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APPLICATIt.r�l FOR CONSTRUC7 �ON PERMIT <br />CITY OF EVERETT • BUILDI�G DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f-1 DEMOUTION fl COM8INATION f�U1LDING I-1 MECHANICAL �PLUMBING rl SIGN <br />PROJECTADDRESS 332L' �� nd �� . <br />5.1.t). �ver� (�t�0�- <br />/ - �--'---- � �•��r I 1 lIP PIIONE � <br />RNCHRECTORDE513NER MAILAD�RE55 Clry .]I� <br />PHONIi <br />�r i ' _ <br />MECHANiCA� CONTR CTOR MAII ADDRESS <br />PLUMBINGCONTRACTOR AILADDRE <br />SWGt�risa2 `3� <br />CONTMCT PRICE OF WpRN <br />DESCRIB ORK �N9 SOUARE FO TAGE INVOI.VEO <br />� h � � � <br />Q �a.c.2 e' +� Innc h S�airs � <br />a ; 2 <br />PROPC iED USE ILOING <br />in 1 �1L � � S � <br />L°GAl0E5CRIPTION pF pqpp (SHOYM BELO OR ATfACM TWp COPIES� <br />I.OT BLOCK p <br />PAF�T/" /L, U�ER�G2 -a3� -�Go2 <br />CONSTRUCTION LO�N LENOER. �DORE55. TELEPHONE NUMBER <br />PLUMBINO <br />NO. TYPE OF flXTURE OR IfEM� <br />WATER CLOSET (TOILETI <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRY TRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DqAIN <br />SUB TOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />FOH OFFICE USE ONLY: <br />FRONT SETPACK RERR SFTBACN <br />I15E20NE LOTAREA <br />HEIGHT LIMITATION NO OF OWELLING <br />UNITS <br />Smq�Es <br />TYPEOFCONS7 � PLANSAPf'ROVEqBV <br />CIiV ]IP ---- PNO 5 T I E E� <br />,O. RnX (�I'L �ra.ni�'r c )A)a �FGI�.JI <br />��TM ���P PIIONE STATE LICENSE M <br />1 ' SinItUGENSE� <br />� ��SZ�y7 <br />HEATING SYSTEM: f 1 GAS fl ELECTRIC rl <br />CONTACT PERSON AND P NE NO <br />������� 6q►-�I�7� <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORqECT AlL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO G�VE <br />AU7HORITY 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 />OWNEN OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPI.Y WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />i�����ilr'!T»_;�._ 11� <br />CI7Y BOSINESS UCENSE N0. �!J O D�� <br />L f1 <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />A/C — A/HNDLG UNRS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SIDESETB4CN PLqNC11ECf(j1�y�9fR <br />�' Y <br />VACANT SIiF FEES <br />I IVES f I NU AWl01NC <br />SIZEOFBLOGRI vJ�Lq� <br />1� <br />�'��57 /y4 S�A� ����MOING <br />BASEMEN� MECIIANICAI. <br />(IYES I1 NO <br />Mp�11pNA1. PI AN G��[CK <br />OtHER <br />STNG AURpING SURf.H�tlCE <br />CITY OF EVERETT ruAi ic wonHs <br />LOCALSALES <br />TAX CODE IS 3105 707a� <br />SUB TOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />fEE RECEIPiNO. <br />VALUATION I <br />/ .7�:� <br />