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.�-a ��...,, <br />qPPLICATION FOR CONSTRUCT �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />fl DEMOLITION �l COMBINATION I-1 BUILDING fLY"67ECHANICAL f � PLUMBING fl SIGN <br />GENE/fiFL�CO�NT�Rp�C�TOR M�ILADDBf55 CITV 21P PHONE SfATEIICENSE� <br />GrQt'fTfE' '� <br />MECHANICAL WNTRACTOF MAIL ADDRESS CITY 7.IP PIIONE STATE UCENSE � <br />raei�l�svn� 1�FG �,,ci. �a�.i� e,�oni2 V��L;�� G�D, LU�v�cs�c,o� <br />PWMBINGCONTRACTOP MAILA�DRE55 IIY- ZIP PHONE�TAiELICENSF• <br />7�s-3s�� r-�L«i�r�ai �-7 <br />CONTRACT PRICE OF WORK <br />5��y p°-� HE TING SYSTEM: f l GAS rl ELECTRIC �l _ <br />OESCRIBE WORN AND SOU�RE FOOTAGE INVOLVED , _� CONTACT PEPSON AND PHONE NO. <br />S Tc. L L /rG o�/j `L- n v c,"� <br />��CS'�"bV�2/sKr <br />LEGAL OESCRIPTION OF L?qPERTY (SNOWN 9ELOW Or� ATTALN TWO COPIES) <br />LOT� BLOCK _ OF_ <br />PRRCELTA%I.D.NUMBER <br />CONSTRUCTION LOAN lENOER. PUDRESS. TELEPMONE NUMBER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) � <br />BATHTUB ; <br />LAVATORY (WASH BASIN) � <br />SHOWER � <br />KITCHEN SINK 8 DISP ; <br />DISHWASHER � <br />LAUNDRYTRAY ; <br />CLOTHES WASHER i <br />URINAL ' <br />DRINKING FOUNTAIN i <br />FLOOR DRAIN � <br />BACKFLOW PREVENTERS � <br />SINK (SERVICE - BAR, ETCJ � <br />SUB TOTAL 3 ' <br />PERMIT S � <br />TOTALFEE $ <br />FOR OFFICE USE GNLY: <br />FRONT SETPACK REM SEiBACK SI�E SETBACN <br />USE20NE IOTAREA VACANTSRE <br />IIYES fi NO <br />HEIGHTLIMITATION NO.OFDWELLING SREOF9lOGRl <br />UNIIS <br />OCGUPANCY NO 0�510PIE5 OCCUPANTLOnD BASEMENi <br />RE�SON <br />oniE <br />f1VE5 I1 NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />I HEREFiY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEt; SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY "HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RC AND 296.200 WAC. <br />_ i � — <br />x ^ ' � ��_ �6 <br />S�G T E ORTF. <br />CITY 9USINE55 LICENSL N0. <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />A/C-A/HNDLG UNRS-H.P. <br />FORCEDAIRSYSTEMS-B.T.U. M E.A. <br />UNIT HEATERS - B.T.U. M <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FlFiEPLACE I <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS PIPING <br />EXHAUSTFAN l^�2 /.10�� <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE $ <br />PL4NCIIECKNUMOEti ( �FE[ �NEf.fIPTNO <br />BIIII�MG <br />PLUMOING <br />MECHr1NiCAL <br />Ap01110NAt PLAN CNF.CN <br />OiNEf1 <br />STNE POItDR1G SURCIInOGE <br />PlllillC WORKS <br />TOTAL <br />