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APPL,ICATIC�1 FOR CONST`RUC7 JN PERNIIT <br /> CITY OF EVERETT•BUILDING UIVISION � <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C MECHANICAL �PLUMBI'�G O SIGN <br /> PROJECTADDRESS: y03� ��,.+� �2 r�}JE � <br /> OVrt1EN M�ILADpqESS CIfV ZIP� PIIONL—�- ' <br /> ar,«Y h�O.tieS , z.lc._. �,�_{�(r- Fi��in�,� (}'�Se.rrrcE �hil�� ( 1zH-OS ��ors� 3.�<�'-� 77C <br /> TENANT MAIIADORE55 CIIY ZI �-�� P��ONE / <br /> AqCHITECTORDE51GNEe MMIApDRE55 Cltt lIP P40NE <br /> GENERN.GONTi1AGTOB M�IIADORE55 �IIV pli' p110NE $f�IEIIG[NSE• <br /> MECN�NICRLCOHTRACiOR MAILADDPE55 f.17V 11P PIIONE STA�EUCENSE� <br /> PLUMBINCCON7R�f.TOR AI�ILFDDRE55 piY ZIP pHONE SUTEUCENSE� �N �� <br /> Pne��� i.loQrn� r �u.-, , r,�c . P.o. $ox Saa3 /�:�1..w¢E �Jn. 9803 Yg3• S FaPr�Yc�Yj <br /> CfkRRACT PRICE OF WORB <br /> HEATING SYSTEM: �GAS � ELECTRIC ❑ <br /> OESGRIBE WORN AND SOl1APE FOOTAGE INVOlVEO LDIlI�CT VCRSON�ND PHONE NO <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> �-R�OPOSEOUSE OF BUIL c APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORFEC7 ALL <br /> J !J„�4� ��� `/ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�l0E5CRIPTIONOFPROPEFlN�SHOWNIIELOW0i1ARACHTWOCOPIES� NOT. 7HE GRANTIhG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or e�ocK oF AUTHORITY T� VIOLATE OR CANCEL THE PROVISION OF ANY <br /> CTHER STATE ON LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR IYHICH <br /> APPLICATIO�I IS MADE AND 1 COMPLY WITH THE STATE <br /> PMCEL TAX I.D.NUTABER CONTRACTORS LAW 7827 RCW AND 2g6.200 WAC. <br /> CONSTRUCPONIO�NtENUER.A00RE55.TElEPHONENUMBER X���y'S� ��✓ y�J/9� <br /> SIGI��E � F, ' D�TE <br /> CtTY BL'SINESS IICENSF.NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYP[OF EOUIPMENT FEE <br /> ,3 WATER CLOSET(TOILET) � A/C—A/HNDLG UNRS � <br /> 3 BATHTUB ; FORCED AIR SYSTEMS ' <br /> � <br /> LAVATORY(WASH BASiN) i HEAT PUMP , <br /> / SHOWEH � UNITHEATERS <br /> / KITCHEN SINK 6 DISP � CLOTHES DRYERS ; <br /> / DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY � WATER HFATER ' <br /> / CLOTHES WASHER � WOODSTOVE � <br /> URINAL � MEfAL FIREPLqCE(WUOD BURNING) ' <br /> DR�NKING FOUNTAIN ; FIREPLACE INSERT(WOOD BU�NING) ; <br /> FLOOR DRAIN � GAS FIREPLACE <br /> BACKfLOW PREVENTERS ; GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> ' J(HAUST FAN <br /> i � <br /> i � <br /> _'_' _ <br /> i i <br /> SUB TUTAL S � SUB TOTAI E � <br /> PERMIT S -a pO PERMIT 5 <br /> TOTALFEE S �^ � ;�� TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRpNT SETP�CK PE�R SETB�CN SI�E SETB�CN PI�N CIIECR NUMp[P PEE nECFIPi NO —�_ <br /> uSezoNe iotnnen V�CANLSIiE PEES VAL'JATION FEE <br /> __ ❑YES ❑NO pWt01NC i <br /> IIEIGHTIIMIfATION NOOFOWEILING 512EOFBlDGRI <br /> UNITS PLU4i11NG <br /> OCGUPANGY 1q Of510R16 OCCUPANIlO�D BASEMENT —r <br /> GROUP MECIIIINICAL <br /> ❑vE5 ❑ NO ' <br /> iIRESPPINKLEflREO'D �F�SON P��IIIONq.PIRN�N[GK <br /> _ �__ <br /> ou�en <br /> FlREAIARMREO'0 RE�SON <br /> Si41E OUIlOIHG SIIRCrUfi[E <br /> TYPEO�f,ONSi PIANSAPPROViDBY CITYOFEVERETT nuaiir.wonns <br /> LOCAL SALES - - ---`— <br /> anrE TAX CODE IS 3105 TO7AL <br /> ,i `�z - <br />