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�ORCO�NSTRUCTTON PERMIT�N%�� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8610 <br /> f-] DEMOLITIOW fl COMBINATION r1 BUILDING rl MECHANICAL �1 PLUMBINCa �l SIGN <br /> PROJECT ADDRESS ?., . <br /> � ��,� :-� .�.�; r , <br /> OWhEP MI1IL/�ODRE55 QTV Z�P PN [ �, <br /> n � /� _ � <br /> _C.�1�0 0. L �C. ✓1 �✓(�L P � j!(7� 0���•� .�� � � U� <br /> TENANT MMLAODFE55 • CITY Z�P FN NE <br /> ARG OR DE9G A _ Mql DRE55 G�n' IIP �'HONE <br /> / <br /> GENEP0. TFPCT MAIL DR S CIiY IIP PHOYE 51 E IICENSE� 09 {�� <br /> ,(�omPv ��in PD /,.�1s 'ra.i � G bPva�.��_ao 3 33�-7t � � Pos��,✓ <br /> MECH� C�LCONTRACTOR MAILA�- - CITV 7�F P��ONE STRTELICENSE� <br /> PWMBMGCONTR�G70R MML�ODRE55 Gltt ZIF PNONE SUTELICENSE• <br /> " �' ✓1 � -- 5 _ _ <br /> �L <br /> CONTRAC P 10E OF WORK <br /> HEATING SYSTEM: I 1 GAS fl ELECTRIC rl <br /> DESCRIBE N1X K�ND SOV�RE FOOTAGE INVJLVED CONT�CT PERSON AND PHONE NO <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> . APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PfqPO5EDU5E OFBNLDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> N'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERE�N OR <br /> 1EG11L0E5CRIPTIONO�PROPFRTY15110MMBELOWOFl11'7�CNTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> l0T' BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH TI1E STATE <br /> PARCELTA%ID.NUMBER CONTRACTORS LAW 1827 RCW AND 29620P WAC. <br /> CONSTRIILTION LOAN IENDER.�ODRE55.TELEPMONE NUMBEP X <br /> SIGNATUPE DATE <br /> CITY AUSINE55 uCENSH NO. <br /> p�V�pp MECNIINICAL <br /> NO. TYPE OF FlIRURE OR ITEM FEE NO. TYPFb OF EOUIPMENT FEE <br /> WATERCLOSET(TOILEn ' A/C—AMNOLOUNITS—H.P. ' <br /> 1- BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> � LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> UUNDRY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FIOOR DRAIN � FIREPLACE INSERT(WOPD BURNING) ' <br /> BACKFLOW PFlEVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE ' <br /> � GAS PIPING ' <br /> ; EXHAUST FAN � <br /> --�— <br /> � ' <br /> � - ' <br /> � >O - '.O <br /> T � <br /> I <br /> SUB TOTAL S �,� � SUB TOTAL E ; O <br /> PEPMIT S � PERMIT S � <br /> TOTAIFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETP�CN AE�RSF.TB\GK SIDESEiB�CR PLRNCIIECNNUMAF IEE HF.CfIPtNO. <br /> 9i��1 <br /> 11SEIONE IOT�REA �pCANi51TF FEES VALUATION FEE <br /> I�YES f i NO pU1LDMG i <br /> HEIGHi UMITI1110N NO OF DWELLING S�ZE OF BLOGRI � <br /> � <br /> UNIiG PLUMOING � <br /> -- 4 <br /> OCCUPANCY NO Oi SfORl6 OCCIIP�NT tORD BRSEMENT � <br /> GROUP MfC11ANIUt : <br /> I1VE5 I1 NO � <br /> i <br /> FIRE AURM REOD �FASON ADDIIIONnI.PInN G��[CR i _ <br /> i <br /> O1M[R � <br /> FIRESPAINKLERREaO REASON <br /> STAIB 9UilDINa SVRf.11�RGF � <br /> TYPE OF f,ONST rinNs errnoveo ev CITY OF EVERETT runi ic�+ronKs 1 <br /> LOCAL SALES ; <br /> ��q,E TAX CODE IS 3105 toTA� <br />