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APP�ICQTIOrI FOR COWSTI;UCT��ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> i <br /> ❑ DEMOLITION COMBINATION I-1 BUILDING f—I MECHANICAL f� pLUM81NG fl SIGN <br /> PROJECT ADDRESS <br /> - 2 T l.� <br /> OWNER MAI�qpDRESS f.ltt / 21P PHONE/ / (�610 <br /> .��1� ��.-U�'�Ei� � �LUG�S/�7.�(FTLk ICkI/�/ '�31'�O/JC�47'[c.� E1L`f•82� <br /> TENANT MAILqOURF."5 CIIY 71P —�PIICV�— 7— <br /> ►Jw� r�s� c� c�w 2� ���'~ •�r �.+� �-� �u � asr �so�3 <br /> ARCNITfCT OR[1E51GNEP MI�IL AUDRE55 CIl / IIP P ONF. <br /> �vru�.��s�a� e�e.a�rw /� �'`'av� w/2� M�'m.au� � ���)(��•b�ob <br /> GENEPAL CGVTRAG1CAi MAILppURES_ Q Y 2iP P� N[�— Gi E LICFNSE� <br /> MECHANICALCONTRACTOR MAILpDDRE55 CfTV ZIP PuONE SiRELI�FNSE� <br /> PLUMBINGCONTRA�TOR MAILAODRE55 CIIV .'IP PHONE SiA7GUCENSE� <br /> C T r,TPRICEOFWORK <br /> 2 � .CO HEATING SYSTEM: f 1 GAS �l EI_ECTRIC f I <br /> D SCR;BE i R��SOU�FOOTRGEI'IVrpL'EO �� � C0�lT CT,P.ER50 NonH Nf NO. �L I n �O <br /> 2 �I �IL IW�N 1 �rV�� N <br /> I <br /> ��� � <br /> I NEREBY CERTIFY THAT I HAVE READ A��D EXAMINED THIS <br /> PROPOSEU USE OF DOILdING APPLICATION AND KNOW THE SAME TO BE TRUE qND CORRECT.ALL � <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHEiHER SPECIFIED HEREIN OR <br /> LEGALUESGF�PTiONOFPROPENTY�SHOWNBELOWOFATfAGHTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �cr BLOCN _OF AUTHORITY TO VIOLATE OR C:ANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW Rf:GUTATIN^u CONSTRUCTION OR THE <br /> PERFORMANCE(JF CO�STRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THc WORK FOR WHICH <br /> APPLICATIUN I MAPE AND y COMPLY WITH TNE 'TATE <br /> PAR�EITA%ID.NUMBER CONTRA RSL 1827RCW �1D296.200WAC. <br /> ��Z&� -3- o�a�cr� ; !f a� l <br /> CGNGTqI1CTION LOAN lENOER,qDUPE55.TEIEPHJNE NUMBER x <br /> SIGNATURE DnTf <br /> � <br /> CITY BUSINES$LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUAE Op ITfM FEE NC. TYPE OF EtlUIPMENT FEE <br /> ' WATERCLOSET(TOILET) � A/C—AIHNDLGUNITS—H.P. ?— <br /> 6A'HTUO ; FORCEDAIRSYSTEIAS—B.T.U. N E.A. ; <br /> I_AVATORY(WASH BASIN) HEAT PUMP �i— <br /> SHOWER � UNIT HEATERS—B.T.U. M '� <br /> KITCH[N SINK 8 DISP ; CLOTHES DRYERS i <br /> DISfiWASHER � VENTILATION FAN � <br /> —i <br /> LAU�IDRY TRAV � RAPJGE HOOD � <br /> CLOTHES WASHER i WATER HEATER —� <br /> URINAL � WOOD STOVE ' <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN J FIREPLACE iNSERT(WOOD BUHNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE —� <br /> � GAS PIPING � <br /> i EXHAUSTFAN i <br /> i � <br /> — i i <br /> —i-- �— <br /> SUB TOTAL 5 ; SUB TOTAL 3 <br /> PERMIT 5 i PERMIT S i <br /> TOTALFEE S � TOTALFEE 3 <br /> FOR OFFICE USE ONLY: <br /> FROk'SFTpRCK REAIi SF.TAAf.H SIOE SETBRCN Pl4NCMECN NVtdAF.R FEF� RECFIP�ND. <br /> ��aa or3. �� <br /> usemruc I.OTAREA vacnr+rsire FEE VALUATION FEE <br /> ftYES I1 NO �UIL�Wf. � A0/) � ��� <br /> IIEIGHTLI�IIi\TION NOOfDWELLING SREOFBIOG/TI i���'� � ' <br /> UNIt,". i <br /> ZG/ / PLUNOM� <br /> v -- —+-- <br /> OCGUPqNCV NO OfStOPoFS OCCUPANTLOAU pASEMENt � <br /> GRCUP �/- MEC114NICAl � <br /> fjI • /� 2'f /•� fIYES fINO ----- - <br /> FIREALARuM�.R'EO� RF�SON Af1DI110NALPl�YCHf.CN <br /> 7�'7 �'X/� on��n --- --- <br /> FIRF.SPf11NKIERtiFO'❑ �iF450N <br /> �(/� � �) <br /> slnie omi.oir+c suna�nnce J � <br /> 1VPEOfCONSi PL�NSAnPRtO,�VEDOY CITYOFEVERETT P110�1CWORHS ' <br /> �_ �Hp\ �r,l ' LOCAL fiALES — — 1-- <br /> ����E � ��j TAX CODE IS 3105 70TAL ,���(� <br />