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APPLICATI N FOR Ca►NSTRUC', .ON PERMiT <br /> CITY OF EVERETT• :�ILDING DIV�SION � <br /> 3200 CEDAR STREET• EVERETT, WA 9820i •259•8810 <br /> ��7 D�MOLITION [ I COMBINATION UILDING HCHANICAL I-1 PLUMBINti l_7 SIGN <br /> PROJECT ADDRESS � <br /> owNcn � f �•�? i 7 Eb' ' —�%�Hci7d�l �/h� <br /> MNL�DEIES Ci�y <br /> —�1�.,"�E,T �.C. <br /> �l �.�r�,�t /�+rE E�tc�. Zil�ao� o�o��E <br /> rcrinur �.w��ooacss � <br /> CIiY IIP PNOYE <br /> • IrtFCTOqOE£IGNEH MAiLADDPc4^u C'ty t�P N <br /> 6 a���T��;P /� '�'� �IJ� ^i�EAw,.� l�Sa ��_ <br /> n.vov�a�wTrmcma �"�','�S'�Fs�• � /— ��•� <br /> ar+ z�P rnenc sL�ic��GENs�• <br /> ��cOvlaeClOR .Ani�nocaG55 Cln ZiP vnONE STnic I�CENSE� <br /> Y�s:�nuss.�>3",�,� �36�;�/2G�h �J �t'i,ca�,r.� `��3� 8'-�o-�Va7 Cl�, cc/ �,� �3S <br /> PLUMlINOCONTRACT(%, 7 vAILh[)DRGS� CifY ZII' ��4 �� <br /> STATFIICENEE r <br /> LONrMC�MlIICE O!WORK � <br /> HEATING SYSTEM: I I(iA5 ❑ ELECTRIC O <br /> �ES��OE wORN ANO:WARC F qGE W 0 CO4TACT PERSUN ANO FHONF Np <br /> Y,c��� C�/�ss1s___�.✓�,� n, ,f��ec. rross �p —/}'tJ <br /> � �, <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXqMINED THIS <br /> . Mfovosn )usc oc auiUnNG , APPLICATION AND KNOW THE SAME TO BE TRUE AND CORqECT.ALL <br /> �j4/���/�� ��f � PROVISIONS OF�qWS AND ORDINANCES GOVERNING THIS TYpE OF <br /> LEGALOESCqIRIONOFGqOPGpTV(SHpWrygELOWOR�iTAC11TWpC(1PIE5) H'ORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT, 1}{� QRANTINC OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ar e�ax oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> PERF(7RMANfF�F f�NfiTRt If;TI(1N TH6T I iA4 AI 17HnRIZGD QY TMG <br /> OWNER OF THIS PfiOPERTY TO PERfORM 1}{E WORK FOR WHICH <br /> APPLICATION IS MADE AND I CpMPLY WITH TFIE STATE <br /> wv+cc�T�x i.0,r+UMBEn '-' CONTRACTORS LAW iB2T RCW AN�296200 WAC. � <br /> CON37RUCilONLOANLFNDE.i.AlK�E55.iE1E1M10NCNVMYGR x /�/ �� �^ID —7J' <br /> _. S�GNATIRF D� �G74 �ATC <br /> Cliv OVSIAESS UCENSE N0. <br /> PLUMSINQ MECNqNICAI <br /> NO. TVDE OF flXTURE OR ITEM FEE NO. TYpE OF FlXTURE OR ITEM FCE <br /> WATER CLOSEf(TOILEn i A�C—AMNDLG UNITS—H.P. � <br /> dATHTUB ; FORCE�Alfl SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SFIOWER � UNITHEATERS—B.T.U. M � <br /> _ KITCHEti SINK 8 DISP ; CLOTHES DFYERS ; <br /> DISHWASHER � VENTILATION FAN � <br /> , UUNDRY TRAY RANGE HOOD � <br /> _ CLOTHES WASHER WATER HEATER � <br /> ^ URINAL � WOOD STOVE i <br /> ORINKINO FOUNTAIN i METAL FIREPLACE�W;JOD BURNING) � ; � <br /> FLOOR DRl�IN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFIOW PREVENTERS GAS FIREPLACE � <br /> SINK(SERVICE—OAR.ETC.) � GAS RANGE , <br /> ' _„ i GAS PIPING - <br /> � EXHAUS'i FAN ; <br /> _.. ' i <br /> ., i ; <br /> � �_ <br /> SUBTOTAL S --i' <br /> i SUBiOTAL S <br /> PERMIT S � PERMIT S ^ri <br /> TOTALFEE 5 � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> �ONTSETDACK REGR$ETB�CK SIOESETBpCk GIANCNF �BFji FEE 3 7ECFIVTNO. <br /> /J � ---r� <br /> � usemr� itir�n� vC�wrsre FEES VALUATION FEE <br /> rjYF6 O Np "'r'� � <br /> - BIIIIDMf. `?��U ilJ� i X� <br /> HEIGNTLIMITRRtN NO.OFDWF.ItING 92EOt'BIDf,/;1^ . ���J <br /> UNITS /�/f� VLVYBINC � <br /> i <br /> C �P�NCY MO 0�S�OM1ES OCCUPNIT LOAD �ASEMFryT +— <br /> - NfI N A MECMNVIGAC i <br /> IJYES 0 NO - i <br /> . RfiKMM FEQD REA$0'i —'—' r1D�ITION�I PIAN CHF,CN i <br /> [/� ' ' <br /> OfHEfl � <br /> FlHE e'PRINq.FR REp'p RFA�ON ' <br /> � � STME DIIIl01N(i SVRCHARGE �(.T� <br /> �.. <br /> ' 7�7f OF GONST. PUNS APPP VEO PY CITY OK EVERETT PUB��C WORKS � <br /> N/) � � LOCAL SALES --- � <br /> o�Te • S�'2�4� TA%CODE IS 3105 TOTAL .� �. ;ti <br /> J <br />