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APPLICATIG.� �OR CONSTRUCT .JN PEiRMIT� <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f 1 DEMOUTION [l COMBINATION f l BUILDING XMECHANICRL �I PLUMBING f-1 SIGN <br /> PROJECT ADDRESS <br /> 2� �� ��-�r � V�NuF <br /> owr�en vr.anooness cirr r�r r��o^+e >SY— <br /> C/f-�2��� .b�vS .N 2J�� ,Noyt F�v,�v.�� Fv� �r �� "Ic� �J � u4�y <br /> TENnr:T MNLnDDnE55 cltr 2iP r11aNE <br /> S s}w� � <br /> ARCHITEGiOfl0E51GNER MRILAD�RE55 Cltt ZIP PHONE <br /> nGENER—PLCONTRfCTOR MAILADDR[55 CITV ]IP P��ONE STATEIICENSE� <br /> �C` • <br /> NECHANIGAICONTP�LIOR 61NLADORF.SS LITY DP I PHONE StATELICENSE/ E NNH <br /> �EL�`'�rt�sct- �'�cMr-.�,U y �-L - �-F�J1 N�:11` G v�EP� � '.Vq� 9 F 2U 3 z.i9-y5/� (� ta�q�,v <br /> P�UM9ING CONTPACTOR MAIL�O�RE5S CITY ZIP ���OJE TATE LICE�bE� <br /> coNrnacTaniCEOFwonK HEATING SYSTEM: j�GAS fl ELECTRIC Cl <br /> 3 [eo � <br /> DESGRIBE WORK PND SOUARE FOOiAGE INVOLVED [ONTACt PEPSONl�(1�'MONE N0. ) I �r ^ N <br /> J �..��� � , zs S- r <br /> ZNS��{-�� N�-.� F�l 2N,9�� '� c✓�1-d`E.2 <br /> H-��l"` -LJ2 <br /> -- A Pr� �� � APPL CAB ON ANDI KNOW THE SAMEE�O BE�TRUE AND CORRECT.ALL <br /> PROt'OEEO USE OF OIIILOING PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGTLC`;CPIPLIONOFPROPcRTV(SHOWNBELOWOI'ATTPCHTVJOGOPIES� MOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> e�ocK cF AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> ��T— OTHEfl STATE OR LOCAL LAW 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 /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> {'APGEI TFX I�.NUMBER <br /> t ''/n' r <br /> WNSTPUCTION IOAN LENOEB,AODRESS.TELEPNONc NlIMOEB X `� <br /> 51 RE DAT[ <br /> USINESS LICENSE N0. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WHTER CLOSET(lOILET) T— _ aC—NHNDLG UNITS—H.P. !_ <br /> BATHTUB ' FORCFDAIRSYSTEMS—B.T.U. M E.A. i <br /> LAVATORY(VJASH BASIN) i HEAT PUMP ' <br /> SHOWER UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS ' <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAV ' aANGE HOOD ' <br /> CLOTHES WASHEFt —r N.'ATER HEATER ' <br /> URINAL ' VJOOD STOVE ; <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) <br /> FLOOR ORi.IN � FIREPL4CE INSERT(WOOD @URNING) ' <br /> i <br /> � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS � �— <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE - <br /> � � GAS PIPING � <br /> � ERHAUSTFAN ' <br /> — ' i <br /> � T <br /> i i <br /> SUB 70TAL 5 � SUB TOTAL 5 � <br /> i <br /> PERMIT S � <br /> TOTALFEE S ' TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> FfiONT SETflACK R@M SETflACK SIDE SETBACK PIAN CIIECK NUM�ER <br /> FEE REc[IrTNo. <br /> FEES VALUATION �EE <br /> USE ZONF: LOT r1REA V4CnNT SITE � <br /> I <br /> f1YE5 fl NO p����pING ti_ <br /> HEIGNTLIMItATION NO.Of�WELUNG E:ZFOFaLUG�I � <br /> ❑NITS PLVM�ING <br /> I <br /> BFSEMENi � <br /> OCGUPANGY NO OL Si0RIi5 OCCUPANT LOAO M[CIIANICAL � _. <br /> i <br /> GROUP ��VES (l NO <br /> i <br /> AODIIIONPL PIAN CHEGK <br /> FIRE PLARM HEO'D RE4SON i <br /> i <br /> OTMER � <br /> i <br /> FIRE SPRINKIER FEO'D AF�SON STAT[BUIIDING SUpCNARGE � <br /> i <br /> ttaEoccoNst risr+snvvnoveonv CITYOFEVE�IETT �unucwonres ' <br /> LOCALSALES � <br /> TAX CODE IS 3105 70TAL <br /> UAIE <br />