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APPLI�AT[ `N FOR CON�TRUC lON PERMIT� <br /> CITY OF EVEaFTT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> I"1 DEMOLITION f-I COMBINATION �BUILUING f-] MECHANICAL f� PLUMBING f� SIGN <br /> PROJECT ADDRESS <br /> 3Fso2 Kror�c2 /� u�. <br /> OWNER MAILAOOnESS (- �pp CI1Y 21P PIIONE <br /> ,�(� j«i/`: <br /> Tii�LCy ltSvviCt �=� Il�-{« kr�-.nu /�a�=G J.,�T�Ta i.UL `�.3'/0._ .�7Y- ; 7 : U <br /> lE���NI IAnILnpDf1E55 QLY ZIP PHONE <br /> ARGIIITCCTOROESIGNE(i MAILA�URE55 CITV ZIP PIIONE <br /> GENERALCONif1ACTOR MAILAUDBE55 CIIY ZIP PIION[ SIAIEUCENSE� <br /> S�-jyiC � s Or.J.vc� D/3� yNz ,Loi. 7 <br /> MEGINNIC�LGONif1AGiOR MNlr10�RE55 CITV ZIP PIIONE SiATEIICENSE� <br /> PLWA9INGCON7RACTOP MAILAOORE55 CIIY ZIP PHONE STAIELICENSEN <br /> C0�1 i MCT PPICE OF WORN <br /> ��� HEATING SYSTEM: GAS ❑ ELECTRIC Cl <br /> pESCqIOE WOOK�ND AR FOOIAGE INVOIVED r CONL\C PEP ON�ND PIIONE NO. r <br /> W ��'L � V G � <br /> / ?�"� SQ-�7' - 3 ��1e a_r<, T _ ;ZY- 37�o E�t ?,�G, <br /> �' � �l� � �7� I HEREBY CERTIFY THi.T I HAVE READ AND EXAMINED THIS <br /> ) r��`' ? C 9 � APPLICATION AND KNOW THE SAME TC 9E TRUE AND COF.RECT.ALL <br /> i���oros�ousE oF euuu +c� PROVISIONS OF LAWS AND ORDRiANCES GOYERNING THIS TYPE OF <br /> � N - ^.y„ � � � u /7CE WORK WILL BE COMPLIED WITH WHETHER SPEGIFIED HEREIN OR <br /> :,;nines mrioNervnovenn�s�owneeiowo�nnacnTwocoaies� NOT. THE GRANTWG OF A �ER�dIT DOES NOT PRESUME TO GIVE <br /> - S� oiocK or i �rv'a��iK NT AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> ' — OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> �O/1c'G� t',e PERFORMANCE OF CONSTIiUCTION.THAT I AM AUTHORIZED BY THE <br /> - - OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH <br /> AFPIICATION IS MADE I.ND I COMPLY WITH TI1E STATE <br /> PARCELTA%I.D.NUM�GR CONT A 7�RS LAW 1827 FCW AND 29G200 WAC. <br /> �OI,�- c�c�� - Us/_ I ��� <br /> CONSIfiUGTION IA�N LF.NDER,AO�f1ES5.TELEPHONE NUM6ER x � �/,G"J���'1 y�y- y�- <br /> SIGN 1E DAIE <br /> CITY OUSINESS LICENS[NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FFE NO. TYPE OF FIXTUFlE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—NI'NDLG UNITS—H.P. _ ! <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> --i— <br /> LAVATORY(WASH�ASIN) i HE�T PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK&DISP i CLOTNES DRYEFlS � <br /> DISHWASHER � VENTILfifION FAN ' <br /> LAUNDRYTRAY ; RANGEHOOD � <br /> CLOTHES Wi3HER i NATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> � <br /> DRINKING FOUNTAM i METAL FIREPLACE(WOOD BURNWG`, � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS i GAS FIREPU��E � <br /> SWK(SERVICE—BAR,ETC.) GAS RANGE ' ' _ <br /> � GAS PIPING � <br /> �- i EXHAUSTFAN � <br /> _ i <br /> i <br /> i <br /> — i i <br /> � <br /> i ' <br /> SUBTOTAL S � SUBTUTAL $ i <br /> PERMIT S i PERMIT S _! <br /> TOTALFEE 5 � TOThLFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSFTOACK RE�RSETOhCK SIOESETBALK PLANGIIECNN�dOEfi FEE .- RECEIPTNO. <br /> ?.o � .� i � , _ .���, �ai �oi �� �i/a�a� <br /> usezo�+y,._,` / �otnnen vnenNrsi FEES VALUATION FEE T_ <br /> � � 7�j nves nr+o OUILOING -�iy 33Z �a� <br /> HEIGIITlIMI7Ai N ND OPUYI[LLING SIZEOFOLO�/�L , � <br /> 7 UNI�S 172�Sr Ca�Q t + PLUTAOING —`_ <br /> E�/ � <br /> OCGIIP4RCY 1100FSIOqIES OCCUPANIL04� B45EIAENf M[q1�NICAL --�— <br /> cnour � � �— <br /> �"3 _'2 _�f� IlYES I�fNO � <br /> fIf1E�LARMfiEO'D i1GASON AP.OIIIOfIALPlANC11ECN � <br /> i <br /> �/o onien /D ' 7�) <br /> rinesrnn+K�enneau nensor+ I <br /> sTnie ouaoiNo suncunnce �<.,'; <br /> N� • <br /> 7YPEOPGONSL. PIANSAPPF v�oev CITYOFEVERETT ruoucwonKs �'� � �<;L_� <br /> � kI� LOCAL SALES - � '� <br /> ,�-iJ �ntE ZS `'y5 T�1X CODE IS 3105 70TAL (!'_S� ��� <br />