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APPI.ICATlO.� FOR �ONSTRUCT.JN PERMIT <br /> _ CITY OF EVERETT• BUILDWG DIVISION �°CA��E� <br /> �j c` ' '` 3300 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> ` <br /> ... <br /> f 1 DE 4LJ letJ �VCFj-1� OMBINATION I I gUILDING '1 MECHANICAL y�PLUMBING rl SIGN <br /> PROJEC�3',��1Dd}t�� � � <br /> � 3$�S KR-OMER. f}JE EJEREr'T— <br /> owNen rnnn Roon�ss cm zir ri�oNe <br /> {�Au'y /-�°n+ES 33tCo �uN�i+M,N AJE $, �/pp SEMrrtu 4s�o,�. <br /> TEN�Ni unannoness c�rv riP r��oHe <br /> O.RCNREGTOROESIGNEF h!FILFOpqE55 CITY 21P PHONE <br /> GENERFLCONiRACTOR MAILApDqE55 CItY IiP PHONE STATELICENSE+ <br /> MECHnNICALCONTRACiOR MAIL4DDRESS CITV ZIP PHONE SiATEUCENSEM <br /> PWh�BING\CONiPFCTOP MAILApORE55 CIiY 21P PHONE SiFTELICENSE/ <br /> Q�c�F�c. NI,� r�u J � MaR-E R01.$ %83•d$$f PAC'.Z'F'�JPI(nYLN <br /> CCNTPFGt PRICE OF Y/OfiK <br /> F!EATING SYSTEM: I� GAS ❑ ELECTRIC f-] <br /> DESCRI9E WORK AND SOI1AiiE FOOTAGE LJV�LVED �ONTACT PERSON�ND GHpNE N0. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILOING PROVISIONS nF LAWS AND OFDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WFiETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPROPERTY�SHOWNBELOWORFTfALHTY0WP1E51 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULA-i ING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.ThIAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PHOPERTY TO FERFORM THE VIORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTF%I.D.NUAIBER CON�RACTORS LAW 1827 RCW ANp 296.200 WAC. <br /> CONSTRUCTIONLOFNLEN�ER.AOURESaTELEPHONENpM113ER X/�__�J p� y��__�/ $fgQ�Q� <br /> 51 NPE DATE <br /> Cltt 9USME55 LICENSE N0. Q�5�7�� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE Ofi ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> W,�TER CLOSET(TOILEI") Z � AIC—A/HNDLG UNITS—H.P. � <br /> e1 '3ATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BFSIN) HEAT PUMP � <br /> / SHOWER � UNITHEATERS—B.T.U. M ' <br /> / KITCHEN SINK 8 DISP i Ci.OTHES DRYERS i <br /> / DISHWASHER ' � VENTILATION FAN � <br /> / LAUNDRY TRAY ' ; RANGE HOOD i <br /> CLOTHES WASHER 'J � WATER HEATER � <br /> URINAL WOOD STOVE ' <br /> L`RINKING FOUNTAIN i ME7ALRREPLACE(6VOOD BURNING) i <br /> FLUOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE _� <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE <br /> � GAS PIPING i <br /> i EXHAUST FAN � <br /> i <br /> i ' <br /> i — <br /> — � <br /> SU�TOTAL 5 ; SUB T7TAL S ' <br /> PERMIT S f}O � PERMIT S � <br /> TOTAL FEE S ' TOTAL FEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> fqONT SETAACH P[�P SETBACN SIOE SET�RCN �'LAN CHFCK NUMU[Fl FEE RECEIPT N0. <br /> uSEzorve �ornnen vncnr�Tsrte FEES VAWATION FEE <br /> nves n r+o ; <br /> ouuoiruc , <br /> NEIGNi LIMITATION NO OF pWELLING SRE OF OLOGRI. � <br /> � <br /> UNITS PLIIM�ING � <br /> � <br /> OCCUPFNCV NO OF Si0PIE5 CCCUPANT LOA� BASEMENT AIECHANiCAL i <br /> GROUP <br /> f7VE5 Il ND <br /> PIFEALAf1MRE0'D �i[FSON ADDIiIONFLPLANCMECK � <br /> i <br /> OTIIER <br /> FIRE SPRINKLER REO'0 REASON � <br /> STATE BIIILDMG Sl1RCH�RGE � <br /> TYPEOFCONST PIANSAPPPOVE�BY CITYOFEVERETT P�OLICWORKS <br /> LQCALSALES � <br /> DATE TAX CODE IS 3105 TOTAL � <br />