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� �- <br /> APPLICATIt,.�l FOR CONSTRUC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259•8810 <br /> I� DEMOLITION �T COMBINATION f� BUILDING f-1 MECHANICAL �l PLUMBING f 1 SIGN <br /> PROJECT ADDRESS �� ,-� <br /> � -�'�/ — 5 ✓Q- SG <br /> ONTlER ��,t� � MRI�ApDRE55 cirv zir r��or�c <br /> =�n.,�.=k Ih , 930{- Js1/a��_5�- <'o�.-/f 98:�os• �o6- 3s3� �IzG7 <br /> 1F.NANT MNIADp�f.55 ('i1V iIP PIIONE <br /> l3�q" f. i N <br /> t' f — <br /> PRCNrt[CTORDES�GNF.f1 MNIRDORF.55 arv vir r��or+e <br /> P �. . r <br /> tir.�C �. t!` <br /> GENEMLCONff14C10R MRILRDORESS ('ilv ��P P�1p4[ Sf�TEIICENSf:• <br /> n rl �/ <br /> ��n� � p.�..or <br /> MECHANILAL GON7Rn.T9q� � MAIL AD�RF.55 CITY 11P P110N[ STATF LICENSE� <br /> �.w'�`-?��"P stas `+>�. M � Lsa�tis[ z <br /> O�VSWIIr <br /> Pl11MBINGf.ONiRACiOR T MfdLApDRE55 CIIY� 21P PI�ONE S1AiELIGENSE• <br /> �n PI... ,� _ �07 r'�,,.��rt �Yw�r F . e ve� 3s e, �/ <br /> cov�n�cr anice or wonK <br /> _ — - (9 7 g HEATING SYSTEM: D(GAS r I ELECTRIC f 1 <br /> OESCRIBE WORK ANO SOUr1RE FOOT�GE INVONEO CONiACI PFRSON 4ND PIIONP NO <br /> �� „ S 1-�., �1' �z� �., s�7�r C4 I „ l, � > <br /> , � <br /> /�T9 ° , � h� , « s�c Q", � <br /> I HEREBY CERTIFY THAT I HAVE REAO AND E%AMINED THIS <br /> PROPOSEDUSEOFPl11l��NG APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> T I. u r i �-� WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESGRiPTIpJOFPROPEPTY�SNOWNBELOWQRRfiACNTWOGOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tor � BLOCK_ti0�or "r r AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION Oii THE <br /> /lo',Z —/S •S�T /?er H/= N A 9CU)1350 O'1 ,v' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> 4 J� o F ' I �� S P APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> P�RCEL TA%I D.NUMBER CONTFP^TORS LAW 1827 RCW AND 296.200 WAC. <br /> ' � -vu - U� - S o 3 ///� /e/ / '�/�, <br /> CONSiRUCTION IOAN LENDER.�DDBESS.Tf IEPHONF.NOMBER ��f L. � /" lI ��4 N U�-W� �9J� <br /> �� �� .nli � <br /> SIGN�iVRE D4TE <br /> CI1Y PUSINESS UCGNS[NO <br /> PLUMBIN6 MECHANICAL <br /> NO. T1PE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILT) // A/C—AMNDLGUNITS—H.P. <br /> BATHTUB �' � � FORCEC AIR SYSTEMS—B.LU. M E.A- � <br /> LAVATORY(WASH BASIN) / i HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP " i 1 CLOTHES DRYERS � i <br /> / DISHWASHER — VENTILATION FAN � <br /> LAUNDRYTRAY � RANGEHOOD � ; <br /> I CLOTHES WASHER - � WATER HEATER �� <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN METAL FIREPLACE(V.'OOD BURNING) i <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTEFiS ; GAS FIREPLACE ; <br /> SINK(SEFVICE—BAR,ETC.) � GAS RANGE <br /> GAS PIPING <br /> i EXHAUSTFAN <br /> i � <br /> i � <br /> SUD TOTAL 5 SUB TOTAL S � <br /> PERMIT 5 i PERMIT 5 i <br /> TOTAL FEE S � TOTAL FEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> fIlONTSFTPACN RF.RRSF.TORyK SIOES[1114CK � Pl�NC11EC IMOPf1 PF[ �FCEIPiNO <br /> � ' l0 4S ' �r2A ��� _'� . /.� <br /> usezoNe iornne� vncnNrsirr FEES VALUA710N FEE <br /> �—� (O, 6� 3 Kves �� �o ounnn+r, 9 ' — <br /> 3z� <br /> IIF.If.11l LIMITATION . NO OF OWElLP1G SIIE 0�BLoG 4� <br /> uNii� ll�l�1 S� G�.�i..iL� �- riinmi�vr, . � <br /> � 574 Sr GA/�AGE � — <br /> �OUPpNCY NO pf St0aiE5 pCCUPRNI LOAD P45EMG.Nf 6�FCIInNiCaL � <br /> ��3 �../ I Nl�� ��,�z r/ — - ::.�.-- <br /> vineatnnuneon arnsov <br /> aonn ioNni.ri nu c�rtcK 1 <br /> - T� <br /> '� omen <br /> rme srniruKi Fn neon nrnsnr+ <br /> �� craie nunon+r,sunr.�mnr.e �,�� <br /> rvrForr,or:si rinHsarv`ovr�t{r CITYOFEVERETT �'iimir,wonKs � _ <br /> ��F� LOCALSALES ��-`— <br /> �- /✓ uniE qs TAX CODE IS 3105 TOTAL _ _ _��i5� <br />