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A�PLICATI��nI FOR CO�NS�RUC7 .ON �PERM111'/ <br /> CITY OF EVERETT • BUILDING DIVISION Y,C� <br /> 3200 CE�AR STREET• EVEAETT, WA 98201 •259-8810 � <br /> f� DEMOLITON X COMBINATION �� BUILDING rl MECHANICAL � PLUMBING f 1 SIGN <br /> PR JECT ADDRESS � ')/�� / <br /> o � o� s.,� ay - �s- -� �=-1��� s �:;� <br /> ow�+En Mni�nOnness cirr zir r��ovc � <br /> Lr��d��'o�,r aa�� �e�e�`�- P�'a a_3 �� 3�'- y7,�- <br /> TENAtlT IA�'�LADORF55 CIIV IIP PIIONE <br /> ARCHIT[Ct OR�ESIGNf.[i MAII ADDRE55 �ItY IIP PHONF <br /> �� � ��7�� <br /> GENEPALf,ONtfi�CiO(i IAnII.�DORE55 ❑IV IIP PIION[ $iATGIICGNSEv <br /> MECHANIC/+lCOYT�nCTOR M114q,1pOPF.55 QTV ZiP PIIONE STnT[LICENSE� <br /> FWMBIIIGCONiP1.�`JH MAILADORE55 Cltt �IP FNONE SiAt[LICENSE� <br /> CONIRACTPRI�c OFWORK - <br /> B D 't` S•` HEATINu SYSTEM: f 1 GA �I ELECTRIC i � <br /> DESCRI�F.WORKANOSOUAPEFOOl�GEiNVOLV[D CO4 C�SONAl1DPH0'� <br /> G <br /> l ���� /// � a6 -'�7�5' <br /> I HEHEBY CE'4i�IFY THAT I HAVE READ AND E%AMINED 7HIS <br /> vaoroseo use nmion+c APPLICATION AilD KNOW THE SAAfE TO BE TRUE AND CORFECT AI.L <br /> s ^ PROVISIONS OF LAWS AND ORDR;4NGES GOVERNING THIS TYPE OF <br /> � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALUESGRI TIONOFPROPEf"f�SHOWN6cLOWORATfAGHTWOCOPIES� NOT. THE GRAHTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioi_�eicew. oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> �/—� iiy%{%'?�/� /�T <�/(/ PERFORMANCE OF OONSTRUGTIOR LTHAT I AM AUTHORIZOED BY THE <br /> OWNER OF THIS PROPERT`/ TO PEHFORM TFiE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH fHE STATE <br /> PARCF.LT iu Meen � CO AC S LAW 1827 RCW AND'G96200 WAC. <br /> 5,;�. � ,�� _�s- _ ,��� pr, <br /> CONSTRUCTION LOPN IENDEP.FDDR;:SS,TREPNONE NUM9FR X <br /> � �unE � � onrE <br /> .TY OUSME55 LICENS[NO <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI7CTUFlE OR ITEM FEE NO. TYPE 7F EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNITS—H.P. � <br /> BATHTUB FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) HEAT PUMP T— <br /> SHOWER UNIT HEATERS—B.T.U. N: <br /> KITCHEN SINK 8 DISP i CLOTHES DRYEfiS � <br /> DISHWASHER � VENTILATION FAN <br /> LAUNDRY TRAY ; RANGE HOOD <br /> CLOTFIES WASHER � / WATER HEATER � <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN FIREPLACE INSER7(WOOD BURNING) � <br /> SACKFLOW PRE`/ENTERS � GAS FIREPLACE � <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE �— <br /> � GAS PIPING <br /> i EKHAUSTFAN � <br /> i — i <br /> SUB TOTAL $ � SUB TOTAL S ' <br /> PERMIT 5 PERMIT 5 i <br /> TOTAL FEE S � TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> ff10NT SFTPACK PFM SFIDACN SIOE SETBACN Pl4N CIIECK NUMP[R f[E a✓ �1PCGIPI NO. <br /> Zo' .,—�;,��,,, 7�' s'd io' �ks.a 5oz�� 30-- <br /> us[zorue lornnen vacnN�sire FEES VAIUATION FEE <br /> 2' � JZE'•(.� �Es r; No ouno�Nc � 1 <br /> 363 5� � � /D <br /> NGIGNt IIMItqTiON � NO OF OWE�UNG &e'(Of 13LDGR1 ; <br /> uwrs �oZJ SF L�vw4 1- rwn+mNc � <br /> 0 q90 5 ' Ac;�. �O �t�0 <br /> OCCUPANCV NO O�c;nNfS UCCUPANiLOAU �RSEMENT � <br /> cnour. una�nriicn� O I 00 <br /> �"_Z /v-� I � :ItiES I. NO — <br /> FPEALAPMREO� �F150N ��DIIIONALPI�NGNf.CN <br /> �— <br /> OtNGR <br /> PIRfSFRINq[RRF.QD �fASCN � — <br /> STNE OUIIDIYG<UnC,11nRGE �:v -� <br /> ivr[ovco�is� rinNsnrrnnvenm CITYOFEVERETT rn��in-.vmna� � -+,� <br /> T J � LOCAL SALES --- --- ���-- <br /> JL_/.� _ ��A�E 2 zf3 �y— TAX CODE IS 3105 70TAL _ _ _ � <br /> SS '���1`�s <br />