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� ^ <br />APPLICATItird FOR CONSTRIJCl �ON PERM�T <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVcRETT, WA 98201 • 259-8810 <br />f7 DEMOLITION �COMBINATION fl BUILDING fl MECHANICAL f� PLUMBING fl SIGN <br />^D <br />TENANT <br />a-v zm rNONe <br />���07 ���esl,.sE b'e�lr/.+�� 9avz� �Z't�s� <br />MFIL 9UlIXt» <br />�//r"_- . Sa.�.'� <br />71r PHONE <br />GENEBPL CON7AACTOijI L MAILAOORE5/5 QtY Zlf� PIIOM[ SiFTE I ICENSE � <br />��'�C7 �nJQWcJf'i�p.l ll'i�7 Sy:..w TOz+1�0� ���COCryi"/�%iC <br />MECNANICALCONTRACTOR MAILADDPF55 y CITY l.lP PHONE $TATEUCENSE� <br />PLUMBINGCONiRACTOR MAILADDRE55 CIN IIP PHONE STATELICENSE• <br />GONTMGT PqIGE OF WORK <br />� l 9 ��_> <br />DESCRIBE WORK AND SOVARE FOOTAGE INVOLVED <br />( _DAs �i�, �� /�)�a . �-7n / '� �ia�.c. <br />' � BLOCN <br />CONSiRUCiIONLO�NIENDER,ADURE55.TELEPHONENUMBER <br />NO. TVPE OF flXTURE OR ITEM FEE <br />a WATER CLOSET (TOILET) / <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP / <br />DISHWASHER <br />�� LAUNORY TRAY � <br />CLOTHES WASHER � <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETCJ <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETPACK _ � REAR SFTBACi <br />J v ' <br />U5EZONE� `i�. LOTAR[A <br />� <br />HEIGHTIIMIT�IOB / NO Of DWELLING <br />IINIT� <br />IO' NO OiStOPoES pCCUPA <br />•1 <br />.M REO'0 11F.ASON <br />INNLER REO'0 REASON <br />r,oNsr rtnvsni <br />� � DAiE � <br />HEATING SYSTEM: f�GAS f� ELECTRIC f l <br />CONTACT PERSOH AND PHONE NO. <br />� ��-� C� �i���, ,A-�, �1�1= ��1y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />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 S°ECIFIFD HEREiN OR <br />NOT. THE GRP�.JTING OF A PERMIT GOES NOT PRESUME TO GIVE <br />AUTHORITY 'i0 VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEFi STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWN£R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br />�� � � y <br />5 ��lA� ' �—�`_'—Op,E C> 2 9/ sr- <br />CITY BUSINE55 LICENSE NO. <br />MECHANICAL <br />NO. TYF80FEOUIPMENT FEE <br />A/C — A/HNDLG UNITS — H.P. � <br />FORCEDAIRSYSTEMS—B.T.U. M E.A.- � <br />HEAT PUMP i <br />UNIT HEATERS — B.T.U. M � <br />CLOTHES DRYERS ; <br />VENTILATION FAN � <br />1 RANGEHOOD / ; <br />WATER HEATER — � <br />WOODSTOVE � <br />METAL FIREPIACE (WOOD BURNING) ; <br />FIREPLACE INSERT (WOOD BURNING) � <br />GAS FIREPLACE ; <br />J GASRANGE � <br />,� GAS PIPING ' <br />�''-f EXHAUST FAN / i <br />/ I SIDES�iB.� �_ � I PLANCIIECK <br />� <br />VRCFNi SITF FEtS <br />I IVES I i AD pl➢LDMf, <br />1F BlDGr1 <br />OI �F L��qn/C� t rwMdwc <br />� �iiQ'�AIGV <br />BASF.MENT � � MF:CNANIClI <br />IIVES ��✓Fl0/ - <br />� ADOIIIpN�LPIANCH[CK <br />Ot11EP <br />STNE [7UIl DI4G SIIRCII�qG[ <br />CITY OF EVERETS' ruAuc wonKs <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />FEE�/ / // I R[CGIPiNO. <br />�% s <br />. <br />