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�PPLIC:A7( �N FOR CON9STF�lJC 10N PE�3M1'P' <br /> CITY OF E\'ERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> f1 DEMOLITION I� COMBINATION BLqLDIPiG rl MECHANICAL Il PLUMBING fl SIGN <br /> PROJECT ADDRESS �—�R <br /> 7 C 9 - � o "' -Q.�.ce �,v� r.� fi�f l�l� 9�a o I <br /> OWNEfI MMLA�OfiE55 CIiY ZiP PHONE <br /> 7�Ru.Y f-/oM F.s 33/�-FuG,rM�v,v ��e�. ��eq ttle 9�Pioz 328-3�� o <br /> 1EN411T MNLA�ORE55 CIiY ZIP PIIONE � <br /> ARGIIITECTOR�ESIGNER MNLA�ORE55 CITY ZIP Pt10NE <br /> GENE{IALCONIMGiOR MNLADDf1ESS CITY ZIP n110NE SIAtELICENSEr <br /> Si9Y�7E r}S DcvN�,� 7�✓�C�YHI � 20L, 1 <br /> MECHANICAIGONiMCTOR MAILAODRESS CITY IIP PIIONE SiAiELICENSE� <br /> PLUM9INGCONBiAC10R MAILADDRESS CI7Y 21P fHONE STNELIGENSE� <br /> CONiRACT PRICE OF WOfiK <br /> HEATING SYSTEM: �GGAS 1-1 ELECTRIC I l <br /> OES NBE WORK ANU SOUAf1E FOJTAGE INVOLVED CONTAGi P RSON AND PIION[NO <br /> �As�c �* i/ o / � y s �r �o�, h �r�v��s <br /> ��I�2 sfar�z� 328--3 'I7o 6x7" zola <br /> I HEREBY CERTIFY THAT I HAVE REAU AND EXAMINED THIS <br /> PCOPOSEU USE OF OUIL�ING APFLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> S/N�-Q� �(��YY� I I P S r c�e.r.c E PROVISIJNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COhiPLIED WITH WHETHER SPECIFIED HEREIN OR ' <br /> IEGRLOE�SC�IIO�IOFPf10PERtt�SHOWNBELOWOf7ATTACHTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM[ TO GIVE <br /> ior_,.z•�mocK oF S�IVEk t�K /`I T AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> GoRcST PAkK OTHER STATE ClR LOCAL LAW qEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICFI <br /> APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br /> PMCELTAX I.D.NIIM�ER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> go�9 - ooa - D 3S / <br /> CONSiRULTION IOAN LENDER.AO�f1E55,TELEPHONE NUMBEfl X �� �� �1/(�/.(�� <br /> SIG Ufi6 DNE <br /> CITY DUSINESS LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. � <br /> � BATHTUB � FORCLD AIR SYSTEMS—B.T.U. M E.A. ; , <br /> LAVATORY(WASH BASIN) i HEAT PUMP i <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITGHEN SINK 8 DISP i CLOTHES DRYEi1S i <br /> DISHWASHER � VENTILATION FAN T <br /> IAUNORY TRAY ; RANGE HOOD ' <br /> � <br /> CLOTHES WASHER i WATER HEATER � <br />� � <br /> URINAL ' WOQD STOVE ' <br /> DFiINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD�URNING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE ' <br /> _ i <br /> SINK(SERVICE—BAR,ETC.) i GAS RANGE � <br /> � GAS PIPING � <br /> i EXHAUST FAN i <br /> i � <br /> i � <br /> SUB TOTAL S ; SUB TOTAL S —� <br /> PERMIT S � PERMIT S T— <br /> —,— <br /> TOTALFEE S � TOTALFEE $ � <br /> FOR OFFICE USE OPJLY: <br /> Ff10NT�� RGAp�E�AC� SIOESET�ACI�� PLANCIIECKNUAIOLfI�� FEE (j� V�O� PECEIPi�� / � <br /> [ � y cv 3 '� <br /> usez e �ornnen vncnnrsrte FEES VALUATION FEE <br /> �-'� nves ❑ rvo om�oiNc 0 � — <br /> IIEIG�ITUMIiATiON� tIOOFDWELLING SIZEOFOIOGRI � <br /> ur+irs � G Sf Livini4-{- � <br /> .� S G .eA4 - rwMoiNc <br /> OCCUPAWCY HOAFSIUNES OCCUi'�6iLO�D DASEMENi --i <br /> GOOUP MECIIANIC�L '— <br /> �'3 Z A IIYES NO — <br /> i <br /> PIf1EAL�FlMf1E0D flFA50N AD�ITIONnLPLANCHECH � <br /> T <br /> OTHER �� nN . � � <br /> FIi1�5PfiINKLERREO'D ❑GASON ���v <br /> i <br /> STATE�UR�ING SURGHARG4 .i�7� <br /> �J <br /> TYPEOFCONSL PLANSAPPlIDVE1OLOY CITYOFEVERETT runucwonKs /�; <br /> Jr1 LOCALSALES � � <br /> �'/..� ont- 5�2j�5'S TAX CODE IS 3105 TOTAL � � <br /> ' � <br />