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� �+ <br /> I#PPLICATIOri FOR CONSTRUCTrON PERM17 <br /> CITY OF EVERETT•BUILDING D{VISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> fl DEMOLITION fl COMBINATION I-1 BUILDING fl MECHANIGAL b+�PLUMBING fl SIGN <br /> PROJECT ADDHESS /�/ ` ��� A� ��� <br /> ��� �/G <br /> pWryEq MAILPUORESS CITY 21P PHCNE <br /> TENANT ` �ILADDRE55 f.liY 21P PIIONE <br /> A CHITECT OR DESIGNER MAR AO�HE55 CITY ZIP PMONE <br /> GENEBALCONTfUCiOR MaILAODRE55 CILV ZIP PNON[ SfATLLIC[NSE� <br /> MECHANILALCGNTRACTOR MAILADORE55 CITV ZI{' PIIONE STATEUCFNSE• <br /> PI�IM�BINGCONIRACTOR ^�MAILA�ORESS CITY ZIP PNONE STATELICENSE� <br /> //oiv� r� �nl�i,vr,� o7L'`� I `` � 2V 5'c ' 3uck1��� y1'3d1 �'oNeT�_ /�� �•�_ <br /> CONTRACT PRICf.OF WORR <br /> HEATING SYSTEM: f I GAS I�l ELECTRIC �l_ <br /> UESCPIBE WOPH 4N0 SOUAPE FOOTAGE INVOLVED CUNTACT FF.RSON�ND PHONE NO <br /> I IIEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CURRECT ALL <br /> PPOPOSED USE OF BUIIUING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS l'YPE OF � <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPqOPERTY�SHOWNBELOWOHAifAGMTWOCOPIES) NOT. THE GRANTI!-,3 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> l07 ALOCK oF AUTHORII'Y TO VIOLATE OR CANCEL THE PROVISION GF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTH'JCTION OR THE <br /> PF.rt�ORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEfi Of THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPUCATION IS MADE AND I COMPLY WITH THE 3TATE � <br /> PARCELTA%I.D.NUMBER COMTRACTORS LAW 18.2i RCW AND 296.200 WAC. <br /> CONSiR11CTION IOAN IENDEN.ADDRE55.TELEPHONE NUMBER x�///f/� / � Id�J _�J <br /> 51 NATURE �— ��fE <br /> � C:TV BUSINESS LICENSfi NO <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ' � WATERCLOSET(TOILET) � A/C—A/HNDLGUNRS—H.P. ' <br /> � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATERS—B.T.U. M ' <br /> ( KITCHEN SINK&DISP ; CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRYTRAY ; RANGE HOOD � <br /> CLOTHES WASHER WATER HEATER �_ <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNYA�N i METAL FI'acPIACE(WOOD BURNING) �_ <br /> FLOOR DRAIN � FIREPLACE INS[RT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> � SINK(SERVICE—BAR, ETC.) GAS RANGE � <br /> � GAS PIPING � <br /> i EXHAUST FAN � <br /> � ' <br /> i ' <br /> i —i— <br /> SUB T07AL 3 ; SUB TOTAL S ; <br /> PERMIT S i PERMIT 5 � <br /> TOTALFEE $ ' TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> FflONTSETPACK REAtiSF.TAACK $I�ESETBACN �L4NCIIECNNl1MOfR fGF PEf.EIP�NO <br /> useZor+E iornnEn vncnNisire FEES VALUATION FEE _ � <br /> fIVES fl NO i <br /> DUILDWG � <br /> HEIGIIi LIMITATION N0.OF U'NELLING SRE OF BLOGRI � <br /> i <br /> UNIT$ P�IJM�ING � <br /> _� <br /> � <br /> OCGUPANCY NO 0�SIORifS OCCUPANT LOAO BASEMENi IdEOlnNlf.al � <br /> GiiOUP — - <br /> IIYES Il NO <br /> FIREPLAP6INEOD �FASON AOU�IIONPLPI�NCHf.CN <br /> i <br /> ou�en � <br /> PIRF.SPRINKLFRREO�O RF�SON � <br /> STN[OUII�ING cURCHnqGE <br /> rvrEorr.oNs rinNsnrvnovFnov CITYOFEVERETT runur,wonres I <br /> `— <br /> LOCAL SALES --- <br /> �,p,� TAX CODE IS 3105 ioT;.:. <br />