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-. � <br /> APPLICATIOrI FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOUTION �l COMBINATION rl BUILDING I� MECHANICAL � i PLU'NBING f 1 SIGN <br /> �P OJECT ADDqRESS <br /> r�lo 0 (1:,,�[d �cv�nf�'t. � � 1R.2o/ <br /> CWNER /7,, �My�AII.A�ORE55 CIfY 21P �'��ONE <br /> X,EN�NTL'n-t-R �L( //�DRF ,/� �(DC 1 �TCf�A � e�ll QP �JY ' �T��l <br /> ARCMITCC70ROES�GNER MpI1.R00RE55 GIfY 71P PHONF <br /> GENERRLCONiRAC70q MRILAD�IlE55 CIIY ZIP PIIONE StATE11CLN5G� <br /> \ �t,�_ , , ) <br /> iu�� <br /> MECHANICALCONTR�CIOR MRILADDRf55 CITV ZIP PIIONf. STAiFLICFNSE• <br /> PLUMBINGCONiRACTOR MAI�p�DRE55 CI11' ZIP PHONE ST�IEIICENSE� <br /> CONTR�CT PRICE OF WORN <br /> HEATING SYSTEM: I I GAS fl ELECTRIC fl <br /> DESCPIBE WOPI(�ND SOUARE FOOT�GE INVOWEO CONTACT P FSON RNO PMONF NO <br /> ,f�' � l�nl�lh er 3 ��—� � o <br /> i HEREBY CERTIFV 1riAT I HAVE READ AND CXAMINED THIS � <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL I <br /> PROPOSEDUSE OF BUIIDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF � <br /> — 2- WORK WILL BE COMPLIED WITN WHETHER SPECIFIED HEREIN OR <br /> LEG�LDESCRIPTIIXJOFPROPERTY�SMOWNBELOWIXi�TTACNTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NQT PRESUME TO GIVE <br /> iot BLOCN oF AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORRED BV THE <br /> OWNES OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 236200 WAC. <br /> PARCEITA%I.D.NUMBEP <br /> COMSTRUCTIONIOANLENOER.A0DRE55.TELEPHONENVMBER x ,l/.t,a+-c« �J /� ! ���� � � � ����� <br /> SIGN�TURE OATE <br /> LITY BUSINESS IICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET(TOILET) � A/C—MiNDLGUNfTS—H.P. ' <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> i <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNORY TRAV ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD�URNING) � I <br /> FIOOR ORAIN � FIFEPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS i GAS FIREPLACE _ � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE ' <br /> ' GAS PIPING i <br /> � <br /> ; EXHAUST FAN _. � <br /> � <br /> � <br /> � ' <br /> � <br /> � <br /> SUB TOTAL S ;(Xl SUB TOTAL $ ; <br /> PERMIT $ � PERMIT S � <br /> TOTALFEE S TOTALFEE S ' <br /> FOR OFFICE USE ONLY: �� P�� <br /> iRONT SFiPACR AEAfI SF.TPACN SIUE SETBnCN �'lAN CHECK NUM9ER FCF PFCFlPi NO <br /> usezor+e IOTl.REA V�C�Nt51TF. FEES VALUATION FEE <br /> � <br /> iires �' Na pU1lIJING I <br /> HEIGHT LIMITATION NN11OF DWELLING S�IE OF 9lOGRl <br /> rii�n+nn+c ��� <br /> OCCUPRNCV NO O�SIONiES OGLUPANIL04D BASEMEN7 MFGInNICnL ���'f(`� <br /> GROUP — ��"'-"-' <br /> IIVES �1 NO � <br /> FIRE ALARM REO'D RFASON /DUIIIONAL PI nN C��F.CK _ <br /> i <br /> ou�[n I <br /> FIRF.SPRIkN1ERREOIt nEASON <br /> STNE OIIILOING SIIfiGlnfif.[ <br /> TYPEOFf,ONST vtnNsnrvnoveonr CITYOFEVERETT ���m�r,wonKs <br /> LOCAL SALES — <br /> ��q�E TAX CODE IS 3105 TOin� ' <br />