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" . APPLICATI�.N FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITIOI' fl COMBINATION 11 BUILDING I1 MECHANICAL f� PLUMBING fl SIGN <br /> PROJECT ADDR�SS L/ Q �'1 ,�j��1t�� � .S / �G'�/ <br /> ( V cX <br /> owwen Mnunooness cin �m r�+orvE <br /> w�i/����„ c, �fl4yEs P, C, l�ax �sE� E�e2�tr wA� qBacZ:i �5 a- a.� ;�'6 <br /> 1EN�N! MAILA�ORE55 CIIY 21P PIIONE <br /> ►JoNk <br /> cnr nr Pnove <br /> wnae+eeron oesicruEn MAILRUDftE55 � ��f8� ���f <br /> K�N 6 P�h�NE5 I �i 3� s. Es�+;�� +n. b�� �71'wR- 9F'�8 <br /> GENFP/LCONTRALiOR MAILApORE55 O'`I�J�� ���Y Zi� �MONE STATELILENSE� <br /> -7'� (� �� D-�- � y o <br /> �'Ii1Tl�'C7l '��c�Y�T y r ��^7 CC) 'J��j-e+/�-'r5 �T / <br /> MEC:IANICALCONTRA�T MRILRODRE55 CITY ZIP PIIO� t - <br /> PLUMBINGCONTRRCTOR MAILA�DRE55 CItY IIP PHONE STATELIGENSE� <br /> CONTR�CiFRICEOFWpRN HEATING SYSTEM: GAS rl ELECTRIC rl <br /> DESCRIBE WORN ANO SOU RE FOOTn E�NVOLVED CONTACT PFn50N AND PHON[NO <br /> e w a�» � �'n� � � 252-29s/(� <br /> E51 ��-E I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> APPLICAi ION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSEO USE OFBUILDING {�ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI- BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LDESCRIPTIONOFPROPERttISNOWNBELOWOHAT7n4Jt.twQcoaiesl NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �'�.� �� �Z AUTHORITV TO VIOLATE OR CANCEL THE PAOVISION OF ANY <br /> LOi��BLOCK_ UF <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PF.RFORMANGE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ,f"rD S � L APPLICATION IF MADE AND I COMPLY WITH THE STATE <br /> SS � CONTRACTORS � •�'' I 18.27 RCW AND 296200 WAC. <br /> P�RCELTA%I.D.NUMBER ^� <br /> x zt!;.�Q�-L �', �--_���a '� <br /> CONSTRl1CTON LO�N IFKOER,AD�RE55,TElEP110NE NOMBER ORTE <br /> SIGNPTU�E <br /> G c 1`��1 �K )�,�`' p+� CITV OIISINE55 LICENS[N0. <br /> � ��V {J�l <br /> PLUMBING MECNANICAL <br /> NO. TVPE OF FlXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR�TBM �E <br /> — , A/C—AMNDLC UNITS—H.P. ! <br /> WATER CLOSET(TOILET) I <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. A" E.A. � <br /> LAVATORV(WASH BASIN) �I I � HEAT PUMP ' <br /> � UNIT HEATERS—B.T.U. M ' <br /> � SHOWER � <br /> / KITCHEN SINK 8 DISP i CLOTHES DRYERS _ <br /> DISHWASHER VENTILATION FAN <br /> LAUNDRYTRAY � I RANGEHOOD ; — <br /> / CLOTHES WASHER _ � WATER HEPTER <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WO�)D BURNING) � <br /> J FLOOR DRAIN � FIREPLACE INSERT(W�OD BURNIN6) ' <br /> BACKFLOW PREVENTERS ; GASFIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) GAS HANGE _ ' <br /> 'L � <br /> � GAS PIPING <br /> cXHAUSTFAN ' <br /> i � <br /> i <br /> � <br /> � <br /> i <br /> SUBTOTAL 5 � SUBTOTAL $ i <br /> PERMIT S � . <br /> TOTALIFEE $ � TOTALFEE $ ' <br /> � JR OFFICE USE ONLY: ���� �'^� <br /> PLAN CII[CK N��L fEE / '� R���T�N�'1� <br /> fRONT5EiL1ACNJ I (iE�R5ET0yC�� / S�DESET9ACN _, � " ��L� <br /> S / �� � L. � <br /> FEES VALURTION FEE <br /> USE LQOlE` / LOT ARER VACANT SIiG L/� i�� <br /> iv f1Y[5 flt:0 pUILDING <br /> Z � <br /> ❑[IGIITLIMITATIO NOO�DWEILING 9ZE3OyF9LUGITJ� L'y/� C� ' � �(� <br /> �� � UNITS 2�4b S1� PWM0ING <br /> < �_�_�� O i <br /> OGCUPANCV NO 0!�S7iO�ilES OCCUPPM LOAO BASE,M,,E,�N'. MfCH�NICAL �D(� <br /> Gfi 11'� L - 1/� �^�' Il NO <br /> IV / j0 � �� <br /> ADDITIONnL PLAN CH[CN � �.� <br /> FIREALRRMREOD �GRSON <br /> p on�en D IOU <br /> � <br /> fIRE SPRINKLFR REO'0 R[n50N �l l <br /> STATE DUILDING S1111CRARGE L �� ' <br /> rvreoFco sr rv.r+snrrn vEpev CITYOF�YEB�7T rueucwonKs '� � '��<� <br /> }-i- LOCl�L SALES TOTAL � �% ��i <br /> �-_ J o�TE 2 TAX CG`DE IS 3105 _ <br />