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APPLICATIOrI FOR CONSTRUCT�ON PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION Ti3, COMBINATION f l BUILDING I 1 MECHANICAL � 1 PLUMBING f I SIGN <br /> PROJECT ADDRESS •� ' � � I �ti� �.� • P tl�� r� � ' �� T <br /> owr+en u�iuooness cm zm r��or¢ <br /> n • � <br /> 1'�Yi e.h r c��:�r � � \\ 1 �x�e.\ , ' �>�E r� e�c7� wn � y �] -''i �� ti � <br /> 1EN�NT , A�MLRDDPE55 f,liv 71f+ P��ONE <br /> � (t 1-t � <br /> ARC111TCCTORDESIGN[t' MMI�O�RE55 CITY 71P P�iON[ <br /> GENERA�C04if1AC10R MAILROOfi[SS ❑lY ]IP PIION[ SiAiELIC[NSE� <br /> \, n , <br /> � �lr.c.�. ��t�J�.r �2i1 %�t��',i.{� A,.�_ �✓t��ET C <br /> MEGIIANICFLCONTHACTOR MAILADOPF55 dTV 71{' {'110Nf: STATEULENSE• <br /> PIUMBINGCON111ACiOR MAILADUPE55 GIV 21P PHONE StAtF.I.ICENSE� <br /> o✓ <br /> �/.q�c <br /> CONTPRCT PBICE Of WOf1K <br /> .,� HEAT�NG SYSTEM: I l GAS �l ELECTRIC f l <br /> DESC�IBEWORNANDSOUAREFOOTRGEINVOLVED . CONT�CTI'[RSONRNpPNONFNO <br /> � �.�.�,1.•c /,.:r/� r.,� ... 2orcC K�.kl':•. .C=.l.'��%J <br /> /wo+G,�L.,.iG•.. !'L..T ��t`_wG.«� _�n-�-a-�- /J ...,..�� <br /> ��yw'C � �7-ri�� 1�tCV, I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CJRRECT ALL <br /> PAOPOSED USE OF Bl11lD !G / PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � � �tP1CX e:SA��`��L�'- �'�="'` WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN 0�7 <br /> LEGALDESCRIPiIONOFPROPERTYISHOWNBEIOWORATTAGNTVOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � ior BLOCK or AUTHORITY TO VIOL.4TE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATING('ONSTRUCiION OR THE <br /> • PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROFERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADt AND I COMPLY WITH THE STATE <br /> PARGEL7AX�D.NIIMPER CONTRACTORS LAW 18.27 RCW AND 298200 WAC. <br /> �k 3 - =— � �' • �.~�=L��, ?, �. � S <br /> CONSTRUCPON IOPN IENDER.�DDf1E55.TE PNO E NUM9EP x�n�'^'t <br /> .51CNAlURE O�TE <br /> w- <br /> CITY OUSMESS LICENS@ NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTUFE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> � WATERCLOSET(TOILET) � A/C—A/HNDLGUNRS—H.P. <br /> � BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. i <br /> IAVATORY(WASH BA��N) HEAT PUMP ' <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i 1 CLOTHES DRYERS _ <br /> DISHWASH[R VENTILATION FAN ' <br /> LAUNDRY TRAY � � (iANGE f'.00U � <br /> CLOTHES WASHER I WATEFi HEATER <br /> URINAL ' WOOD STOVE <br /> DRINKING FOUNTAIN i METAI FIREPLAGE(WOOD BURNING) � <br /> FLOOR ORAIN FIFEPLACE INSERT(WOOD BURNING) ' <br /> o ' IiAS FIREPIACE � <br /> BACKFLOW . REVENTERS � <br /> SINK(SERVICE—BAR,ETC.) GAS RA.JGE <br /> GAS PIPING � <br /> i <br /> EXHAUSTFAN ' ' <br /> � <br /> � i SUBTOTAL $ i <br /> SUBTOTAL 3 � � <br /> PERMIT 5 i PERMIT S � <br /> TOTALFEE 5 TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> �RONTSFTflACR REMSFTO�CK SIpE5ET8ACN �14N^.IIE�'RNUAIOffI fE[ RfCFIPINO <br /> uSEzorue ioTnnen vacaNrstte FEES VALUATION FEE <br /> nvcs i; rco � <br /> �,����„��,� � 2 ` <br /> MEIGIITIIMItAiION NOOFUWEILVIG S12EO�PlIX;41 — /7� <br /> IINII$ PI UM[11NG � <br /> OCCUPANGY NO OfS��A�[S OCCUPqNILO>U BRSEMENI MfC11ANiCPL ���__ <br /> cnour — -— <br /> IIPES li NO i <br /> Ap01110NA1 PI.N�CMF.CK <br /> F!RE AU�M RE0�0 RfA504 �— <br /> OiHER <br /> �IRFS��INNIFIINW�D AFFSON — ; �^ <br /> 5ID1EOI��WINGSURf,N4f1C.[ �j� � <br /> ivreovr,or+sr rinrusarrnoveonv CITYOFEVERETT runucwonres <br /> LOCALSALES �— — /�2 �d <br /> ��A�E TAX CODE IS 3105 70Ta�_ _ ____ <br />