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� <br /> APPLICATIvN FOR CONSTRUC . ION PERMIT <br /> CITY OF C`JERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f7 DEMOUTION fl COMBINATION Il BUILDING MECHANICAL i1 PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> -a 'C ' � 2� <br /> owr�E�� , ' �r.✓�Ess3� 9 /1'OR�nITM��/ �'��a/ ���aN�5�--�� �o <br /> i„�/.�// ���•r��� <br /> TENRNT��; MPILp0�PE55 Cltt 21P PHONE <br /> ARCHITECTORDESIGNER MAILRU�PE55 CITY 21P PMONF <br /> GE ERA1LCONTRACTOR MAILRDDRESc �� �/�/JTM,/ `t�'r��/�9 a8���on ST�iQCE/ll/i����Q )�� <br /> MECHANICA��N AC�R �MRILA�E� �/0� C�I/CL J�ZIP P/IONE STATE LICENSE r <br /> C <br /> PIUMBINO CONTRRCTOR MAILAO�RE55 6 CITY ZIP PHONE STATE LICENSF• <br /> CONTRIICTPRICEOFWOqk ��� � <br /> ��� HEATING SYSTEM: � GAS ❑ ELECTRIC ❑ <br /> DE5CRIBE VqRK�ND SOUAqE FOOTAGE INVOLVED CONiRCT PERSON AND PIIONE NO. <br /> L <br /> {-� - D <br /> C� _ � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVOSEDUSE OF BUIL No PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED 4VITH WHETHER SPECIFIED HEREIN OR <br /> LEOAlDESCRIPTIONOFPROPERTV�SHOWNBELOWORRTTFGHTWOCOFIE51 NOT. THE GRANTINO OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> i.or e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Of ANY , <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTPUCTION OR THE <br /> PERFORMANCE OF CON CTION.THAT I AM AUTHORI2ED BY?HE <br /> OWNER OF THIS P ERTY TO M THE WORK FOR WHICH <br /> APPLICATION MADE I O PLY WITH THE STATE <br /> PARCELiN(I.D.NUMBER �� / n� GONTRAC S LAW 29 .200 WAC. <br /> ��� (,� c�r� �U <br /> CONSTRIICTION IO�N IENDER,�DDRESS.TELEPHONE NUMBER X F <br /> SIGNRTUR DRTE <br /> CITV BUSINE55 LICENSE NO. � <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlXTURE OH ITEM FEE NO. TYPE OF FIXTUHE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; � FORCED AIR SYSTEMS—B.T.0 E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; G,OTHES ORYERS � <br /> DISHWASHER VENTILATION FAN � <br /> LAUNDRY TRAV ; RANGE HOOD ' <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL � WOOD STOVE ' <br /> DRINKINO FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> GAS PIPING ' <br /> � E7(HAUST FAN � <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL $ ' <br /> PERMIT $ � PERMIT 8 "� � <br /> TOTALFEE $ � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> iRONT SETB�CK REAR SETBACN SIOE SETBPCN PIAN CNECK IBER FEE RELEIPT NO. <br /> use zor+e ioT nRe� vncner siTe FEES VALUATION FEE <br /> n ves n r+o ew�oiHc � <br /> � <br /> MEIQNT UMITATION NO.OF OWELIING SIZE OF eLIX:RI. � <br /> UNITS p�UMHING � <br /> OCCUPANCY NOAFSTORIES OCCUP4NTlORO BRSEMENi � <br /> GROUP MEGH4NICAL � <br /> ❑YES [l NO <br /> � <br /> FIREAUPMREO'D REASON PDUIT10N�lPlANC11ECK � <br /> � <br /> OTIIER � <br /> FIRE SVPINNLER PEOD REASON <br /> STATE BWLDING SURLHRRGE � <br /> TVPEOFCONST PIANSMPR09EDBY CITYOFEVERETT PUBLICWOPNS � <br /> LOCAL SALES , <br /> OA7E TAX CODE IS 3105 TOTAL I <br />