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APPLICATIt..� FOR COWSTRUC7.ON PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETf, �NA 98201 • 259-8810 <br />�� DEMOLITION i 1 COMBINATION f� BUILDING f 1 MECHANICAL `' PLUMBING �' SIGN <br />PROJECT ADDRESS ,/� J` ,/ �` y_�� n�',` ,���p` L f <br />7 7 /7 ! <br />oxNER Mn�tnooREss Cltt zir rHok[ <br />.__.._. _....__.__.._.._ <br />.5,?mE <br />ARGHIIF.CTOFOESIGNER MaIADORE55 CITv Ti� PHONF. <br />IiRRCTO{i MAILApDRE55 <br />�� <br />MEf,NANIGALCONTR�CiOR MAIIADDRE55 <br />arv zm <br />PHp'�E SiAiE LICENSE � <br />PWMBINGCONiRRGTOR M0.ILAODPE55 CITY ZIP P/IOYE STAtELILCNSE• <br />LONiRRGi PRICE Of WORN i7 <br />r,�/�?.%, <br />OESCR�9� WORN AND SOU4RE FOOTAGE IYVOLVED / <br />`� b��.<j-� .�I2(�ILr�i-C.Q�1� ./t�/,4�L�✓%� <br />l � <br />���/ C��Z� � ��l�CA / � / <br />. � ��- C-�' z e _� <br />VROPOSE USE OF 9011DIN <br />Rc.'S;n�ive�'�Sm- �r�i .?s�.3:.v�ss <br />LEGAL DESCtiIPTION OFPROPEFN ISHOWN BELOW OH ATTpGH T WO COPIES� <br />�___i <br />LOT BI.00K Of <br />PARGELTR%ID.NUMBER <br />s3,-��-G��- O�C'..(,l(X%�% <br />GONSTRI/CT10N IOAN LENpER. ADORE55. /ElEP110NE NUMBER <br />PLUMBING <br />NO. TVPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />SHOWER <br />KITGHEN SINK 8 DISP <br />DISH WASHER <br />LAUNDRYTRAY <br />CLOTHFS WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOV!PREVENTERS <br />SINK ISERVICE — 8.4R, E7 <br />SUB TOTAL 5 <br />PEHMIT 5 <br />TOTAL FEE S I <br />FOR OFFICE US'c ONLY: <br />fRpNT5FTFl4LK RFAR SFTPAf,N $IDE SETBACH <br />-��p i � �SZ- <br />U�F ZON�� IOt/AREA r�,� `- VAC4Nt SILF <br />i0 7��s IiYES <br />p[ICJIiLPAItAi10N NOItSFUWF.ILING SiZEOF^9l�U](irtl <br />VU� <br />OCCUPANCV NO O�S�P�'FS OCCUPANLLOAO BASEMENi <br />n1iF FFnINNIfRnF.On <br />N� <br />FEE <br />HEATING SYSTEM: f� GAS f- I ELECTRIC f I <br />CONTACi PF4150N �N� t'HONf: NO <br />(: <br />I HEREBY CEFTIFY THAT I HA\�E READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVFRNING 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 REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICF,TION IS MADE AND I COMPLY WITH THE STATE <br />WNTRACTORS LAW 18.27 RCWAND 29E.200 WAC. <br />i / <br />/ / � I_ � <br />X ��`-'�� x � _ ::_i ��.s;�_�.�X . .1 "�� % i <br />SIGkATUPE . , OATE � ^ n� <br />ir '] <br />CIiV pU51NF.55 LICENSE NO <br />MECHarncn� <br />NO. TVPE OF E�UIPMC•NT FEE <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYS?EMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEP HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAIIST FAN <br />SUB TOTAL 5 ; <br />PERMIT S <br />TOTALFEE S , <br />rinNc��ECKNuti�orn rre nFr.em.No <br />���� _? � ' � /c7 <br />nunnwc <br />PLUMAING <br />_— _ ___i__ <br />MECHANICAL <br />I 1 NO - -- — �- - <br />— ADD��IONPI.PI�NG�[CK <br />on�En <br />nFn�oN <br />SiAIE A1111�MG SURCMApGE <br />r��.nNsnrvno Cnm CIT'f OF EVERETT ���niir.wones <br />���' LOCAL SALES <br />� 7AX CODE IS 3105 T�TA� <br />nnr[ � - � S -5S - -- -- - -- � <br />