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APPLfCATb.1 ROR CONSTRUCT..�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> O DEMOLITION (� COMBINATION BUILDING L7 MECHANICA� fl PLUMBING I-1 SIGN <br /> PROJE T ADDRESS <br /> � f2,�- 5-1 I °I W Fs-r l,rz . �vE�E;, <br /> ow�.en WA-� 94203 Z�to - gsal <br /> M�IL�DDRE55 O17y 2iP I <br /> PNONE <br /> TENIWT MALAODRE55 <br /> ��TM 21P PNONE a <br /> E+�M i7E; r�, ,J '1 <br /> � �OES�GNER MML 11DDRE55 ��n, �7`+ BOOO <br /> Z�P PHONE <br /> —OWnlc2 +`�k��DF.JL — C��f SYREe7� <br /> GENEPµ IV {ry�� M�ILADDHE55 <br /> / ��n' IIP PIIONE SUTEOCENSEr <br /> MECNMII�µp {q�CTOq MAILMDRE55 <br /> �� � CITV ZIP PNONE <br /> SUTE LICENSE� <br /> PLUMBMGCON �CTOR M�4LAODNESS <br /> ��TM Z�P PHONE STREUCENSE� -� <br /> CONTPIICTPPoCE OF Wq1N <br /> Z C HEATING SYSTEM: A ELECTRIC fl <br /> o�scaeEw�nn ,�1TF�I�� SHDP�aA�E- <br /> (� �u � CONT�CT PERSON�Np pNONE Np. <br /> Z <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> anovosEo usE or eN�arq APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �_ PROVISIONS OF LqWS AND ORDiNANCES GOVERNING THIS TYPE OF <br /> ������Pn���OPEpTY�SNOWHp���M'OR�TT/�CNiWOCOPIE51 WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br /> tor � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> B1O� � AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> S' � I� DF LOT � OTHER STATE OR LOCAL LAW qE6ULATINO CONSTRUCTION OR THE <br /> 14H PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORI2ED BV THE <br /> *� 1 OWNER OF THIS PROPERTV TO PERFORM THE WCRK FOR WHICH <br /> VD L � �� QA F SZ FkP Q.F FF�NlE qS-C- APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ��T'����'�°ER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> �/7/7 -C�G-G��/-�'ZG�� X �, -�-1�. , �lw,.._1�.�,t' <br /> CONSTRl1��IpM IW LENDER.MdlESS.TElFP110NE NUMBEP I /��� <br /> N SIGN TURE O�TE � <br /> CITY BU51NE55 LICENSE N0. <br /> PLUMBINO MECNANICAL <br /> NO. TYPE OF FlXTUqE OR ITEM FEE N . IVPE OF EQUIPMENT <br /> WATER CLOSET(TOILEn FEE <br /> BATHTUB � �' aC—AMNDLOUNITS—H.P. � <br /> UVATORY(WqSH BASIN) � FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> SHOWER ' HEAT PUMP � <br /> ' UNIi HEATERS—B.T.U. M <br /> KITCHEN SINK 6 DISP � CLOTHES DRVERS <br /> DISHWASHER � � VENTILATION FAN � <br /> . UUNDRY TRAV ; RANGE HOOD � <br /> CIOTHES WASHER � WATER HEATER � <br /> URINAL WOOD STOVE i <br /> DRINKING FOUNTAIN ; METAI FIREPLACE(WOOD BURNING) ' <br /> FLOOR bRAIN � <br /> ' FIREPLACE INSERT(WOOD BURNING) i <br /> BACKFLOW PREVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE —T— <br /> ' GAS PIPIN6 , <br />, � EXHAUSTFAN � <br /> � <br /> SUB TOTAL f ! � <br /> � SUBTOTAL S � <br /> PERMIT E i PERMIT E � <br /> TOTALFEE S � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> FRpNT SETBACK RERR SETB�f�N � S�DE$ETB�C�t PIAN CI�ECN NUMOER FEE PECEIPi NO <br /> I <br /> USE20NE ZS S � i� f � G��l <br /> l0Tl1RE�Aj V�C�NTSITE FEES VALUATION FEE <br /> _ � I y (/ �7�� f1YE5 p <br /> HEIGIITLIMITATION NOOFUWELLING SREOF6LIX;R1 9UIl01Nf /5�3 .y0 � � � <br /> 2i � UNIfS �� <br /> PWMBING � <br /> i <br /> � <br /> �GpU{�P�NCY NO p[SfpqiES OCCUPANiLOAD B�SEMENT — I <br /> / / ` /j) MEGIIANIC�L � <br /> V �Vry flYES NO � <br /> FIqE AIARM pE0'D RE�SON �DDITIONPL PL�N CNECK i <br /> �V� <br /> �IRE SPRINKLEF REO'0 qEpGpry Ot11ER � <br /> O ST�LE BIIIl01NG SUFCIUqGE <br /> TYPE OF t;pNST PL�NS�PP D BY �J �? <br /> CITY OF EVERETT rueuc wonKs <br /> � � LOCAL SALES � <br /> o�re TAX CODE IS 3105 TOTAL � ,,._� <br />