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APPLICATIOI� FOR CONSTRUC7IL.� P�RMIT/ <br /> CITY Of EVERETT•BUILDING DIVISION L�� <br /> 3200 CEDAR STREET•EVEFiETT,WA 88201 •259-8810 � <br /> ❑ DEMOLITION �l COMBINATION [-1 BUILDING f7 MECHANICAL fl PLUM9ING fl SiGN <br /> PROJECTADDRESS � ���y ��yECG t1G✓T <br /> ow�A wu��oo�ss un �v nawe <br /> �.r�c� �'���s �z�� i/o�� �'���� l�r. F��'�rr 98zr-�a �5 � - ��io.s <br /> TENIWT 4NL/i00qE5S GTY LP PIqNE <br /> ARCIYTfCT0110iilONiR YNIADORE58 GTY ' 21P NqNf <br /> °��CONiMCTOq MN�AOORE58 CITY 21P PIqNE STATEUCEMjE� <br /> c=/�rit/Esi C'l�n_Ki. /7/5 /OC%�aQG � L�/��'� �B�'�s <br /> MEL/!NNIICALLOMTMCTq1 MNLAOfME55 GTY LP Pf10NE STATELIfE145i� � <br /> G�� <br /> PLUMBMqLON7RACiOR AWLAOORESS ptt LP P110NE 6TATfUCENaE� <br /> � �:- � HEATING SYSTEM: GAS ❑ ELECTRIC C'1 <br /> OESCIWFWqY(NIDSOUAilEF00TAGEWYfXVED ,� CANTIICTPE0.50NANOPIqNENO. � ,/ <br /> / %LL , C.G�t� /U /t�'C�7G�' �!J G�� Z " �II y <br /> , ,. . <br /> e2tG%�IC- �v.PN`CC <br /> ' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TMIS <br /> our�awi ra APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL , <br /> ZLA K% ti�T PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO NEREIN JR <br /> LEaL0E5CWTI0NOFPROPERTY{SNOWNBELOWOiIATGCMiWOCOPIES) NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GwE <br /> �oi e�oac oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORM/.NCE OF CONSTRUCTION.THAT I AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WOqK FOR WMICn <br /> APPLICATION IS MADE AND I COMPLY WITH TNE SiAT� <br /> r�ace�i��.o.�n CONTFL>CTORS LAW 1827 R ANp Z86200 WAC. <br /> .. CONSiflUC110NLOANlFNOER.ADIXiESS.TELEPHONENUMBEP .! /+ �// � � II—�S - /S <br /> A�^• <br /> bl(Y/��T JflE DATE <br /> ! <br /> an sus��ss ucEnse'a. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSET(TO�LEn � AJC—AIFINDLG UNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ; � <br /> LAVATORV(WASH BASIN) � FIEAT PUMP �'� <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION fAN � <br /> LAUNDRYTRAY ; RANGEHOOD ; <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKW6 FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOq DRAIN � FIREPLACE INSEFT(WOOD BURNING) � <br /> BACKROW PREVENTERS ; GAS FIREPLACE <br /> SINK(SERVICE—8.1H,ETC.) � GAS RANGE . <br /> ' � GAS PIPIN� ' <br /> � EXHAUSTFAN � <br /> i � <br /> i � <br /> SUB TOTAL S ' SUB TOTn� S ' <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S ' TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FRpRiiTYACK REAR6Ei&1CK 610EBE7&1LN PLANC�/VCJ� FEE P6GFWTN0. <br /> uSEZonE IOTMFw v�Cu�rs�7E FEES VALUATION FEE <br /> ❑YES ❑� BUIlDIN6 i i <br /> HEIOIIT tlMITAl10N N0.OF DWEILNG fi17E OF BlDO/[I. � <br /> UNITS iLUYHiN� � <br /> OC�CU� Iq.OiilONEi OCCUPANTLWD BASE4ENT YECHMIICAL � . <br /> O YES ❑N� <br /> FIRENMMflEO'0 HEASON AL'. ��!'uV/CMECK � <br /> �_� • � <br /> FIfiE SPRNNtIER RE09 PEASON - ' <br /> i dTATEBUIID�NGSUflCMAqGE � <br /> �� <br /> nveoFca+sT. rw+s�rewoveoav CITYOFEVEREl7 vueucwa+ns I <br /> LOCAL SALES <br /> OATE TAX CODE IS 3105 TOTAL � <br />