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0 � fi `� ; j�', <br /> APPI.ICI�'�IOI� FOR COIrDSTRUCT�� ���� t <br /> CITY OF EVERETT• BUILDING DIVISION JUN 2 9 �q��� ` <br /> q�_�� �� 3200 CEDAR STREET• EVERETT, WA 98201 • 259-,$81,� <br /> � <br /> / CITY OF TY ... <br /> fl DEMO IT'�N �l COMBINATION �I BUILDING IYI MECHANICAL p� • � � P NG f l SIGN <br /> PROJECTADDRESS b ��� � ' f_ <br /> iT <br /> OTWNEP MPILAppFESS CITY 21P PMONE <br /> .bI�)�-�- �tin lP� <br /> 7ENANT ��I 61NLAODPf.55 CITY 71P pHONE <br /> ARCMRFCTORDESIGNEq MAlIA0DRE55 CITY 71P PHONF <br /> GENEMLf.ONIMGTOR MAILAO�BESS �IIY IiP PIIONF. SiAT[�ICENSE� <br />� SM is}1u�ro4r��Q <br /> MECHANICALCONTRACTOii lAAILFDDRESS Cltt 71f' PIIONE SiAiF.LICEN$E� <br /> Sn-,,�h s�+,►� � � r, ,I � s��nr 1.,��4 Nw J�q 5�'�o F vP�P-f���b��1 I <br /> rwMoiNc,�u anooness cin� �ir r��or+e srmrucEnsF <br /> CONTRACT PRICE�7p'ORK ' -- <br /> `Sp 6�{�� HEATING SYSTEM: IVfGAS f 1 ELE^TRIC I I <br /> OESCRIBE WORK PND SOUnRE FOOTAGF INVOLVED CONT�Ci PfR50N�ND PIIONP�l0 <br /> - ���L-�1-��211 <br /> � <br /> I HEREE3Y CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br /> oro eo u5E ui�oi c APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL . <br /> �. �, .� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WiLL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPROPERTV�SHOWNBElOWO ARACHTWOGOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior�e�ocK�or ' AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUT ATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTIO�.TNAT I AM AUTHORIZED BY iHE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PnRCELTA%ID.NUTABER CONTRACTORS LAW 1827 RCW ANU 296.200 WAC. <br /> CONSTFUCTION LOAN LENOER.ADDPE55.TELEPMONE NUMBER x� � b / � I (�/ 'I i� <br /> sicria�u � � o d �aGk-�l <br /> ��� � <br /> cirr eusi Ess ucer�sc uo <br /> PLUMBING WECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET TOILET � —� <br /> ( ) A/C—A/HNDLGUNITS—H.R � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.0 ' E.A. ; <br /> LAVATORV(WASH BASIN) � HEAT PUMP <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DPYERS ; <br /> DISHWASHER VENTILATION FAN i <br />� _ LAUNDRY TRAY � RANGE HOOD Yj " � <br /> i <br /> CLOTHES WASHER � WATER HEAT'cR T— <br /> URINAL WOOD STOVE <br /> DfiINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> � <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGF �— <br /> � GAS PIPING � <br /> i EXHAUST FAN i <br /> i i <br /> i � <br /> SUB TOTAL 5 � SUB TOTAL 5 <br /> PERMIT S PERMIT $ <br /> TOTALFEE $ TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONT SFTpACK RFM SF.T04CK SIOE SETBACK Pt4N CIIE. AfP �[G fiEf.FIPT N0. <br /> ��� <br /> usezoNE ioranEn vncnNrsne FEES VALUATION FEE <br />� _ i ives r�� r:a ouum�:r, I <br /> HEIGMT LIMITATION NO OF UWELLINf, SIZE OF BLDG�TI - <br /> UNIi$ P�II`AOING <br /> _T—__ <br /> OCGUPANCV NO C�SIORiES OCCUPANTLOAD BASEMEN� <br /> GROUP M[CH�NIC�L <br /> IIYES II NO ' - -' <br /> i <br /> FIRE ALARM REQD RFA50\ MD1710NM.PI.AN CHF.CK i <br /> on�en <br /> FIRF.SPRINKIERRFO❑ RFASON <br /> tiiNE OUIIDING SURCHnRGE <br /> i <br /> rvreorr,oNsr rinr�snrrnovenev CITYOFEVERETT runiir.wonKs <br /> LOCALSALES — — <br /> p�tE TAX CODE IS 3{OS TOTAL i <br />� <br />