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APPLICATION FOR CONSTRUCT�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-B810 <br />fl DEMOLITION fl COMBINATION f�i BUILDING �l MECHANICAL i 1 PWMBING f 1 SIGN <br />PROJECT ADDRESS ���� �%�� <br />Citt zm rr�o�+e <br />� <br />__.. _ _._..._.._.._.,_ � ..,.. .�. <br />AqC/11Tf.CTORDE5IGNER MPIIPOpRE55 Cltt )m PNONf i <br />�'ro���� c:�NST .3y�� a+re/s� /ld shrh Q,(-.�A��-9(i�. ��_3� �/7�/ isi���n�7�P <br />GENEIULCONiMC1IX1 MAILRO�IlE55 (:I1V iiP �p�i(>NP c�piGLIC[NSE� <br />�� / C� <br />MECNANILALCONTR�CTOfI MMLAOpRF.55 CITV 7m PIIONf ST�i[I�CF.NSE• <br />PLpMBINGCONIRRf,LOR M41L�OfJRE55 JIL\' zIP PHONE $T�iEIICENSE� <br />CONTRACT PRICE OF WOfll: <br />:1YI; Cn °� HEATING SYSTEM: I 1 GAS f 1 ELECTRIC f l <br />N'qRK �NO 5(;U� <br />/Y �ZO / IS <br />rnoroseo use oF eunoiNc <br />,�nT h�d✓.�i <br />IEG�i L UESGBIPTION OF MiOPERtt �SHOWN OELOW OR RTTRGH iW0 COPIE51 <br />l0T PIOCN Of <br />GONSiRUGTIONIORNLENDER.�ODRE55.TELEnMONE NUM6ER <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SUBTOTAL $ <br />PERMIT 5 <br />FOR OFFICE USE ONLY: <br />fRGNTSFTMCK PEM15[TpACK <br />USEIONE IOi4R[A <br />HEIGIIT I.IMITAtION NO Oi DWEILING <br />IINifS <br />rmF <br />orr.oNsr <br />unic <br />FEE <br />CONiACT P[RSON AND PHONf NO <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME Tn BE TRUE AND CORREC7 ALL <br />PROVISIONS OF LAN'S AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING 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 WIiICH <br />APPLICATION �S MADE D I COMPLV INITH THE STATE <br />CONTRACTORS LAW 1B W AND 296.200 WAC. <br />� <br />6 -/.3 q,�. <br />PIURF p�i@ <br />CITV BUSINESS I.ICF.NSC NO <br />MECHANICAL <br />NO. 7YPE OF EpUIPMENT FEE <br />A/C — AIHNDLG UNITS — H.P. <br />FORCEDAIRSVSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHESDRYERS <br />VENIILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SI�E $FTBACN PI �N CI IGCK NU [fl <br />��9° <br />vncar�r srte FEES <br />I IVES I1 NO ppILDMG <br />512E Of p100�41 <br />PIUM�ING <br />BASF.MENT MfC11ANIC4l <br />I1vES il NO <br />App1110NP1. PIAN CHfCK <br />ou�cn <br />srnienunowcsun r�nnr,e <br />CITYOFEVERETT rnniir.wonKs <br />WCAL SALES � <br />TA% CODE IS 3105 TO7A� <br />SUB TOTAI 5 <br />PERMIT $ <br />TOTl�L FEE $ <br />r�r nrr.EirTruo <br />VALUATION FEE <br />�� / <br />