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i�, ,'�. <br /> APPLICATIO.d FOR CONSTRUCTIVN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> I i DEMOLITION Cl COMBINATION BUILDIN(1 MECHANICAL �Q PLUMBING fl SiGN <br /> PROJECT ADDRESS <br /> //O� ��,� �.�� u� ..��,J <br /> O�MMER M111L�Op1E55• {� /� � <br /> l�l '�LdI�T✓'i/GO..� �/x Y D �!X 7d �tl� '.i 1 IA UQ�iE 7AG <br /> TEN�NT UIVLADpRE �ITY 21P PNpNE ���---- <br /> �M:WTECTOADESIGNER M�ILI�WnE55 CITV )Ip PMONE <br /> GENENQ CONTIiACTpq M�IL�OORESS ^ C� �IP PIIONG SiATE I ICE NSE� <br /> �l Eo �o�L..�(L..�(�0.� Ir1C� i�rn.�� �l C7JC1'�Cc�G� <br /> MECH�NC�LCONTR11\�Tqi M/uI�DDNE55 CITY I , ' .`'•yy,Z�IV /��2� HpNE �{c'�(�STAT UCENSE� ^� <br /> PlU-LI�LfL�LJC/� • �TI�DESS�I I�.I71 �T JW Ll1�NYM.VV ` 7 N��'irJ�,.t)ST�QIi�N��71� <br /> ZF. - �. , ' A <br /> CONTP��T VHICE OF M/OFN <br /> HEATING SYSTEM: GAS I-I ELECTRIC f-1 <br /> OESCRIBE NVNK�NO SOUAqE fOOTM'i INVOLVFO CONT�CT PERSON�Np VNpNE N <br /> O� NfaJ -T'�/�IA nl A ' ��,� C�c�Z�{�Z-4041 F"a-�c <br /> 1 �.E � Q C �� �6-?fdf� <br /> I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> vnovoseo use a eux,pra I APPLICATION ANO KNOW TME SAME TO BE TRUE ANO CORRECT.ALL <br /> , � PROVISIONS OF UWS AND ORDINANCES 60VERNIN6 THIS TVPE OF <br /> WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LE DEldbPnONOFPIqPERTY(&qW11EELOwOR�TfACNTVOCOPiES) NOT. THE 6RANTINO OF A PEFMIT DOES NOT PRESUME TO 61VE <br /> ior�e�aa a AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> 0T4ER STATE OR LOCAL LAW RE:3ULATINO CONSTRUCTION OR THE <br /> rjl-�O/LT Vq'r Ci D. E. '� �' " PERFORMANCE OF CONSTRUCTIO�.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I C04PLY WITH THE STATE <br /> PIVICEITNfID.NUMBER CONTRA ORS Wt827 CN%AND296200WAC. <br /> . . / iLIGa —� — <br /> CONSTRUCII ONI LENOER,�ODRE55.TELEVIIONE NUMBER - <br /> � � N��� ON� RE "' D�TE <br /> NESS I�LENSE N0. <br /> PLUMBIN6 MECNANICAL <br /> _N0. TYPE OF flIiTURE OR IYEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) � NC-A/HNDLOUNIiS-M.P. � <br /> BATHTUB ' ' FORCED AIR SYSTEMS-B.T.U. M E.A. ' <br /> � UVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT NEATERS-B.T.U. M � <br /> KI7CHEN SINK 6 DISP ; CLOTHES DRYERS ' <br /> DISHWASHER � � <br /> VENTILATION FAN � <br /> LAUNDRY TRAV ' ; � RANGE HOOD � <br /> � <br /> CLOTHES WASHER � JJATER HEATER � <br /> URINAL � WOOD STOVE � <br /> _ DRINKIN6 FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) ; <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNIN6) � <br /> BACKFIOW PREVENTERS � GASFIREPLACE ' <br /> SINK(SERV�CE-BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING � <br /> � EXHAUST FAN , <br /> � , <br /> i � <br /> i , <br /> � i <br /> SUB TOTAL E � � ' • SUB TOTAL E ' <br /> � � <br /> PERMIT S i PERMIT S � <br /> TOTAL FEE f � TOTAL FEE E ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACN � REAq SETB�—G1( j SIOE SETOACK VUN CIIECN NUMOEB tEE _- RI f.flPt N0. <br /> (� (— D ? ��� / '� <br /> vsezoyF�� �OTARE� VAC�NTSITE FEES VALUP.TION FEE <br /> � f1YE5 fi NO -T- <br /> BUIlOINf. J� � <br /> HEIGNT IIMIT�TIpy / NO.OF DwEIIING 512E OF BLOGRI <br /> � �i I UN11C � O S.FGA��L� p��)MBIN6 , `) � �� <br /> OCCUPANCY ND Ot 51(MiES OCCUVANT 10�0 B�lSEMENT i <br /> GROUP MECN�NIC�L ,.l iDr'1 <br /> V i v <br /> 3 U-I Q rnes o , <br /> fIRE MNEO'D HEASON �DDIiION�LPIANCMECN � <br /> i <br /> OTHeR i <br /> FIRE SPRINNLER PEO'D REASON <br /> STATE BUILDINC+SURCMARGE � <br /> TYPEOFCONST P�ANS�PFRQVEQBY CI7YOFEVERE7T PUBIIf,WORNS -- r�— <br /> J�� LOCAI SALES — ���1—�-7 <br /> � o.re � 1 4�o TAX CODE IS 9105 TOTAL /�/�j � ��� <br /> --�W <br />