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APPLICATII.nI FOR CONSTRUCI.ON PER1.11T <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 C:EDAR STREET • EV[RETT, WA 98201 • 259•8810 <br />f-1 DEMOLITION f 1 COMBINATION �BUILDING fl MECHANICAL f l PLUMBING fl SIGN <br />PRO�CT ADDRESS <br />%1-7 �f��<-C�.CG7 r r=� /4Vr� <br />�eN�> <br />anc�{iT�cr on oesicr+En <br />IdML�OURF.55 <br />MNLAD�PE55 <br />cirv <br />Ntf"5J5� 1?C L'� <br />cin <br />zm rNON� <br />�8oZ7 �85-3�9 � <br />zir ri�ouG <br />21P PHONc <br />GENEPALCONTRFCTOR MAILA�DAE55 CIiV 21P PH04[ Si�TEUCGNSE� <br />o r.�n>e�- M N` sN w�r (e'� i� <br />MECN�NICALCON7R�CTOR MAILADORE55 CITY ZI{' PHONE STATELICENSE� <br />PIVMAING CONTRACTOP <br />wonn <br />WORNANDBOUARE <br />MFII.A�DRE55 CItV <br />��� Di ruti� v�. �i <br />R�G INVOLVED <br />M) F".v�.�n�Tin1� <br />j!`^qllti �ew......1 ti {`-e'S i rd'tr�l i. <br />LEGAL DESCRIPTION OF P OPERTY (SMOWN BEl W OR �TTAGH T\YO COPIE51 <br />�or cl d-f D o�ocK .�� Z or ��-� o f �S'vi <br />D i v r s� e /`-i � AN 1�. � C <br />WAti(.5 �I�` I�NB���'=� <br />PAPCELTA%ID 1MBER ������— �J' � <br />43r� 1— S"U =—CaU� � <br />CONSTRUCiION IOFN IENDEfi. FpDRE55, 1F.1 EPMONE NUMBER <br />�' ...`; r , , r-i...-x,'�id� _ vv7Tr_ . -7 7 I - <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORY(WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUNDRYTaAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />CINK IAFRVICF — RAR FT <br />FOR OFFICE USE ONLY: <br />rnorvTsr_ToncK n�nn sErAncK <br />�._� ��� <br />USE ZO <br />� -3 <br />HEIGMT LIMITATION <br />occurnNcv no orsia <br />cn(j/1uc ,L <br />FIRE ALAPM i:GO'D <br />0 <br />FlRE SP INKLER RFO'D <br />•/U <br />/�L <br />rvpe or covsr <br />-�- f.� <br />SUB TOTAL S <br />PERMIT S <br />TOTALfEE 5 <br />LOiAREA <br />�`�3 <br />NO.Of DWELLING <br />Uviis . <br />REASON <br />unTr: <br />FEE <br />SI�E SETOACK <br />i <br />VAGPNTSRE <br />� �ES /o <br />ZIP PIIONE STATE LICENSE • <br />HEATING SYSTEM: I 1 GAS ISYELECTRIC I-1 <br />G0� lACit;ER� ANpFII NFNO N�� C J�-S —`�a � <br />:� ; K ;�� � <br />J �J <br />�"'a'�r 1 � ( � ,� �"29 <br />I HEREBY CEiiTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUC AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRc:SUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTIOtJ OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTIIORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOA WHICH <br />APPLICATION IS MADE AND I COA�PLY WITH THE STATE <br />CONTRACTORS LAW 18 7 RCW AND 296200 W C. <br />x� :��_` 1�------ � l ��1� i <br />SIGNnTURE �/TE <br />CIiY BUSINESS LICENSE NO <br />MECHANICAL <br />NO. TVPE OF FI%TURE OR ITEM FEE <br />A/C — AMNDLG UNITS — H.P. � <br />FORCED AIR SYSTEMS — B.T.U. M E.A. � <br />HEAT PUMP �— <br />UNIT HEATERS — �.T.U. M ' <br />CLOTHES DRYERS i <br />VENTILATION FAN � <br />RANGEHOOD i <br />WOODSTOVE <br />METAL fIREPLACE (WOOU BURNING) <br />FIREPIACE INSERT (WOOD BURNING <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FF.E 5 <br />Nun+ocn rEE RECEIPT NO � <br />�i71'� /CL";.�0 i�%��5 <br />' auaoir+c��e. �y.�5� <br />size oF oiocrta. <br />rtt�Mnirac <br />BASEMENT � � MECHnNIC�L <br />f7Y[5 R✓NO <br />ADDITIONAI PIAN CHECK <br />OTMER <br />S7AlE OUILDING SURCH�RGE <br />CITY OF EVERETT rueucwonKs <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />�5J <br />