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APPLICATIG.1 FOR CONSTPtl�C7 .JN PERMIT <br /> CITY OF EVERETT� BUILDIt:u DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-881� a" <br /> I-1 DEMOUTION f-I COMBINATION I BUILDING 1 MECHANICAL � PLUMBING I-1 SIGN <br /> PROJECT ADDRESS <br /> � � � ���-��. �1Y.�c= <br /> ONT�ER MAILpDD4E55 CItY Z�^ PHONE <br /> T7r,' �.I� l�nt,/s'►4 �� /q�-� /-ra'lT /-�(� =�/ 9��-C/ <br /> iEN0. T MAILApDRE55 CITV ZIP CHONE <br /> A-�-V `��TOI^�' IJ �F� �ILGI'lSlf`� IC_. �/")✓l �—I! •�zi�D�K� )fd PMO'V� !O /I� � / � <br /> /l_!1 <br /> GEI�EqA�CONTRAGTOR VAI�ADOPESi CITv ZIP PHOVE �� SiATEl10E45E� <br /> /VG-.�/�/�J/��D��� <br /> MECMANIGALCONTRACTOR MAI�AD��E55 CITV ZIP PM01:E STATEUCENSEr <br /> PI.UTABINGCONTqACTOR MAILRODFESS CITV ZIP PNONE STU'LICcNSE� <br /> CONTqACTPRiCF OF WORR / / � <br /> I�L���-�}2——� HEATING SYSTEM:�i"f,pS ❑ ELECTRIC 17 <br /> DESCRIBE WORN AND SOUAPE FOOTAGE INV EOR' 0 C NTACT PERS�y AN PMO E N . � <br /> �v -- > 1- <br /> / ✓ - <br /> � � �� �v � � I HEREBV CERTIFV THAT I HAVE READ .AWD EXAMINE� THIS <br /> APPUCATION AND KNOW THE SAME TO GE TRUE AND CORRECT.ALL <br /> PROPoSEUUSE OF 9UIl01NG PROVISIONS OF LAWS AND ORDINANCE&GOVERNING THIS TYPE OF <br /> WOPK WILL BE COMPLIED WITH WHETHER SPFCIFIED HEREIN OR <br /> LEGAL�ESC9IPTIONOFFROPERttISMOWNBELOW(SiATTAGMTWOCJPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io� BLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULAT ONSTP TION OR THE <br /> PERFORMANC NSTRUCTIO . HAT I M RIZED BY THE <br /> OWNER H ERTY ERFOR T ORK FOR WHICH <br /> APP ATIO MADE I CO P ITH THE STATE <br /> pARCEL Tq)c I.O.NUMBER CO T W 18.27 W AND 2 .2 ." <br /> ' _� i � <br /> GONSTqUGTICN lOr1N LE 1UEfi.RDORE55.TEIE ID NU A <br /> SIGN TU q <br /> CIIY Si 55 GEN N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF FI%TURE OR ITEM FF_E <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) HEAT PUMP � <br /> •---- <br /> SHOWER UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK&DISP � CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV ; RANGE HOOD � <br /> CLOTHES WASHEFl � WATER HEATER �— <br /> URINAL W70D STOVE <br /> DRINI(ING FOUNTAIN i UETAL FIREP�ACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD OURNING) � <br /> BACKFIOW F'REVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,E?C.) � GAS RANGE <br /> � GAS PIPING <br /> EXHAUSTFAN � <br /> i � <br /> i i <br /> SUBTOTAL 5 ! SUBTOTAL 5 � <br /> PERMIT S PERMIT 5 ' � <br /> TOTAL FEE $ � TOTAL FEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> ffi0NT5GTflACN p[MS[TDACh SIDESETBACN PLANCN�CKNUMOER FF.E PECEIPTNO. <br /> 7 .� <br /> usemNe �ornnen vncar+rciT� FE S VALUATION FEE <br /> nvEs �� �+o euuowc � <br /> � <br /> MEIGNTLIMITPTION NOG°�WELIJNG 512EOFOL�(:/fl <br /> � UNIiS P�pN�ING i <br /> � <br /> GROUPANCV NOCF90RiE5 OCGWANTLOAD BASEMENT M[CHAN:CAI � <br /> ❑YES fl NO i <br /> FIRE AIqRM PEO'D RERSON ' RD01➢ONr1L PLAN CMECN i <br /> i <br /> OTNER � <br /> i <br /> FIRESPRINK!ERREO'0 REASUN i -- <br /> SIDTE�WL71NG SURLHMGE i <br /> i <br /> TYPFOFCONST PLANSAPPROVEGFIV CITYOFEVERETT PIIBIICY��'+RS � <br /> LOCAL SALES --- � <br /> oATE TAX CODE IS 310' l u TAL � <br />