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Q1�PLICATIG.� FOR CANSTRUCI'.�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CFDAR STREET• E�!ERETT, WA 98201 • 259-8810 <br /> f-1 DEMOLITION �Q COk!SINATION �l BUILDING �l M�CHANICAL � 1 PLUMBING f I SIGN <br /> PqOJECTAGDRESS 3� �� J <br /> - �l�(%Y11 i 1- n V '-� t /._- ; /'.,F�• ' �.i. 4�// <br /> owr+en . rMnanoon`ss . <br /> an ^ .,� zir /7 /,{ r��or�� ( � . z <br /> J. �.��v1('�P �Jr��7_ ��1vir,l,i��t �. ('� . ��.1.(.). ,� .^�l.11l?r �/�l '1 ����'� 1r1�./;ilri-'��!1Cj",� V�ti� 37� 7 <br /> IEN�NT 6tAltqDpRF.55 r,ilV 71P c��ONE <br /> l�(S1�- ..7�� <br /> ARCHIT[CTOR�ESIGHER y�qIl0.DORE55 CiiY ]IP PHON[ -( <br /> GF.N��h� ��eScl��., �eSK1I� ����� C ('G I ur*nla f1Ne E�e F• T � '` ^ �--. <br /> ONIH�f,iOR MFILR�URESS � ,Il� plP � '�ICN[ ���vSiqiElt�SJ� _���� <br /> j�, n� c��e,v6l� lYl��%�. <br /> MECNANIf,l.LCONTRAf,TO� MAII.ADpRE55 " � � Gtt ]�P PIIGNE ST4iELICFNSE� <br /> �r� �t p��`'.Z,� �i nk7M�iaR C{M�vtU.�3^ <br /> PWMBINGCONIR4GiOR M41LhODPE55�n CItY 21P PIIONF. STATELICENSE• <br /> r �> �,��.��. ��; ? .I�JM1� c>,,��.��.c��_ <br /> CO.'JTPRCi PNICE OP.VOf1M (�ST1 r.s�i,{'C,.I i 7 <br /> ) � � 3 rJ (JO O9 - HEATING SYSTEM: �'GAS r 1 ELECTRIC fl <br /> DESCNIBE WORN hND 5f.UA4E F(bTqGE IN�OIVED CONLACT P[PSON�N�PI�ONE N <br /> h�, � l;l ;�n�=�I� �� i� rps�� � c�P T ��P, W ��� -3z3.7 1� S 2*-09 ' <br /> or . �,e. _:,;�T� �;qS�� ��,���� T�^v� �.-�• 47�r <br /> I HERE(3Y CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> Fno o. _o u e oc�+ry��.-.- — APPLICATION AND KNOW THE SAME 70 BE 7RUE AND CORRECT ALL <br /> S.'l/'�'It f���-� � 7.�iS 1�'(�4f,,CQ PqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> —�--- -i-� WORK WILL dE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGMOESCPIPTIOSJ�r ' /�SHOWNBEIOWORATTAGMTWOCOP.'S) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioT S�,_ej�ecK -' ._or a � VC d� l( ` AUTHORITY TO VIOLATE GR CAP�CEL THE PROVISION OF ANV <br /> � 1 (11('�S� T���I � � OTHER STldE OR LOC%�L LAW REGULATING CONSTRUCTION OR THE <br /> I�( /}KA 7 hp �hes�v�e �_ PEFFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR VlHICH <br /> `�` �7� �J '- I�' G1 f`/ ��-�V�J1� �11;F�'f!�}j� APPUCATION IS MADE <br /> m Tnoe i n�nr <br /> PARCEL %IDNUMBFri � ��' CO �nR^ -18.2I-ACWANB-296-299.WJLL,. <br /> b�4f�1 ' oo0 - �O,a- no,z�ry� <br /> rF'�/�LCI`ION O0.l NIFN�E; ADO�ESS1TELEi�1 N[NUMPE��: �/L^l SIGNATI��� ��� � �/ ���� <br /> l � <br /> ,� N� LY%YN� �- w %1 � <br /> D! yy� 1 !'/{—q.��—�7_—_ <br /> �l le y S r C�I/�•(�Y�G(/iI UIU I ��� {� 3U„� f.ITY BUSINESS LICENS[N0 N' <br /> PLUMBING -� <br /> MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> � WATERCLOSET(TOlLET) A/C-A/HNDLGUNITS--H.P. � <br /> � C'-:ATHTUB � FORCED AIR SVS�fEMS-B.T.U. M E.A. ; <br /> �,'i LAVAiOHY'Y'/ASH EASIN) HEAT PUMP i <br /> j SHOWER � UNITHEATERS-B.T.U. M <br /> I f;ITCHEN SINK 3 DISP � CLOTHES DRYERS <br /> DISHWASHER � � \ENTILATION FAN �— <br /> LAUNDRY TRAY � fiANGE HOOD <br /> � CLOTH�S WASHER �:VATER HEATER r <br /> UFINAL � WOODSTOVE � � T)� <br /> ORINKING FOUNTAIN I METAL FIREPLACE(WOOD BUFNING) � <br /> ' FLOOR DRAIN � FIR'cPLACE INSERT(WO00 BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> � <br /> SINK(SERVICE-BAR,ETC.) GAS RANGE <br /> GAS PIPING ' <br /> i <br /> _ ' � q Q��� i � EXHAUST FAN i <br /> i <br /> i1 i — ' <br /> � ��— <br /> __ SUB TOTAL S � __ SUB TOTAL 5 � <br /> PERMIT S PERMIT 5 i <br /> TOTAL FEE 5 TOTAL FEE 5 <br /> F7R OFFICE USE ONLY: �/� �' <br /> /J.`�J <br /> fRONTFF�� RfApGFTAFCN / SIpESEi�RCIi� � y PI�NCIIF.CNNUMF1fP FF6 � /J3 i�BCEIPTNO <br /> � �_ i 7 <br /> us:zor+j/ toranen vacnNts� f•EE� VALUATION FEE <br /> / ) IIYES fl NU �1— <br /> � nmiowa J Z.S �r�� � � <br /> � '� c <br /> IIEfGH1 LIM1IItATION l NO OF OWELLING SiZE Of BlU(iRl — ; <br /> � ur�irs �C� 6� �A�dw� riun�eiuc �(7 -J <br /> -_ — �_ <br /> OCCUPANCY N�Pf S1pRiF5 OCCUPANi LpqC P45EMF.Ni / MPf.H�NIC4l l/�� i l' <br /> GROUP / � _ __ __—! � vL� <br /> ��„-,1 2 til�a �,rEs �No - <br /> FIR ALARMRCOD �PASO.'J P�OIIIAN�IPIANCH[CN � Y�<� <br /> ___�'_ _ OtHER �- <br /> fIRFSPRiNKIFRREO�D RN�SON <br /> . 1(� Siq1E OUIIDINC 5URC11Mf,E ! i l-. <br /> _rJJ <br /> ivaeovccsgt rinr�snrrnovennv CI7YOFEVERETT rumicvroeKs T � <br /> -�/- J I`� LOCAL SALES - --- —�-�- `�— <br /> .iL-I,� onre lO�SS TAX CODE IS 3105 TOTAL �n/� �,.�� <br /> — — �--Y_ <br />� <br />