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, �-.. <br />APPLICATII..�I FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ UEMOLiTION ❑ COWIBIWATION �,7c1 BUILDING 17 MECHANICAL fl PLUMBING f� SIGN <br />OWNER <br />OR �ESIGNER <br />Mnu aooness <br />[ 'L <br />ZIP PHONE <br />9S�I.ob/ 5�"S 4Z�l�/ <br />i�' rHONe <br />o� �Z13 G'�o - 6 �o � <br />ZIP PHONE STATELICENSEu <br />' _ . ' ' '_ _ ..�. .... n_ . ._ ... <br />MECHANICALCOYTRPCTOR MAILAD�RESS CIiV ZIP PHONE SiATELICENSEN <br />.ua�uE <br />PIUMBING CONiRI.CTOR MFIL AODRE55 CI7Y ZIP PNONE STATE �ICENSE a <br />pNC SOUARE FOOTAGE INVOLVE� <br />PRO�POS�EO U�S�E OF �BU/ILOING �y/ <br />�+wvr'..' 6/ ��.i+ <br />LEGALDESCflIPiIONOFPROPERTY(SHOWNBELOWOR•. '•'HTW`O <br />LOT � BLOCN OF�OL <br />PARCELTAXI.O.NIIMBER <br />CpNS�U�`IO ���DE� URESS. TELEPNONE NIIMBEF <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />KITCHEN SINK 8 DISF <br />DISHWASHEfi <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SINK (SERVICE — <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />FFONTSFTBACK REAA SFT��CK SIOESETOACK <br />USE ZOHE <br />HEIGHT UMITATION <br />OF <br />FIRE ALAflM REOU <br />� yYy <br />FlRE SPRINKLER RENO'Dy <br />� IG5 <br />TVPE OF CON51 <br />_J- 1�� <br />HEATING SYSTEM: fl GAS ❑ ELECTRIC ❑ <br />CONT�Ci PER�N AN� PHONE N0. <br />I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW PEGULATING 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 />CONTRACTORS LAW 18.27 RCW AP:D 296.200 VJAC. <br />X � �-z���7�'L/X��---- 3 ^/O — QS' . <br />SIGNATURE DATE <br />CITY BU9NE55 UCENSC N0. <br />MECHANICAL <br />N0. TYPE OP FIXTURE OR ITEM FEE <br />A!C —AMNDL.G UNITS — H.P. � <br />FORCED AIR SYSTEMS — B.T.U. M E.A. ; <br />HEAT PUMP � <br />UNITHEATERS—B.T.U. M ; <br />VENTIIATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE ( <br />FIHEPLACE INSERT <br />GAS FIREPLAGE f <br />__� <br />GASRANGE � <br />GAS PIPING ; <br />-- � <br />EXHAUSTFAN � <br />_—�— <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTAL FEE 5 <br />PL�N CHECK NU1^DER � I FEE// � I FE/E�� 5� <br />�F`77n <br />LOTAREA VACANTSITE FEtS <br />I-;VES ❑ h0 OUIL�ING <br />Ii00FOWELLING SREOFBLDGRI. <br />lItJ1T5 �n �! T I ' p�UM01NG <br />f-LLM1/ 1 <br />O�CUPANTLOAP BASEMENT M[CMANICAL <br />� '�'O, ❑YES �fYNO <br />RERSON AODITIONAI PLl�N CMECN <br />�'%���'/�• L.�'1ti�nn OTHER <br />REASON <br />��q� !�/1G�TL�1w STATE OUILDING SIIRCHMGE <br />VK '/'� �s.�.' <br />PLANSAPPROVEOOY CITYOFEVERETT P���LICWOFiKS <br />:JM LOCAL SALES � <br />onre 3//3�95' TAX CODE IS 3105 � TOTAI L <br />� <br />• <br />