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APPLICATIVrd FOR CtyNSTRUC7 �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION �l COMBINATION � BUILDING i-1 MECHANICAL r l PLUMBING f l SIGN <br />PROJECT ADDRESS � , r <br />IStil /,,�-.��;�i� �,,�,i: ��1�� I'%�/�. j��,:�- <br />' ( L F�i,!' I1 " <br />IEN�NT MniuuuNtas <br />'��<'�;{�,-� ��'.,'lll��r�r�' �.:!,�:�•r�ll,,;, - <br />RRCNR[CTOR�ES�GN[P MPiI ADORE55 ,/� � <br />0 <br />cm zm ) rHorue <br />� �,,, 1.'i ��.� L4i f� - `(U .J�l� � �' �� r �jC/ 7 � <br />crtv 5 ' YI � ' /, <br />. .. . ,. . .. . _ ,l � dol,% �J %-%�."IU <br />Frtv _.., nr � r��omr <br />GtNE11RlCUNINnb��m _ ♦ uiv � nr r��ontl , Mcil.���r�icervse. <br />. - ' _ .. .. I I 4 ' !._i. <br />, . . .. . ._ , , . %i.� . . <br />MECNANICAlCON1t1ACWf1 M�ILpDORE55 CITV IIP P1104E �� '-�.TR[UCF.NSE�' <br />PLUMBINGCONIPAf,TOR MAII.AODRE$$ ptl' 21P PIIONE SIRi[LILENSE� <br />CONtR�GTFRIGEOFW011N - <br />! r� `( i � �: �., r, � : � r / <br />�ESCRIBE WORK AND [OU�RE FOOT�GE INVOLVED <br />�. <br />�,.l,G-u/� �GC �i1_PD�I)'7 ,d; <br />PROPOSEDUSE PUILOING � <br />LEG�L DESCRIPiION OF PROPERTV �SNONT! BELOW OR ATfRCH <br />LO7 BLOCN � OF <br />PAPCELTNfID.NUNBER <br />GONSfR�ICiION 1 O�N LEN�ER. �ODRE55. TEIEPNONE NlIM8E11 <br />I � r.. <br />PLUMBINO <br />NO. TYPE OF flICTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 �ISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />I SINK(SERVICE-BAR,ETC.1 <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONTSFTP�CK PE�RSF.TP�CK <br />� <br />HT LIMIT�TION <br />irnr+<�v r:o rn s� <br />dc <br />ALAR41�E0� � <br />��' O <br />SPRINNI [R RFO � <br />�U U <br />Of f,ONG7 <br />/ 1/ <br />IOIRREA <br />NO Of UWELLING <br />IINIIS <br />����� ' / 2 - 7- <br />, <br />HEATING SYSTEM: I� GAS � ELECTRIC fl <br />CONTACT PERSON r1N0 PIION[ N ' <br />�,i �i: a �u��l�r.� � t���au��, / �' <br />i l�}o(oI CoS i-'7(�tit� � ' <br />I HEREBV CERTIFY THAT I HAVE READ A D EXAM�NED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEA SPECIFIED HEREIN OR <br />NOT. THE GRANTIhG OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICAT�ON IS MADE AND 1 COMPLY WITH THE STATE <br />CONT ACTORS LAW 1827 RCW AND 29�.200 WAC. <br />t,: � � <br />n,al <br />x I •� �,., � � 7+w��� �. � c�'i". ; <br />SIGN�iURE ., ,�� Dn1E —� <br />I <br />QTY BUSINES$ LICENS[ N0. <br />MECHANICAL <br />FEE NO. TYPE OP EOUIPMENT FEE <br />� A/C-A/HNOLGUNITS-H.P. <br />� FORCEDAIRSVSTEMS-B.T.U. M E.A. ; <br />i HEAT PUMP —i— <br />' UNITHEATERS-B.T.U. M <br />CLOTHES DRYEFS <br />VENTILATION FAN <br />� RANGEHOOD � <br />WATER HEATER � <br />_� WOOD STOVE <br />i METAL FIREPLACE (WOOD BURNING� i <br />FIREPLACE INSERT (WO00 BURNING) <br />; GAS FIREPLACE ; <br />GASRANGE <br />GAS PIPING <br />i EXHAUSTfAN � <br />SIDE SET�RCN <br />VACRNi SIiE <br />fiYES il NO <br />size or nicx:rti t / <br />/J u <br />fl�SEMENi <br />11\!5 ✓I NO <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />PERMIT <br />TOTALFEE <br />PLANCIIECK/N�UMOfR/ �J �[F �[CFlP�NO <br />w�)/-���/ C <br />ounrnr+� <br />ri uunivn ' <br />---F—. <br />M[CNRNIC4L � <br />ApDitI0NA1. t'1 AN CNf.CN � � <br />OIHFR <br />i <br />STAI[OUILDINC9IROI�RGE — — � ;�/ <br />( <br />..�` <br />rimnc wonKs <br />TOTAL -----_______ _- __-__y`',; !7 <br />• <br />