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APPLICATIVN FOR CONSTRUC? .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVI;iION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION �CMBlNATION fl BUILDING I� MECHANICAL � 1 PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> �026 �2 ROCKE�ELI.t�/� <br /> ON?!ER MRILA�ORESS C11V <br /> Z�� PIION[ <br /> _��'T /.F� /,"L ��SZJ �IGLLV �P fl��E�T `��'20Q � �E -.3`�7•- G6'��I <br /> 7EN NT MAI���OPF.55 (:IIY ]ip <br /> PIIONE <br /> ARCHITECTOROESIGNER MRIIA��RE55 Gitt 71P PIIONF <br /> FrT� !-I �u iM SS2� 1l� � yn� FvF�Pc �1_ �t'�2�' 7.ob - 3`-�7 oF,�a <br /> GENERALCONTP� i0R M�nilAOORESS CIIY IIP P�IONG SinTGLICENSF.� <br /> //(.I//iVC � <br /> MECHANICALCONTRqCTOR MRILpDDRF55 CITY ZIP PIIONF SiAT[UCF.N�E� <br /> PLUMBINGCONTRRCTOR MA!!ADDRE55 CIIY 21P PNpNE 51� <br /> IE UGENSE� <br /> CONTRIICT PRICE OF WOqK / . �� <br /> 1��7�D — HEATING SYSTEM: f 1 GAS fl ELECTRIC f l <br /> DESCRIBE WORN AND SOUARE FOpTAGE INVOWED CONiACT P[RSON AND PIIONE NO. <br /> �/iRrr��Nq' RhlP F/ /.t�G !l9r� - P <br /> � m N .6 � .UT� _ k��,17 �.��5� <br /> ��f lQ W�LL L�SS qppE CATION ANDIKNOW THE SAME TO BE�TRUE AND CORR CT ALL <br /> CXVROPOSFD UCsE OF 8 LdNG n ' � "� ./� <br /> i�%�� (��� f l L �/ 11L,JJC i�y-G I�0 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALOESCRIPTI01 OFVRpPERtt�SHOWNBELOWORATfACHTWOCOPIES� WORY. WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT B�ocK cr AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OH LOCAL LAW REGULA'�ING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TFIAT I AM AUTHORIZED �V THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAD AND 1 COMPLY WITH THE STATE <br /> PARCELTA%L�.NUMBER n COCITFACTORS LAW 18. RCW AND 29620 AC. <br /> y, z�G 2 i a� o� ` ��od , <br /> CONSTPIICTON LO�N LENDE9,RODRF55.TFLFPHONE NUMAER x L p S <br /> oN % <br /> sic uaE onTE <br /> CITY BUSINE55 UC[NSE NO — <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. 7VPE OF EpUIPMENT FEE <br /> WATERCLOSET�TOILET) � q/C—AMNDLGUNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WqSH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS <br /> DISHWASHER � VENTILATION FAN <br /> LAUNDRY TRAV � RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER , <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN I METAL FIREPIACE(N/OOD BURN�NG) ' <br /> FLOOR�RAIN � FIREPLACE INSERT(WOOD BUFNING) � <br /> BACKFLOW PREVENTERS ; GAS F�REPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE —�— <br /> GAS PIPING � <br /> � EXHAUST FAN ; <br /> � � <br /> � <br /> � � <br /> � <br /> SUB TOTAL $ � SUB TOTAI $ ' <br /> PERMIT S � PERMIT S , <br /> TOTAL FEE $ � TOTAL FEE $ �— <br /> FOR OFFICE USE ONLY: <br /> fRONTSFTPACK REARSFTPALN SIDFSETBjCN PlANG1ECrcNp/M1��� �F[ RELEIPiNO <br /> C % 'I '/ <br /> usezoN� IATRREA VACRHISIIG FEES VALUATION FEE <br /> � IIYES V.Kb <br /> oun.nir�c ' I :,i� <br /> MEICHT LIMITATION NO OF pWELLMC 52E OF AIIXi/II <br /> IINIIS <br /> PUIM1IAING <br /> OCCUPANCY NG 0[S�ORiLS OCCUPANIL n0 PnSEMENT --+ <br /> CROUi' � MGCINNICAI. — - <br /> I�IT{!' �i NO <br /> FIRE RLARM HEO�D RP�SON ADpI11pNA1.PI AN OICCN <br /> d —�_— <br /> ou�cn <br /> rine srni i .n nFon nFnc�N <br /> A /a srnie nunmmc sunc�innct ,�� .-,-.� . <br /> � <br /> TrveoFr.otisr r�nNsnrrp�nv CITYQFEVERETT runncwor�ns <br /> VN �' .. LOCALSALES --- ---�-- <br /> ontt / b TAX CODE IS 3105 TO7AL <br />