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A�PLICATION FOR CONSTRUCT�ONi PERMIT <br />CITY OF EVERETT • BUILDING DIVISIOIJ <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />�I DEMOUTION f 1 COMBINATION �l BUILDING fl MECHANICAL i 1 PLUMBING f;� SIGN <br />PROJECT ADDRESS <br />- - • - � i � <br />ownen u�anooness cin zm w�or+e <br />�� l� L°K T 1�a7/`.r /,'S uv� Od �.� l7 v� 7 ,.��.�l� �iY1a�- �s � � 2.�/- 3 i r� <br />1FNqNT N�II.qpGPF.55 LITY ZIP PIIONB <br />C� � • <br />�.� � - irt�-(.1 `a�u,,..f� ��c� /J ��l�e � s''�c.�.J �1 �Lnw��-d 9d�3 <br />GENEMLGONTRnGiOR !.1All'DOfiE55 ❑IY IIP U PIIUNF. 51�tEIICENS[• <br />MF.CH�NICALCONTRACiOfi IARILAD�RE55 CITY ZI4' PIIONE Si4TELICENSE• <br />PLUMBINGCONiPACTOR MAILAU�RE55 C'T1' ZIP PIIONE STATELICENSE� <br />c4 <br />ItIVOLVED <br />� <br />USE <br />LhG�t OESGRIP�ION OF PROPERtt (SMOW�/N BI <br />LOT z v���_ BLOC1( � J 0 <br />��RGELTAXIO.NUMBER <br />ti34! 738 � yy _v�o� <br />CONSTRUCTIONlOAN1.EN0ER RDDRESS.TELEPNON[ NUMBER <br />NO. TVPE OP flXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE <br />SINK (SERVICE — BAR, <br />FOR OFFICE USE ONLY: <br />�RONTSFTPACN PF.AR SFTBnCK <br />� _ / <br />USEZOY� IOTAF <br />� <br />HEIGHTLIMITATION NO OF <br />/ � UNIf$ <br />OCGUPANCv NO Ot StOniFS OCCIIP <br />cnour <br />FIREAIMMRBO'[1 RfA50 <br />SUB TOTAL $ <br />PERMIT S <br />TOTAIFEE S <br />SIDE SEiBACN�, <br />� /C, <br />, J • Vr1CANi SIiE <br />�. Ily[S <br />IG SIZE Of BIDG/f I <br />L04D <br />2-I - <br />FEE <br />IIY'ES il ND <br />CITY OF EVERETT <br />LOCALSALES <br />TAl( CO�E IS 3105 <br />HEATING SYSTEM: f I GAS �t ELECTRIC �l <br />CONTACT PERSON AND PHONF NO <br />.A. n.. J � _. G'� i o a.. —. <br />_.�5s�"i�, <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OFDINA��ES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT 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 />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTH091ZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WGRK FOR WHICH <br />APPLICATI6N IS MADE AND I COMPLY WITH THE STATE <br />CONTRACiORS LAW 18.27 RCW AND 296.200 WAC. <br />x •c•' �i'/.l^'tGG .� "' //- Zd - 9w <br />5�� .� 7 i 3 � �.T� <br />CRY BVSIN SS IICENSC N0 <br />MECHANICAL <br />N0. TYPE OF EOUIPMEkT FEE <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. ! <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD I <br />FIREPLACE INSERT (WOOD <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ ; <br />PERMIT $ � <br />TOTAL FEE 5 � <br />PlANC11�NUMf3F�pJ � I F[[�ILn/' IPBCGIPTNO <br />� (/ % �� �% <br />OIIIL�Wf, <br />PLUMpMG <br />MGCHRNICAL <br />FDOqIpN4L PIAN G�R.CK <br />OiNER <br />s*ni� ounuir:c sunc�innr,e <br />rum �r, wones <br />TOTAL <br />