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APPLICATION FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f� DEMOUTION f 1 COMBINATION f 1 BUILDING MECHANICAL i l pLUMBING f 1 SIGN <br />PROJECT ADDRESS �/9 I Z � m �%„ , <br />�� � /�r � VP-�e,7�,i <br />OWNER MRILApDP[$5 <br />n GITY ZiP m�nur <br />��yo �e/i,'3;�., �� /3 r/�,A;;,,�p;. <br />IENRNi MA�L�OORF.55 ���y <br />�RCIIIt[CiORpESIGNER MPIlPf10RE55 CITY <br />GENEfinLCONfnnC1IX7 MnILnDft(1ES5 nrv <br />ry��a�bumqnclpn MRIIAppRl:SS <br />/rr[ G�P� �nn_ /?7 <br />wnn+nc� rmcE or vronH <br />UESCRIBE WORK A4� SOUnFE FOpTnGE IYVOLVED <br />�n ciu s ir.'a � Sf'i7 - sl <br />6 c i�n S Y-� //e d i•� �1 <br />�QUi9r� �cYh7`A^ i / O <br />�ROPOSED USE OF �UIIDING <br />.��9r�v��`— C__fJ/f <br />iEee� oescnirrior� or vrrorEnr isrwwrv eeiow on <br />LOT Bl0(:K OF <br />PARCELTAXID.NUMBER <br />CONSiRUCTIpN1�lANlEN�ER�ODRESS TFIEI'NONENIIMPER <br />PLUMBIN6 <br />NO. '. YPE OF FlXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CIOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PFEVENTERS <br />SINK (SERVICE — BAR. ETC.1 <br />FOR OFFICE USE ONLY: <br />�qONT SFTpRLK Rf.A� SF.TPACK <br />USE ZONE 1 OT �REl1 <br />IIEIGBt LIMIiATIpN <br />OCCUPRNCY NJ Of <br />flqF GPPMNI <br />SUB TOTAL S <br />PERMIT <br />TOTAL FEE S <br />NO OF DWELLIHG <br />UNlic <br />nrasov <br />f.ltt <br />��n <br />7ir <br />nr <br />�> 8a� <br />G4/-1/� <br />I IC�N$E � <br />�e t�r,ru5[ . <br />i•e c: �e�c� T�,-� <br />�F i.iarr�se • <br />��•f� HEATING SYSTEM: �� Gl1S f 1 ELECTRIC I I <br />CONT0.CT �EFSON A6'D PIIONE AO <br />a �rar� Pi c /,� 6 .t�/.2 > �ie�s,�.� <br />,r/ �u�e,�� ow� � 388-`� 9si A, ,�,w, 9c c,,, <br />I HEREBY CERTIFY THAT i HA'!E READ AND EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL OE COMPLIED WI7H WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEf1M1T DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br />CONTRACTO 5 LAW 18.27 RCW AN 96200 WAC. <br />x s-t ,��� l�- /- 9s— <br />i� <br />SIG LURE pqt� <br />F���C�'�I'?�OT�,., <br />CIiV Bl/5ME55 LICFNSC Np <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT FEE <br />' A/C—NFiNDLGUNITS—H.P. <br />; FORCEO AIR SYSTEMS — B.T.U. M E.A. ; <br />� HEAT PUMP � <br />UNIT HEATERS — B.T.U. M � <br />i CLOTHES DRVERS � <br />� VENTILATION FAN � <br />� RANGEHOOD � <br />WATER HEATER 1 <br />WOODSTOVE � <br />METAL FIPEPLACE (WOOD BURNING) i <br />� FIREPLP^ = INSERT (WOOD BURNING) � <br />' GAS FIREPLACE ' <br />GAS HANGE <br />GAS PIPING <br />� EXHAUSTFAN , <br />S��E SETBRCN <br />V�C�NLSILF. <br />fivES �'r�o <br />;�_� _ SUB TOTAL 5 � <br />i I PERNIT 5 i <br />; TOTALFEE S . <br />Pl AN CIIECN <br />� � AUIIDING <br />512E OP 9LOGR1 <br />r�uqorvu <br />PRSFMENi 1,�[CNRNIf.RL <br />II�ES I1 NO <br />RDp1I104M PIANG�IfCN <br />on�en <br />ST�iE OiI1l01Nf. FII(1 Iln <br />CITY OF EVERETT runnc wonKs <br />LOCALSALES - <br />TAX CODE IS 3105 70TAL <br />fE� _ � RFf.FIPiNO <br />/ � <br />� <br />�JC� <br />