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A,PPLI�AT11.r1 FOR CONSTRUCti .ON PEFtMIT <br /> (:lTY OF EV[RETT� BUILDING DIVISION � <br /> 320C CEDAR STREET• EVERETT, WA 98201 • 259-88t0 <br /> fl DEMOLITION i I COM8INATION �� BUILDING n MECHANICAL i�?'pLUMBING �I SIGN <br /> PROJECT ADDRESS � <br /> � ia� iTE2EYE �,e <br /> o�^+En rnaiao rss cm z�r <br /> In� /�}�j / rr�oNE <br /> LU2Fi�l C/��1�/�lf U �b�( �3 �(e/?qGJDo� /Q (].3(� <br /> Ter�nNr �nnaano�+Ess arv ziv r��or+E <br /> /�CNITCCTORpE51GNEP MAILA�DRE55 Lltt IIP PMONE <br /> G[NERRLCONTRAGTOR MAILADDRE55 CIiV ZIP PIIONE STATELIGENSEi <br /> MFCHANILAICONTRACTOP MAIL�DORE55 Cltt 21P PIIDNE STqTELI�ENSE� <br /> PWMBINGCONiRAf�Or1 MAILA�DPF55 CIiY ZIP PIIONE STAiELICENSE� <br /> -P���vt ,vw �� o-�+ cNE �1� �e 9�d�1 �53-/yis Rc��Lnl�o8yn5! <br /> corvTnaCt rmcE oc wonK <br /> HEATING SYSTEM: ❑ GAS f-1 CIECTRIC ❑ <br /> DESCRIBE W09N RNp SOO�PE FOOTAGE INVOWEO CONiALT PEIi50N AND PMONE N0. <br /> I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br /> PR01'OSED VSE OF,em�oir+c APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �/ n/ � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � C' WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br /> LEGRLDESGPIP oNo F aER (SHOWNBELOWPFATfRCN7WOCOPIES) NOi THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tor e�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTPUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OW ER OF THIS PROPERTY TO PERFORM THE WORK FOR WHIC}i <br /> APP�ICATION IS MA E AND I COMPLY WITH THE STATE <br /> rnnce�Tax t.o.nuueEa CON RACTO AW 1 7 RCW AND 296.20D WAC, <br /> CONStqUGT10NLOANLENDER.pDDRE55.TELEPHONE NVMPER r �!�-� S <br /> SIG E ppT — <br /> CITY AUSiNGSS UC[NSf.NO. <br /> PIUMBING MECHANICAL <br /> r � N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> t WATER CLOSET(TOILET) � q/C—ARiNDLC UNITS—H.P. � <br /> - BATHTUB � FORCtDA1RSVSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH�ASIN) HEAT PUMP �— <br /> SHOWER UNIT HEATERS—B.T.U. M � <br /> KITCfiEN SINK 8 DISP i CLOTHES DRVERS � <br /> DISHWASHER VENTILATION FAN i <br /> LAUNDRY TR�Y ' RANGE HOOD � <br /> i <br /> CLOTHES WASHER i WATER HEATER i <br /> URINAL WOO�STOVE ~— <br /> DRINKING FOUNTAIN i ME7AL FIPEPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIFcPLACE INSERT(WOOD BURNING) � <br /> BAChFLOW PnEVENTERS � GAS FIREPLACE ' <br /> � <br /> SINK(SERVICF—CAR,ETC.) GAS RANGE � <br /> GAS PIPING ; <br /> ���T J i EXHAUST FAN � <br /> i i <br /> _ i <br /> . i <br /> i <br /> SUB TOT.AL $ � SU�IGTAL 5 ' <br /> _ � <br /> _ PEFMIT 5 pERMIT S i <br /> TOTALFEE 5 T07ALFEE $ � <br /> FOH OFFICE USE QiJLY: <br /> FRONTdETBACK REARSETOACK SIDESETBRCE PLANCH�CNNUMfi/[R FEE RECEIPTNO. <br /> - /J�� <br /> usezorve iornnen vnenNrsitE FEES VALUATION FEE <br /> n ves n No ow�oiNc I <br /> MFlGNTLIMIiATIDN NOOf�WELLING SIZEOFBLOGRI. — <br /> UrvITS <br /> FLUM9ING � <br /> OCGUPANCV NO OtSIDPi[5 OLCUPANTLORD BASEMENT i <br /> GROUN MECNRNICAL <br /> f7VE5 (1 NO � <br /> i <br /> FfPEFUtiMREOD REh50N PD�I110NALPLANCH[CK <br /> i <br /> OiHER i <br /> FlRF SPqINKLER REO'D RCAFON <br /> � <br /> i <br /> SiAIE BNLUING SUHCHPRGE � <br /> fYPEi�CONSf PLl�NSAPFRO\'EDOY CITYOFEVERETT �UBLIf,WORKS � <br /> �- LGC4L SALES � <br /> ���- i TAX CODE IS 3105 707AL <br /> - -- - � — - - - - <br />