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APPLIC�lTIG.1 FOR CONSTRUCT .JN PERMIT �}�. <br /> CITY OF EVERETT• BUILDING DIVISION �/'��� <br /> 3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 �fw:�""' <br /> i� DEMOLITION f ! COMBINATION I I gUILDING f 1 MECHAN!CAL �PLUMBING �I SIGN <br /> PROJECT ADDRESS / .��/ <br /> 380� KRoMF2 j}dE �(,fJ <br /> owr+Er� n+nanooness crtr zir r��o��E <br /> 1.7flLLY l�%mcs, zac. 33i� Funa.���J /1vE E. , Srs iao 5e�r*rce 9sio� 3�s - a��D <br /> TENAYT M/+ILFDDRFSS CIiV LP pHONE <br /> hRGHRECTOR�E5IGNEF 1d41LADOflE55 QTY 2IP PHONE <br /> G[NEFl�LCONiRAGTOR MAILAODRE55 CIiY ZIP PHONE SIATELICENSEx <br /> MECHAhICALCONTRACTOR h1AIL��DRE55 CIN ZIP PHONE STATEUCENSE+ <br /> PLUMBINGCONTRAGTOR MFILAOURE55 CRY ZIP PHONE STATEUGENSE� <br /> \ a�. <br /> 1�,�c�F�c. �.+aRTHM1EST Q,.u.�ar.�6, Tac. i'o �ox $a 3 .�^�a� 98oas �s�-assc PhCSFr�Pi�yciN <br /> WNifiACi PRICE Of WORK <br /> HEATING SYSTEM: f l GAS Cl ELECTRIC I-1 <br /> OESCRIBE WORH AND SOUARE P001AGE INVOWED CCNTACT PERSON ANp PHONE NO. <br /> I HEFEBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAAdE TO BE iRUE AND CORNECT.ALL <br /> PROPOSEO USE OF BUILDING pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORI( WILL BE COMPLIED WITN WHETHEH SPECIFIED HEREIN OF <br /> LEGALDESCRIP'iIONOFPROPER7Y15HOWNBELOWORATTACHTWOCOPIES) NOT. THE GAANTING OF A PERM'�T DOES NO? PRESUME TO GIVE <br /> �ot BLOCN oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER SThTE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> vnace�rnu i.o.Nuti+eeR CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> CONSTRUCTIONLOnNLEN�ER.AD�riE55.TE1EP110NENUMBER X� � ✓� � [[�Q� <br /> SIG TpP� UATG <br /> Oat:C 772 <br /> CITY�USINESS IICENSF.NO. <br /> PLUMBING IdECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTl1RE OR ITEM FEE <br /> .3 WATER CLOSET(TOILET) � P✓C—A/HNDLG UNITS—H.P. � <br /> e2, BATHTUB i FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LhVATORY(WASH BASIN) i HEAT PUI•AP � <br /> / SHOWEFi UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY RANGE HOOD i <br /> CLOTHES WASHER WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN ; METAL FIflEPLAGE;WOOD BURNING) <br /> FLOOR DRAIN FIREPLACE INSEFT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE ' <br /> � � GAS PIPING i <br /> — � EXHAUSTFAN � _ <br /> i ' <br /> - � i <br /> SUB TOTAL S / � SUB TOTAL S � <br /> PERMIT S i PERMIT S i <br /> TOTALFEE S // ' TOTALFEE 3 � __ <br /> FOR OFFICE USE ONLY: <br /> fRONiSf:TAACK RE�RSETflAGK SIpESEiBACK PIANCHECKNUh10EP F[E RECEIPTNO. <br /> uc�zor+e totpnen vnenNrsiTe FEES VALUATION FEE <br /> i <br /> f1YES fl NU ppIL01NG � ___ i ��� <br /> N[IGIIiLIIAITATION ND.OFDWELLING SIZEOFBLOG/tl. � <br /> UNIiS p�11M01NG � <br /> 1 <br /> GGCUPANCY tIpOFStOPIES OCCUPANiIOAp 9ASEMENT I,�ECNANICAL i <br /> GF?Oco <br /> ❑VES fl Na � <br /> A�DIiIONAL PLAN GHECK � <br /> FIFE AL/RM REO�D �EA504 <br /> i <br /> OTI{ER i <br /> FlRE SPRINKLER PEO'U REPSON <br /> S1ATE�111LDING SURCHPRGE � <br /> TVPEOFCONST PIANSAPPROVEUBY CITYOFEVERETT PUBIJCWORKS i <br /> LOCALSALES ; <br /> oATE TAX CODE IS 3105 TOTAL ' <br />