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� •� � � ^ �� / <br /> .� [i L�,i__t�' __ <br /> APPLICAT16ri FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT• BU�LDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> I"1 DEMOLITION f 1 COMBINATION fl BUILDING - ECHANICAL i t PLUMBING f 1 SIGN <br /> PROJECT ADDRESS��l ' � �'�J A I` � � � <br /> pylryEq MniI�DDPF.55 CI ZiP PNON[ <br /> �- � �� ��"� u' `�� � X- �` — <br /> 1ENAN M�IL RF55 CIIY ]IP f110NE <br /> /1 L�' <br /> �l L� <br /> ARGI .GT OR�ESIGNE� MAII.A���/ ��T�' ]�n �MONE <br /> � <br /> GEN[R LCONiP4C1 M41lAp f1E55 CIiY itP ) PHON[ GfAlE110EN�E• / <br /> I�l✓� l���J%E��C�%EG � �0 '���' Uf�� S� 9� 7�'Z ���ov � <br /> MECII�NICALC � iRRC10 MAILAOAF.55 CItY ZI{' PIIONE S1aTPLICFNGE� <br /> ��i�� ��'TN�2/L�/i3.�3, <br /> PLUMBINGCONiRRf,TOR MAIIADDRESS CItY ZiP �'��0�� Si�LEUCENS[� <br /> �/ <br /> i � <br /> cor+rancrraiceorwonK , HEATING SYSTEM: I/GAS ��1 ELECTRIC I I <br /> i � <br /> DESCRiBEWORKRND5011AREFOOTAGEINVOLVEU WN7ACTP[q50NRNOPIIONF.NO/� � <br /> L' i� <br /> � � _ ZSS' � � I � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br /> rnoroseo use ov ouaowc PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESLRIPTIONOFPNOPERTVISNOWNBELOWOfiATT�LH7WOCOPIES� NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ipr e�ocK ov AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO'. OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTP�'J��ON OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHf::iIZED 8Y THE <br /> OWNER OF THIS PflOPERPY TO PERFORM THE WORK FOR WHICH <br /> APPLICATIO MA AND I C LV WITH THE STATE <br /> PARCELTR%IA.NUMAER CONTRAC RS i N D2 . OOWAC. <br /> (h;r1 i <br /> GONS�NIOAN��F.SS.tELEPNONENUMB[R O� <br /> � X ��-� <br /> SIGNAtURE <br /> C11V DUSINE55 LICEIlSC NO <br /> PLUMBING MECHANICAL _ <br /> ryO, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATE��CLOSET(TOILET) � A/C—A/HN'JLGUNITS—H.P. _:_ <br /> BATHTU9 - ; FORCED AIF SVSTEMS—O.T. M E.A. <br /> LAVATORY(WASN BASIN) HEATPUMP ' <br /> SHOWER UNITHEATERS—BT.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYEPS <br /> DISHWASHER VENTILATION FAN � <br /> LAUNDRY TRAY � RANGE HOOD � <br /> CLOTHES WASHER WATER HEATER <br /> URINAL WOOD STU\'c � - <br /> ORINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSEfiT(WOOD BURNING) <br /> BACKFLOW PREVENTERS ; GAS FIflEPLACE <br /> SINK(SEFVICE—BAR.ETC.) GAS RANGE <br /> GAS PIPING <br /> i ExHAUSTFAN <br /> i <br /> i �— <br /> SUDTOTAL S � PERMOTAL $ �_ <br /> PEFMIT 5 � � — <br /> TOTALFEE 5 � TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> fPONiSFTpRCN PEMSET(1ACK SIDESETBACN PlANC1�Gf.KNUA�AFP fEf RFCFlPTNO <br /> �C% 7 � - <br /> usEzor+e wrnne� vncnHrsrF PEES VALUAYION FEE <br /> nres �"+u ounni�e _ <br /> HEIGIIT I�MITAl10N i O'Of UWC.ILING SIIE 0�HlIXi91 � <br /> PI IIM[iMG — <br /> T <br /> � 1 <br /> OCCl1PANCY NO 0151��it5 OCCUPAM IORp BRSEMENi MfGInNICAI . . <br /> cnour — <br /> IIVES �� NO <br /> PIID�'�ONAL PIAN C11f.CK <br /> FIREAUPMREOD RF�50Y --'---�-- � <br /> an�en <br /> FmesrmNk�Enr�Eon nrn<ov <br /> �inic ounon+r,suna�nnce <br /> rvreorr,ousr rinNsarvnovennv CITYOFEVERETT r��ri�ewon�s _ <br /> LOCAL�ALES — � <br /> �,q�� TAX COLE IS�105 TOTAL _ ___. __�__ <br />