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AP�LlCATI�,N FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DlVISION � <br />3200 CEDAR STREET • EV[RETf, WA 982G1 • 259-8810 <br />1 DEMOLITION COMBINATIQN '� BUILDING I I MECHANICAL PLUMBING I I SIGN <br />PR6JECT ADORESS _ I <br />o'NSEn vnn.arn�.^css cirv ' l�r n�d+e /�/ , ZCf.2, 6� � <br />,���-`l��'-�-.-�Z1 �!`dn�, I,('Gr,u , G+ 23 D 1 tl-in� r�Y�t t� o,. i vG tt 11.Pi- � 8 20 /� <br />v�mc � s hloo-vG <br />na�auircronoesicuer+ rran.nnrn�ess an zir rHor+e <br />l.. � . . . - - -, i . .. - — — - .. „_.. - - -' <br />r,er,Ennicerhnncion N�i�nennes= cirv r�r m�one sTaieucervse. 3(G ( <br />Ta �iC ililr,v,n.t."v�i ,r� � �� 'T/� 3 �7<- i0c�� <br />�O�RES< CIiY 21P PIIONE SiAtE II�ENSE • <br />1� <br />PLUMBING CON79<CTOR MAl1. ADDRE55 CItY Iin PI�OHE STATE UCENSE � <br />�� <br />D[SCRIOE WORK RHO <br />USE OF <br />IEGPL DESCPiPT10N O: PROPERtt ISHOWN BELOW OP AifACll TWO <br />LOT BLOCK OF <br />1-rH9cU G lNG4 s2o 7�W�o; <br />rancei �aio.r+u�.ieFn <br />4?';1-�{Sq -6Dl�doo3 <br />CONSTRl1CTIUN LORN LENG`R AD�RE55. TF.LENMONE NUMBER <br />PLUMBING <br />TYPE OF FI%TURE OR ITEM <br />BATHTUB <br />LAVATORY(WASH BA� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUNDRYTRAY <br />CLOTIIES WASH:R <br />URINAL <br />DRINKING fOUNTAIN <br />FLOOR DRAIN <br />SINK <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: <br />!'RONTSF.iPACN RF�R�+ RCK � <br />I Ck i� <br />U�EZO 9 LOTr19yp <br />lC -3 � J D�J sf <br />NEIGNTJMITPTION tJ00FUWELLING <br />�S m�irs G <br />✓ <br />OqCOOpAhC� IlOC�SiCAlES OCCUPRNIlOAO <br />) G � _�Gl�t.�9''= <br />FI9F.PlAi�.:',l�E00 REASOY <br />� r �'O <br />tiqESPRiNal.f�nEOP REASON <br />NG <br />trrE cc Co'+5� via�+s nrpaoveD or <br />�' � � <br />__ C4i[ <br />FEE <br />SIOE SETBACK <br />\'ACANi 9tE <br />nves i��r:o <br />�ZE Of OLUG41 <br />HEATING SYSTEM: �GAS f� ELECTRIC 11 <br />CONTRCT PERSOtI AND PMONE Np. <br />f�ar,u l?invnnst l�1 ZGG. 2�.'z, - s <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND XNOW THE SAME TO BE TRUE AND CORRECT. 4LL <br />PFOVISIONS OF LAWS AND OFlDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE CCIdPLIED WITH WHETHER SPEGFIED 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 REGUI.ATING CONSTRUCTION OR THE <br />PEFiFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHqRIZED 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 AND 296 �00 WAC. <br />CrtV <br />NO. TYPE OF fIXTURE OR ITEM <br />AiC � -A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. I <br />HEAT P!1MP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DFVERS <br />VENTILATION FAN <br />RANGEHOOD _ <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BURNIN <br />FIREPLACE INSERT (WOOD BURNIP <br />GAS RANGE <br />GAS PIPINC� <br />EXHAUSTFAN <br />PV N CH[CN <br />nuiiort+c <br />�Zii/. .yy�IilM 1 PLUMAIN(i <br />`fU� !`•'v uvn, <br />BASEMENL N�ECIIRNICRL <br />x.�5 �, H� � — <br />�DMTnNpL PUN CNECN <br />OTHER <br />STATE BUILDING SMCMARGE <br />CITY OF EVERETT rueucwoeKs <br />LOCALSALES <br />TAX CODE IS 3? OS TOTAL <br />5• <br />pAiF <br />FEE <br />SUB TOTAL 5 ; <br />PERMIT S —i— <br />TOTALFEE S ' <br />�E[ AECEIPTNO <br />� � //390L- <br />VALIfAT10N FEE <br />'�./H'✓1 ✓ / J � > ! '" <br />8 <br />��J �� � �� <br />'' (,� � � I <br />