAIIADORE55 CITV ZiP PIIONE STATELICENSE� <br /> PWM9INGGONTRACTOR MAILA�DRESS CIiY ZIP PHONE S7AiELICENSE� <br /> pONTRR T P{il Of WORK <br /> X ,�� �� � HEATING SYSTEM: f 1 GAS fl E!ECTRIC f 1 <br /> oEs�WO�D EOUARE FOOTAGE Iy;V LVED �J1�TFCT Pi.R50N AND PHONE NO <br /> t�- �-F �t?=�tr1/ f� 7�i�L'AI'� A,vn _ <br /> : , <br /> '� Z ��G�'1 F��`�(!-- �7� �7Gj�i' <br /> I HEREBY ��ERTIFY THAT I HAVE READ AND E%AMWED THIS <br /> APPLICATION AND KNOW THE SAME TO B[TRUE AND CORRECT ALL <br /> PROPOSEUUSE OF�BI�1IL�ING y� � pqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> P��L�GYY //I.'NA�I f !-ff,I WORK WILL BE COMPLIED WITH N'HETHER SPECIFIED HEREIN OF <br /> LEGAl�ESGRIPTIONOFPROPERTVISHOIT'N9ELOWORAT7ACNiWOGOPIES� NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT' BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERfORDAANCE OF CO�STRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THI;> PHOPERTY TO PErIFORM THE WORK FOR WH'CH <br /> APPLICATION IS ADE AND I COMPLY WITH THE STATE <br /> MCELTA%ID NUMBER , CONTRACTOR�LAW 2 RCW AND 296. b WAC. <br /> CONST(iUCTI�R,A�RE55.TEIEPHONE NUM�EP , —� <br /> x <br /> SIGNATURE �ATE <br /> �i 1 <br /> CITY pO51i�E5S LI 'NSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE()R I1�EM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATcR CLOSET(TOILET) A/C—A/HN�LG UNITS—H.P. <br /> B/TH`UB ' FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> U:viSORY(WASH BA:iIN) � HEAT PUMP � <br /> S:'C�WER UNITHEATERS—B.T.U. M ' _ <br /> KI'iCHEN SINK 8 DISP i CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY ' RANGE HOOD � <br /> CLOTHES WASHER WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DflINKINCa FOUNTA�N METAL FIREPLACE(WOOD BURNING) i <br /> FIOOR ORAIN � FIREPLACE INSEAT(WOOD BURNING) ' _ <br /> BACKFWW PRE'lENTERS ; GAS FIREPLACE � <br /> SINK(S[RVIC'� �-�4i�i ETC.) � GAS RANGE _ <br /> -� � GAS PIPING i _ <br /> EXIiAUST FAN � <br /> � <br /> � _i— <br /> — � i <br /> � r— <br /> '__ � <br /> SU�TOTAL $ � SUB 70TAL S ' <br /> PERMIT 5 PERMIT 5 � <br /> TO?ALFEE S � TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FRONTSETAIILN REARSEIBRCR S��ESETBACN PLr1NL11@CKNIIMAFR f[F �� / R[CFIPiNO. <br /> 6"�{ 7 <br /> �,a.i 3 � <br /> usezoNe iornaEn vncnnrsire FEES VALUATION FEE <br /> t1vES It NO � <br /> oun.owc �j �o' �� I �i,. <br /> HEIGHT LIMITATION NO OC OWELLIYG SIZE OF pLOG41 <br /> ❑NiIS plUMp�NG ' <br /> � - T <br /> OCCUPANCV NO O�SIOFiES OCCUPANiLOAD B�SEMENi � <br /> GROU� /� / MEGUNIC4L i <br /> I1YE5 II/QO <br /> fIREALFR6IREOD RfA50N /+DOIIIONALPIANCNECK <br /> i <br /> N� on�en ' <br /> FIRF.SPpINNIERPEO'D FE�504 � <br /> - IO SiAlEAl11l�MG5URGHARCE — �- �,5�) <br /> n� — <br /> rrveorror+sr ttnrusar novFnor CITYOFEVERETT rueiir,wonHs <br /> f ,11- LOCAL SALES -- ���-, <br /> �/ ' / (� rnrE - ZU,qj TAX CODE IS 3105 70TAL ��"' - <br /> _ � . <br /> � <br />