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.. — <br /> APPLICATION FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION fl COMBINATION M BUILDINQ fl MECHANICAL t l PLUMBING fl SION <br /> PROJECT ADDRESS ,. <br /> ��w R'�" I�v� �-.V<.Q-cCt' P �k o� <br /> OMRIER M�ILAOd1E55 CITV ZIP PHONE .��'�^�L �Lr) <br /> �'J <br /> tNFs�wp� Ac.oP�C�eS t�co�'t ��� 1`� n1G-. Szm�z �,,n. G���� ��s-oa�a �a. <br /> 7EWWi MNLADDRE55 CIN � + 21P PNONE �6� L.��� <br /> �.�nR� l�i�N� Po � ��a-� �..�K,.-�--� -��a� 3�17-3�G>S` �, G3Fi-R9� � ,. <br /> �RCMTEI:TOR0E51GNEP M1ULII�DRE55 Lltt 21P PHONE ��' ~ <br /> �TV`�/1^�� <br /> (iENER/�I�CO(NTRAGTOR MIJlA00RE55 QiV I�P PNONE $T�TELICENSE� <br /> \th�d�NZ <br /> MECN�NH:/�LCONTRACTOR M�IlA0d1F.SS f.ltt 21P PIIONE ST�TEUCENSEr <br /> VLUMBMGCON cTOR MMIADDPESS Cltt ZIP CHONE STATELICENSE� <br /> N�p <br /> `'°"T""�T°"�°`"i°w`j HEATINGSYSTEM: C'1GAS r1ELECTRIC fl <br /> �G�J — \O �w <br /> DESCPolEWORKANOSOUAREFOOTAOEINVOlYEO � CONT�CTPERSONRNDF �/ 7 - � �� <br /> Sc.=._ w v�ti <br /> mM 37 -S�y <br /> I HEREBY CERTI V THAT I AVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> rnorosEo use ov aundno PROVISIONS OF LAWS AND ORUINANCES GOVERNIN(i THIS TVPE OF <br /> (�, � '[� �Ri WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> iE�pEx�Pr�p�pFpp��qrr�s�qwHaE�pHpn�rt�cNtwocovi¢sl NOT. THE ORANTIN6 OF A PERMI7 DOES NOT PRESUME TO 61VE <br /> iot� �q+� pi� (flG(e 9/ �s No D� � AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> pOb�[�a�J l3�.0 (p(o6 OTHER STATE OR LOCAL LAW RE6ULATIN(i CONSTRUCTION OR TNE <br /> / PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OVYWER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 200 WAC. <br /> P�qCEI TN!I.D.MMbER <br /> CONg1RUCT10N LdW LEN�EP.1100pE55.TELEP110NE NUMBER �( / /�' <br /> � 5 O�i <br /> GITY BUSINE55 LICENSE <br /> �� MECHANICAL <br /> NO. TYPE OF FlI(TURE OR ITEM FEE NO. TYPE OF� FEE <br /> WATERCLOSET(TOILEn ' NC-AMNDLaUN1i5-H.P. ' <br /> BATHTUB � FORCED AIR SYSTEMS-B.T.U. M E.A. ' <br /> UVATORV(WASH BASIN) � HEAT PUMP ' <br /> ' S��q - � UNIT HEATERS-B.T.U. M ' <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY ; RANOE HO00 � <br /> CLOTHES WASHER � WATER HEATER �_ <br /> URINAL ' WOOD STOVE ' <br /> METAL FIREPIACE(WOOD BURNINCa) � <br /> DRINKINO FOUNTAIN � � <br /> ROOR DRAIN � FIREPLACE INSERT(WOOD BURNIN6) ' <br /> BACKFLOW PREVENTERS ; 6AS FIREPLACE � <br /> SINK(SERVICE-BAR,ETC.) � OAS RANaE ' <br /> � OAS PIPIN6 � <br /> � EXHAUSTFAN ' <br /> i ' <br /> � � <br /> � <br /> � ' <br /> SUB TOTAL S � SUB TOTAL S ; <br /> PERMIT S � PERMIT E _�_ <br /> TOTAL FEE S ' TOTAI FEE E ' <br /> FOR OFFICE USE ONLY: <br /> FIIONT SEIP�LK AEM SETRACK SIOE SETB/�CR PLAN C11ECK NVMBE?/� FEE / RECEIPT N0. <br /> 3�oa ;�;/O <br /> USE20NE LOT�REA V�C�Ni51TE FEES VALUATION FE__T_ <br /> fIVES fl NO 'D(� <br /> BU�IDIRG � <br /> HEIGHTUMT�TION MOOFUM'ELL�N6 SIZEOFBIOGRI i <br /> UNpS / OOQ pIUMBING _ � <br /> T <br /> C^.CUP�NCY NO O�SiMUES OCCUPANIIO�D BASEMENT MECR�NIGRL � <br /> c P +I I1 � <br /> IlYES 11 NO i <br /> FIREMMMRE00 RF.AS �DD�710N�I.PUNCIIF.CN <br /> � O1HER � <br /> FIRESPRINkLERRFOD REREdI �� <br /> �� STRTE BIIIIU�NG SVIiL11nRf.E � <br /> TYPE Oi CONST PL�N$�PPP VED BY CtfY OF EVERETT runur,vron�s � <br /> �� - F�- 1�� TAX CODE S 3 05 TOTAL 1d� <br /> I <br /> D�TE <br />