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APPLICL�Tit�id FOR �ONSTRUCT�ON PERMIT <br /> CITY Of EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8870 <br /> I-1 DEMOLITION COMBINATION I l BUILDING f l MECHANICAL � ! PLUMBING f 1 SIGN <br /> PROJECT ADDRESS � <br /> � 't��e �o� d <br /> owwEn �rR�aooness cm m rHor+e <br /> �y��" c ,$�� �013 22G� 9�Z�z3 3 ' -�725 <br /> IENANT 4NlA0UPF.55 CRV ]IP PHONE <br /> /��'/��in�� �es.qxJ �vQ��!-vL <br /> ancw*cctonoesicruen un�aoonEss ci*r zir r��oaF <br /> L�'/.� �" 8�rt.�/G <br /> G NERPICONTMQOR MAILpppf1E55 (;Irv )ip PIION[ $tqiEllC[NSE� <br /> ,jL� /!s o u�x�J <br /> MECIIANICaI CONiP4f,IDf1 MAI��ppRESS CITY 71f' PIIONf: ctAiE LICE:NSE� <br /> �itr.u� �ts o ur�r°,L <br /> PLUMBIhG WNiqAf,TOP MAII ADDt1ES5 Cltt ZIP PIIONE STAiE LICENSE• <br /> CONIRACT PPICE OF WORK <br /> HEATING SYSTEM: ( 1 GAS ' ELECTRIC f l <br /> DESrJiIBF.1Y0�050 POOTAG OIVS / �� C � SOhfN�Pl f 0 O <br /> 5 � , � G � .�ss-��as <br /> ' -'�` ' �a3 � <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> vno ose os oF oun c I/ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ' /� �l/C(lC��C E PROVISIONS OF LAWS ANO ORDINANCEE GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br /> �eca�o scyyPTIONOFPROPERtt�510WNBELOWOHFiiFGHTWOWPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or ��� e�ocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> �' p, �s�aoz _,9_� OTHER STATE OR LOC�I LAW REGULATING CONSTRUCTION OR THE <br /> / PERFORMANCE OF GONSTRUCTION,THAT I AM AUTI10RI2ED BV THE <br /> �0��`-l� � ��O OWNER OF THIS PROPERTY TO FERFORM THE WORK FOR WHICH <br /> N ��9'`SOO/ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELT�%1 D.NUMB CO GT LAW 1827 RCW AND 296.200 WAC. <br /> CONSTRUCiION 104N LENDEB.PODRE55.TElEP110NE NlIMBEfi X G �/�// `f� <br /> SI E ONC <br /> C DUSINESSLICLNSCNO � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. 7YPE OF EOUIPME{�T FEE <br /> WATERCLOSET(TOILET) � A/C—AMNDLGUNITS—H.P. � <br /> BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) i HEAT PUMP �— <br /> SHUWE,'� � UNIT HF_ATERS—B.T.U. M <br /> KITCHEN Si�1K 8 DISP i CLOTHES DRVERS � <br /> _� DISHWASHER � VENiILATION FAN <br /> LAUNDRY TRAY � RANGE 400D � <br /> � CLOTIiES WASHER i WATER HEATER � <br /> _ URINAL ' WOOD STOVE �_ <br /> DRINKING FUUNTAIN i METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRA!N FIREPLACE INSERT(WOOD BURNING) � <br /> _ BACKFLOW PREVENTERS ; GAS FIRENL,ICE <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE �— <br /> GAS PIPING <br /> i E%HAUST FAN <br /> �— <br /> ' � _ <br /> SUBTOTAL $ � SU�TOTAL 5 ' <br /> i <br /> PERMIT 5 i PERMIT 5 � <br /> _ _ _ __ TOTALFEE S � TOiALFEE S <br /> FOR OFFICE USE •�I.�Y: <br /> fRONTSETpACN � RF.MCF.TBRCN SIOBSEiB4CR PIANCIIECKNUMp[R �FF fiFCFlPTNO <br /> 7 � � / _ ' ._ ��� <br /> �us�zo ior nnen vncnN�sne FEES VALUATION FI � <br /> � I�YES" 11 NO � <br /> Ol➢LDMf, �. )�� i /,) <br /> IIEIGIIT 1 Iinl10N f NO OF DWEILING £IZE�P 6lp('41 - " ' - <br /> �. lIN1IC IOGO S.f C/1//NG } '�J'��SI I <br /> �� 94� Sr. Cnrt.ac•� rwvniNc �Q,j 4D0 <br /> OCCl1P�NCY NO 0!StPr„c prCUPANi LOAG PASEM[Nf i <br /> GROl1P / MCGNnNICRL /-� � bv <br /> n 3 u•i ! �nrs �ro �n — <br /> FIREALMNRCC� RFA50Y ADDIIIONNAUNCNfCK ' <br /> —i— <br /> OiMER <br /> FIRESPf11NNl[RRFO➢ PF4FON - <br /> Stnl[P�nlDi4G S1111f.11nRGE ,S� <br /> IVPF CO^:Sl P�ANSAPPtIOVpDqv � <br /> J�y CITY OF EVERETT ri�mir.wor+as � ���V <br /> ,�, LOCAL SALES -�J--�--- <br /> �!✓ unie S 7 76 TAX CODE IS 3105 TOTAL _ �_ /ni/�7 I(��1 <br /> —[e�'-�- <br />