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APPLICATION FOR CONSTRUCT�a�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, 1NA 98201 • 259•8810 <br /> fl DEMOLITION I 1 COMBINATION I� BUILDING � MECHANICAL � ! PLUMBING f 1 SIGN <br /> PROJECT ADDRESS � I <br /> � � ( � ���.� <br /> owvEn Mn�inooness cirv zir r��oa� <br /> _��UCC �THc.��r���l 311? I Ltt�1s.1��� r-�'��2c�j Y,�':�c: l �I �G�-`( a.� <br /> IEN�NT 1 MM'.RDDRCS:i QTV lIP MIONE <br /> �AmE <br /> ARCMrtfCTOR0E5iGtJ[t1 MRI.ADpRE55 Cllv iiP PMONf <br /> GEN ML COYIf1RC10R NAq Ap�qF55 GiY ]iP PIIO4[ $iAiE IICENSF:� <br /> �� t�� E �'�� It1oF�1PJ� S� i ` �4� �.4��4��G �c���s�ttla�i�� <br /> MFCHA4ICFl CO4TRAf,TO Maq ADpPES Cltt IIP PIION[ $IDif LICE��SE� <br /> �AM�. <br /> PLUMBINGCONTRAf,iOR �>MdiLA[�pRE55 GITY ZiP PHONE STRLFI.ICENSE� <br /> CONTR�CT PRIC[OF WORN " ''� <br /> � HEATING SYSTEM: GAS f 1 ELECTRIC f 1 <br /> DESCRIBEV.'ORN�NDSOURREfOOi� EI4VOlVED WNTRGTPFRSONANDPIIONENO <br /> /�/s/�I« `�,ci�� c� � - . ,.— r«1� �� _ <br /> /' E •� 9�- �: //'c'� -- ; �4r( �//5 <br /> 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC? ALL <br /> PROi'OSEUUSE OF P.UILUING PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HCREIN OR <br /> LEGRLOESGRIPTIONOFPROPEPTY(5110NMBELOWIXiRTTFGHTWOGOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE <br /> ior BIOf.K or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LATING CONSTRUCTION OR THE <br /> PERFORMANCE OF STR I . H I AM AUTHORIZED BY THE <br /> OWNER OF T R ERFO THE WORK FOR WHICH <br /> APPLICATI IS I C PLV WITH THE STATE <br /> PnRce�r�x io.Nuueea CONTR ORS . 7 W ND 29 .200 WAC. <br /> �c� �; -o �l�� —� z / � <br /> CONSTRUCTIONlOAN1END[R.�DORESS.TELEPNMIE NUM3ER X � <br /> SION A1E <br /> an eusn+ess� . o <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> T <br /> WATER CLOSET(TOILET) A/C—NFiNDLG UNITS—H.P. <br /> BATH7U8 � I FORCEDAIRSYSTEMS—�.T. . M E.A. � <br /> iAVATORY(WASH BASIN) � HEAT PUMP � � <br /> SHOWER UNIT NEATERS—B.T.U. M <br /> KITCHEN SINK 6 DISP CLOTHES OFiYERS <br /> DISH\VASHER VENTILATION FAN � <br /> LAUNDRY TRAY RANGE HOOD <br /> T <br /> CLOTHES WASHER WATER HEATER <br /> URINAL WOOD STOVE � <br /> ORINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR ORAIN � FIREPLACE INSEFT(WOOD BURNING) <br /> BACKFLOW PREVENTERS � GAS FIREPLACE <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> GAS PIPMG 'S� <br /> i E7CHAUST FAN <br /> � <br /> SUOTOTAL $ SUBTOTAL S � <br /> PERMIT S � PERMIT $ <br /> TOTA�FEE $ TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> fRONT GFTPACK PEAq SFT(iRCK SIDE SETBPCk M4NCI�ECN N fR fE[ P[CEIPT NO <br /> "D Z. _ <br /> use zot+e tor nnen vnenN�sir[ FEES VALUATION FEE <br /> IIYE$ I1 NO ������MG � <br /> NEIGIITLIMITRTION NOOPDWC.LLING SIIEOfplIX;rtl - � <br /> IIN115 PlUM01NG <br /> -- � <br /> OCCVP�NCY NO OfGtnRi[5 pCCUPANIIGA� DASEMENT i <br /> GROUP MPCH/.NIGPL � <br /> fIiES it NO --- <br /> FlR[ALMM RE00 �FASOY AtlDt110NRL PL4N CHCCN _ <br /> O�HER <br /> fIRFSPRINqFRREOO �F��ON <br /> SiAIE OUII�ING SIIfiC.114qGE <br /> tvreoreoNst vinNsnrrnoveoor CITYC� EVERETT �'i�nnr.wonKs <br /> LOCAL SALES — -- �-- <br /> „�,E TAX CODE IS 3105 ioinl <br />