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� A�RLICATI�.A FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION COMBINATION f7 BUILDING MECHANICAL I-1 PIUMBING f� SIGN <br /> PROJECT,.A FjF S <br /> "�' �J �U 1'1 )O�� <br /> OWNER �N�IL�DDRESS Cltt ZIP PNUNE <br /> T< 1'1�G�_E �4Z��1QIi`�_�1�C v�01l�; rlvYlUftF i'c �-fl L�)ti1 1SF' -1�15 <br /> �ENRNT MRILAODPE55 CITY ZIP pNONE <br /> �'x�t�,t��T�, � ��>�rr�rn �� �'�C�� �t���r�ic,�,>p ���i� fy+7F h�4C�1 7�£�,- i��,�`� <br /> ARCIIITECTOPOESIGNER AILRD�RE55 GTV ZIP PN04E <br /> 7nl�r\ h'l�ji �'1 .1-11� (���1'� 4�,T�1�,? NF f11��4U1_ UJrU `1FS77U "'� tl - ��"75 <br /> .G�NERRLCONTRRCTO{i MAIL�f1E55 CIIY Zlp PIIONE STATEUGENSE� <br /> � -C;c• n_c%r�rst 1 � � ,����c� �"'ri � 7f3�� t.. . 1_K..1�� F�,: �=s:/S�c�S�neiFcro?�Nc <br /> 't �l < <� �" 1 C r�c C � c '1 <br /> MECH�NICALCONTFACTOR M�IIRODFESS Cltt ZIP PMONE STATELICENSE/ <br /> PLUMBINGCONTRRCTOR MRILAOORE55 piV ZIP PHONE STRTELILENSE� <br /> ry�COfIT{ACT PRICE OF <br /> �t -� HEATING SYSTEM: ❑GAS C ELECTRIC ❑ <br /> �SCFIBE� �TE FOOT�GE INVOLVED C T CT PERSON AND P�Ia E NO <br /> i: YYI �� F_T 1�CiC tC_ �C t;�'� L L 2!_l�Ce C�I21-F7Tr�� "-, � /�� `i {.�y� <br /> i '� � �RGL� c.i � S`Ct_,t'_ �T C�F�',. - - I i � � -�� h <br /> 1 , i i`- S� SFCU4�' \ 1 ' �� 7Y'lt=. �� � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF uiioiNo APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> JF.C�11 C�'lT`S `31T)'(2-AG��� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF ' <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPROPERtt�5H0YMBELOWORATT�CH7WOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or� z 3 eiocK����?-�a oF F�k'- AUTHORITY TO VIOLATE OR CANCEL THE PqOVI510N OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> l/.� rC-C1�1'1(��Z E ���C U l� l�� �L\ � PERFORMANCE OF CONSTRUCTION.'HAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WOFK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTA%I.D.NI/MBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUCTIONLOANLENDER,AOORESS.TELEPHONENUMBER X ��laLQtL'J�j � �.iP�C� )U r '� / `7- <br /> � SIGNFTl1RE � / DATE Y <br /> CITV BUSINE55 UCENSE NO. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlIITURE OR ITEM FEE NO. TVPE OF FIXTURE OR ITEM FEE <br /> ' WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB ' FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> � <br /> UIVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES ORYERS � <br /> DISHWASHER � VENTILATION PAN � <br /> LAUNDRY TRAV ; RANGE HOOD ' <br /> CLOTHES WASHER � WATER HEATER � <br /> URIN4L � WOOD STOVE � <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE ' <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> GAS PIPING � <br /> i EXHAUSTFAN � <br /> � � i <br /> i � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL $ � <br /> PERMIT $ � PERMIT $ � <br /> TOTAI FEE 5 � TOTAL FEE $ � . <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBPCK REAR SETBRCN SIUE SETB�CK PUN CIIECN NUMBEP' FEE RECEIPT NO. <br /> (a0;�� <br /> USE2GNE LOTAREA VACANTSITE FEES VALUATION FEE <br /> nves n rvo owioiNc (�;) Ul� L�(� `- ;`; � <br /> MEIGNT LIMITRTION NO.OF OWELIING 512E OF OLDGRI. <br /> UNITS (� o�� P�UNOMG � <br /> � <br /> OCCUP NCV NO OfSi0R1E5 OLCUPRNTl0A0 BASEMEN7 � <br /> GFOUP a MECMTNICAL � <br /> ,e� az 3 � � ��E� � , <br /> FIP AURM qE0'0 RER� AOO1710NAL PUN CHfiCK ).�� � �)n <br /> Y�S ' <br /> L � - -� � oT��E� ; <br /> , <br /> FIRE SPRIN�KLER REOD REASOH I � <br /> r/( S �� STr1TEBWL01NG5URCNARGE � � C-"� <br /> � - <br /> TVPEOFCONST PLANSAPP�EDBY CITYOFEVERETT PUBLICWORKS � <br /> v— � /�L� LOCAL SALES ; <br /> o /V - �° -9 TAX CODE IS 3105 TO7AL � 7 ; j^� � <br />