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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COMBINATION fl BUILDING I-7 MECHANICAL �� PLUMBING f� SIGN <br />PROJECT �4DDRESS/�� � �n ,` j„�! L �� O r1LVD� `v �i �a- ! �a d3 <br />/E�u(J /J <br />OWNE�O ✓ M�ILA�ORES/ / (// I1/l�GuL'Teo /,%�.OU� �%l��Opp(�(fs ^ �� ll �/ ��/ <br />I,, � %`� �� <br />TEN�NT MRILRpDRE55 f.IIY ZIP PHONE <br />ARCMITCCTORDICSIGNE(i MML�UOFE55 G�TY ZIP PMONE <br />GENERALCONiP�CTOR MAIIADDPE55 QiV ]IP PHONG GIAiEUCGNSE� <br />�.!�3-2'91_2- _ <br />.._ .............._........ .. _...._.._-- <br />_�� � �i�F� c�c <br />PILMBINGLONIRAf,TOR M>IL�DORE55 <br />CONTRACT PRICE OF WORN� _ C/ �`� O r <br />8 6 -� <br />DESCRIBE WORK �NO SOl1ARE FOOTAGE INVOLVED <br />ioT <br />��r�o l.� �NS�� = <br />.�x�sl`�.+�- ' csvtiv�� <br />IIDING <br />> D�it� �1-L_ <br />�F PROPERiY �SHONTJ BELOW OR ATTACH TW <br />. e�ocK oF <br />CONSTRUGTION IOAN LENOER, �DORE55, TELEPHONE NUMBER <br />NO. TVPE OF Fll(TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUNDR'I TRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SMiC (SERVICE — BAR, ET <br />FOR OFFICE USE ONLY: <br />fRONT$F.iPACK RERR$F.TPACK <br />USEIONE �IOTAREA <br />/N <br />SUB TOTAL S � <br />PERMIT 5 � <br />TOTALFEE E ' <br />SIDE SEiBACN <br />HEIGIITUMITATION INOOFOWF.LIING <br />UNIIS <br />OCCUPAkCY NO Of SIOniES OCCUPAN7 LOAD <br />ALARM <br />rt <br />unt <br />�Y <br />VACANI SIIE <br />IIYES fi NU <br />SIZE OF BLUG�f I <br />fIYES 11NO <br />CITV OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PIIONE STATE LICENSE � <br />HEATING SYSTEM: I 1 GAS �I ELECTRIC fl <br />CONTFCT PERSON AN� PHONE N0. <br />I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APF:.CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OADINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO V�OLATE UR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUC fION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM 1HE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT LAW 1827 RC 96200 WAC. <br />x. ���� << �� ���/s/9.�— <br />SIG E DATE <br />CITY BUSINESS LICENSE NO <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />GAS <br />GAS PIPIN <br />EXHAUST <br />PUNCIIECNNUMOER �EF <br />FEES <br />IlU1lDING <br />PIUMBING <br />MECH4NICAl. <br />�DOIIIONAI. PLAN CII[CK <br />OTNEA <br />STNE DUIIDINO SIIRGHMCE <br />PIII111C \YOf1N5 <br />TOTAL <br />SUBTOTAL $ <br />PERMIT S <br />TOTALFEE $ <br />aEr,Firr No. <br />FEE <br />7 <br />