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APPLICATION FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-88/0 <br /> L] pEMpL1T1pN fl COMBMATION fl BUILDIN(i yf MECHANICAL rl PLUMBING fl SNiN <br /> PROJECT ADDREBS _ _ - '. I- — <br /> r <br /> pWllEq MNL WDRE55 CITY 1 PHONE <br /> ,t�z q,eT. ,� �s� � � �-lF�Ti��� /2�}� �� �'�0 3 �9� - 5-4�� <br /> TENANT 1AMl 55 CITY ZIP PNd1E <br /> �A,�9c' <br /> �acr�rttctor+oEsqdea" MMLJI0DAE55 tm zm rnrn+e <br /> GENEi1K�01/]j�iCTp�, ���r I� QTV ZIP PIIONE T�TE IICEN$E• <br /> �Iw��7�J�i �X�-�I�no ��eTl/ii�h'!� � <br /> ��� ��Ty 7�p V110NE STATE UCENSE� <br /> �ol`,� <br /> p��� �7(7p M�IL�Op�E55 CIiY IIP PNONE STATE LICENSE• <br /> CON �°F"�O1tl` [/(/� HEATING SYSTEM: �{'I(iAS rl ELECTRIC rl <br /> �������������y� GONTA T VERSON ANO PH01 <br /> � _ �_ _ , - F,� .r � <br /> • � <br /> I HEREBY CERTIFY THAT I HIWE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC?.ALl <br /> rnovosEouseoceu�ohxa pROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �i��r,np�pFPn�qry�s�qwnee�owonar�cn�wocur�sl NOt. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br /> iot. �� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW HEODUTIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION•THAT I AM AUTHORI2ED BV TME <br /> OWNER OF THIS PROPERTV TO PERFORM TME WORK FOR WMICH <br /> D �� b v Q � qPPLICATION IS MADE AND COMPLV WITH THE Sl'ATE <br /> CONtRACTOR 1 . C 298.200 WAC. <br /> �.�,o.�a 2 � <br /> CONSIIMICiION LWN lENOER.Md�E35.IELEP110NE qIMER <br /> SICiN� U E <br /> CITV BUS�NESS IICENSE NO. <br /> ��Q MECNANICIIL <br /> N0. TYPE OF FlIITIME OR ITEM FEF NO. TYPE OF[OIIIPN�IT FEE <br /> WATERCLOSET(TOILEn ' AJC—AMNOLOUNRS—H.P. ' <br /> BATHTUB � FORCED AIR SVSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) � HEAT PUMP ' <br /> S��R � UNIT HEAIERS—B.T.U. M ' <br /> KITCMEN SINK 6 DISP ; CLOTNES DRYERS � <br /> DISMWASHER � VENTILATION FAN � <br /> LAUNDRV TRAV ; RAN6E HOOD � <br /> CLOTHES WASHER � WATER HEATEH ' <br /> � WOOD STOVE � <br /> URINAI � <br /> DRINKINO FOUNTAIN ' METAL FIREPLACE(WOOD DURNING) � <br /> FLOOR ORAIN � FIREPUCE INSERT(WOOD BURNING) � <br /> BACKROW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR.ETC.) � GAS RANOE ' <br /> � QAS PIPINQ � <br /> ; EXHAUSTFAN ' <br /> � <br /> � <br /> � � <br /> � — <br /> � <br /> SUB TOTAL S � SUB TOTAL S �'C� ' <br /> PERMIT S PERMIT S r � <br /> TOTALFEE E � � TOTALFEE E � ' <br /> FOR OFFICE USE ONLY: — <br /> FRONT SETPACK PFM SFiBACK SIDE SETB�CN PtAN CIIE�N�F� �EF RECEIPT NO. <br /> �� <br /> ���p,� iot�ni� V�CANT SITE FEES VALUATION FEE _ <br /> � <br /> f IYE$ (i NO BUIIDMC i <br /> HEI6HilIMUT10N UNIf���LUNG SREOF9lOGR1 <br /> PV.INPING � <br /> T <br /> i <br /> pCCUP�NCY NO OiSLMtlE3 OCCUP�NTl0�0 BASEMENT MECH�NIf.RL � <br /> GRd1P i <br /> f1YE5 Il NO i <br /> AllCi110NA1 PI RN Guf.CN <br /> FIRE14ARMREO� RE�SON � <br /> i <br /> OIHER � <br /> iIRF.SPRINKtERRF.O'D RER�ON <br /> STN[OIIIIDMC SURGIARGE � <br /> ��_ <br /> TYPEOFf,ON$i PI�NSAPi'POVE�BY CITYOFEVERETT r��oi.�cwonKs <br /> LOCALSALES � <br /> o�TE TA1f CODE IS�105 TOTAI ' <br />