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;,.. <br /> APPLICATION FOR CONSTRUCT�ON PERMIT <br /> G7 CITY OF EVERETT•BUILDING DIVISION <br /> C�.ID 3200 CEDAR STREET•EVERETT,WA 98201 •259-8910 <br /> ' ❑ DEMOLITION fl COMBINATION fl BUILDINfi f-1 6AECHANICAL r�pLUMBING fl SION <br /> PRO.IF�Ce,T DDRESS <br /> % /o� <br /> orn�n Mu��ooness cm nr r�wNe <br /> J+.ea�xr �"t nc�- !e�-1 - �1 �I L � �` 3 - �Sz..Co_ <br /> 1EN11Ni MiVLA00NE55 CITY ZIP PMONE <br /> -� � �,��- �,2� u�;�� ��� � 9�-s�s7 _ <br /> �RCMI7ECTOqDE51GNER M�IIMORE55 CITV ZIP PHONE <br /> �F's� 1�c.,�h��dG� �-f129 S��.a-�.�p� �S S�-a�.t#� � �r1�3 C�33•�90J <br /> GENEiULCONTP�C/OR MNL�DDRESS CI(Y 21P P110NE $7ATELICENSE� <br /> l�Es r PI';ht.'33 3a <br /> MIEp111NICAlCON7RACT(%7 M�ItA0UPE55 CITY ZIP PIIONE STATEUCENSEr <br /> PLUMlMGCONTRIICTOR MI1IL�OD11E55 Cltt IIP PHONE STATELICENSE• <br /> CONTMCT PWGE OF VI011K <br /> �J HEATING SYSTEM: f 1 GAS rl ELECTRIC � S <br /> D[$('JNBE AND SOl1ARE FOOTA6E INVOL 0 CONT�CT PERSON�ND PHONE N0. <br /> r����i,cGrn...i� Jld d,�-t�.. � c c_. L�tcE,.�Ert G 3 7 -��� � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINf 0 THIS <br /> rnoposeo use oF euaon+e3 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIN(i THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> tEtuioescmm�onovrnopenn�s�+ownee�owon�rt�cxrv+oeoa�es� rypT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ior eioa aF AUTHORITV TO VIOIATE UR CANGEL THE PROVISION OF ANV <br /> O1HER STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEP OF THIS PROPERTV TO PERFORM THE WORK FOR NMICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �����p M�p CONTRACTOR lAW 1827 RCW AND 296200 WAC. <br /> J 1 <br /> CONS7RIIC714HLWNLENOEP.IIDDHESS.IELEP110NEM1MBER �/ � / f20r96 <br /> D�IE <br /> qTY BUSIqESS LICENSE NO. <br /> p��IMsllq MECMANICAL <br /> N0. TYPE OF FlIfTURE Oli�TEM FEE NO. TYPE OF EGIMPMENT FEE <br /> 'T <br /> WATERCLOSET�TOILEn � A/C—MiNDL(iUNR3—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> UVATORY(WASH BASIN) � HEAT PUMP � <br /> SliOWER � UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 6 DISP i CLOTHES ORYERS � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV ; RAN6E HO00 i <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPUCE INSERT(WOOD BURNINO) � <br /> BACKROW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR.ETC.) � OAS RANOE � <br /> �-e..,.y�� � ' OAS PIPINO ' <br /> � EXHAUST FAN � <br /> � , � <br /> i � <br /> � � <br /> r e..:...,. � ' <br /> SUB TOTAL S ; SUB TOTAL E � <br /> PERMIT 5 � PERMIT E � <br /> TOTALFEE S ' iOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSE7BACK AE�RSFTB�CR SIDESETB�CK PUNCIIECKNUMBER FEE AECEIPTNO. <br /> useza+E IOTARE� VAC�NISITE FEES VALUATON FEE <br /> IIYES (1 NO BUIIOMfi � <br /> i <br /> . . NEI6NTLIMITIITION NOOFDWEILINfi SIZEOFBLWRI � <br /> y', ' � VNIfG P�UMHING � <br /> i� � — <br /> '. OCCUPANCY NO Of51CNqE5 OCCUFANTLO�D BASEMENT —T— <br /> MEPInNIGAL � <br /> �'. , GRWP __ � _ <br /> fIVES fi NO <br /> RDO1110NSL PL�N C��F.CR <br /> FIRE�IARM REO'D �EASON �___ <br /> 0111ER � <br /> FIRESPRiNKIERRE00 REASON <br /> ST�IE BIIIIOMG SUIiCIufiGE i <br /> 7VPE Oi f,ONST PIAN$MPROVED BV CITY OF EVERETT �IIpUf.WORKS ' <br /> LOCAL SALES —1'— <br /> �p,E TAX CODE IS 3105 TOTAL � <br />