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APPLICATII,�I FL R CONSTRUCI dON P�f;MiT <br /> CITY OF EVERETT • BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> ` ' DEMOLITION r i COMBINATION i 1 BUILDING ! i MECHANICAL �l PLUMBING f 1 SIGN <br /> PROJECT ADDRESS � � <br /> ��Q� ���E -��E,���-� � L'-�, %�'�=� / <br /> olY'!ER !AAILADORE55 cin ziP rHONE <br /> i`/<,-i<li 'j77�.c���ev,N �JoB ��,D� i�c� 9���, �;�1-.ZGt�9 <br /> tENAf1T MAtLADORESS Lii'! ZIP PHO�rE <br /> ARCHITECTORpESIGNER MAIIApORE55 GITY IiP PNONE <br /> GENEP GONiRAGTOR MAILADDRE55 CItV ]iP PIIONE SiATELICENSE� <br /> /�tirne:� <br /> 1fECH�NI�pLCONTRnCiOR MFiLA00RE55 CITY 21F PIIONE STAiELICENSE• <br /> PLUldBINGCONIRACTOR MaILA0DRE5S CIiY ZIP PHpNE SiATELICENSE� <br /> CONiRACT PRICE OF WORK <br /> ✓��l ' HEATING SYSTEM: 17 GAS fl ELECTRIC <br /> OESCRIBE WORK AND SOUARE FOOTAGE INVOLVED CO'1TACT PERSON ANp PH1�E NO <br /> Ui ��i "✓.-ivN TO t�ti�7i.v� i6Ut� �.i'Ui.(i� �S�—yt���c <br /> R�s�,-�c,��. S ��C� F�. <br /> � E� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � � APPLICATION AND KNOW THF SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSEO USE OF�UILDING PROVISIONS OF I,AWS AND JRDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL B[ COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL��ESCC/RIPTIONOFPROPERtt�SMOWNBELOW,�ifACNTYlOCOPIES) NOT. THE GRANT!NG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior�BLOCK oF ��� �T TE S � AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE C�P, LOCAL lAW flEGULATING CONSTRI�CTION OR THE <br /> PEfiFORMAN�E OF CONSTRUCTION.THAT I AM AU7HqRIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION :5 MADE AND I COMPLY WITH THE STATE <br /> a�acE�raz i.o.r+urneea CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTFUCTION LOAN LEN�[R.ALOqE55.TELEPNONE NUlABER X '�^--1 r �-� � �—/� <br /> SIGNAf URE OATE <br /> CITY BUSINESS LIGENSE N0. <br /> PLUMBItJG MECHANICAL <br /> NO. TYPE OF FIXTURE UR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOIL[T) � A/C—AlHNDLG UNITS--H.P. � <br /> ' BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> � LAVATORY(WASH BASIN) HEAT PUMP � <br /> �- <br /> SHC7WER UNIT HEATEflS—O.T.U. M <br /> KITCHEN EINK 8 DISP CLOTHES DRVERS i <br /> DISHWASHER VENTILATIUN FAN <br /> LAUNDRY TRAY ; RANGE HOOD ; <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAI. WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIflEPLACE(WOOD BUHNING) � <br /> FLOOR DRAIN � FIFEPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE <br /> � GAS PIPING <br /> i EXHAUSTFAN i <br /> i � <br /> ; � <br /> —r— <br /> SU8 TOTAL 5 � SUB TOTAL 3 ' <br /> PERMIT $ i PERMIT 5 __�— <br /> TOl"AL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: � L � ,j�'��� <br /> iRONTSF.TAACK REMSFTOALN $IDESETOFCKJ PI�NCII[CNI;JMf.ffl FEE �j IiECEIPTNO. <br /> l�c� / f�%� � S�i �. _ � l' � <br /> use zorvF � �oi anen vacnur cire FEES VALUATION EE _ <br /> — � '�!� flYES fl NO OUILDING �S �IZ � � ��' <br /> /� <br /> HEIGNTLIMITATION NO.OFpWELLING SIZEOF�IOG/TI /J � <br /> � / UNITS S'fo S 007iv �'WMOING L / � <br /> OCCUP�NGY NOOFSI0R:E5 OCCUPANTL04D ��SEMENi hl[Chl/NICAL i� <br /> r,��ouv � N A <br /> .'� IlYES I. NO i <br /> FlR[ALFRMFEO'D PEFSON AOOIPONALPLANCHEGN i <br /> hl� oniEn '"- <br /> � <br /> f IRE SPRINKLER REO'D RE�SON <br /> O STnTE�i1IL�ING SIIRCHAqC,E L ,� <br /> i <br /> iYFEOFCONST PlANSAPP(iO�BY CITYOFEVERETT PIIBItC\YOiiKS '� <br /> ' 1 J LOCAL SALES 2�j <br /> �- N omE 5 0 �'jS TAX CODE IS 3105 70TAL � <br />