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„, -, <br /> APPLICATIO.� FOR CONSTRUCTIVN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOUTION p COMBINATION 1 ❑ BUILDING J� MECHANICAL ❑ PLUMBING �7 SIGN <br /> PROJECT ADDRESS: !f Cl�PJ �9 7 �` A U'G S E <br /> �+ iaNi�ooness cin 7iP� PNONE <br /> �m� /�'/ � <br /> � LMpf�E55 tlTv p�r <br /> P110NE <br /> Q rr� .5 <br /> 11RCHITE TORDESIGNER M� AppRE55 �Itt � JII• PNpNE <br /> M �,� eN o.� <br /> OENEMICONiP11CTpi MNLI10p11E55 GIv ---._ lil' '—” pIqNE �0 SG7ElICEHSEI [ � 'L'fJ <br /> 8��.� �-�i�S /�c �/9d fy.� p cw #/oZ f�rMw� �✓� 9 GS/z Ys�o B/��� l�i �6G�"L <br /> MECNRACIILCONTP�CTOR MAIIADDqE55 (:IfY )ip PIIONE STATEUCENSE� <br /> PLUMBIN6CONIRA�Tq1 MIULAOOHE55 CIfY !IP PIIONE STATEIICENSE� <br /> CONTMCT Pi4CE pF Mp11K �� �� � -- <br /> NEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> UESC�MlEMIORNLANp$p{J�qEf/p/p TAOEMVOLVEO Q CONiPCfPCf150NANDPFqNElp <br /> /N ST� Cw�./�C �'/..� r.o.� . .i -1- _ <br /> .�&�{�i�c..��� s s�f ,,� <br /> 5 •j I HEHEOY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> vnovoseou OF BUIlpNO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHEC7 q�L <br /> PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> WURK WILL BE COMPLIEG WITH WHETHER SPECIFIED HEREIN OR <br /> LEQALOESCPoVTIONpF�AOPE11ry�5NOWNBELOWORAiTACNTWOLWIES) NOT. ikiE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior e�ocK oF AUTFIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHEH STATE OR LOCAL LAW REGUUTING CONSTRUCTION OH THE <br /> P.ERFOHMANCE OF CON TRUCTION.THAT I AM AUTNORIZED BY THE <br /> OWNER OF THIS PROP RTY TO PERFORM THE WORK FOR WHICH <br /> AFPLICATION IS E AND I COMPLY WITH THE STATE <br /> v/WCEIi�tu.Mlreeep CONTRAC LA RCW AND 296200 WAC. <br /> CONSi/XICTIONLO�HIENDER.ADDRESS.TELEP110NENUMBER X �\ � _/�+ ^ S / <br /> SM E OATE <br /> Ci7V pUSINE55 UCENSE NO <br /> PLUMBINO MECIIANICAL <br /> NO. TYPE OF fll(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(701LET) � A/C—MiNDLa UNRS T— <br /> BATHTU9 ; FORCEDAIRSYSTEMS � <br /> UVATORY(1NASH BASIN) � HEAT PUMP , <br /> SHOWER � UNI7 HEATEFS � <br /> KITCHEN SINK 8 DISP ; CIOTHES DRYERS ; <br /> � DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAV ; WATER FIFATER � <br /> i • <br /> CLOTHES WASHER � WOO�STOVE , <br /> URINAL � METAL FIREPLACE(WOOD BURNING) � <br /> DRINNING FOUNTAIN � FIREPLACE INSERT(VJOOD BURNING) i <br /> FLO�R DRAIN � GAS FIHEPIACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ; <br /> � SINK(SERVICE—BAFl,ETC.) —� GAS PIPING � <br /> ' FXHAUSTFAN � <br /> � � <br /> i � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL S ' <br /> � <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S � TOTALFEE S ' <br /> FOR OFFICE USE ONIY: <br /> CiqNT SETBACN REAR SETBACN SIDE SFT6�CN PIAN CIIECk NIIMAfO iEF RECEIPT NO <br /> use¢a+e lOI AREA V�C�NI SIIE �E S VALUATION FEE <br /> T <br /> ❑YES ❑ � Ol11lDING � <br /> � <br /> NEI611T LIMITATION NO OF OWELUNG SIZE OF BL06�f I � <br /> UIIIIC �I I)MIIINf: � <br /> OnOO�PANCY Np M 51(MtlES Q7CUPANI IO�D BASEMENT MECII�NICM —�i— <br /> ❑YFS ❑NO --- � <br /> FIRE SPNINKLER REO'D AF�SON �UUI IIONM.PI AN C�I(f,N � <br /> --�– <br /> on�en I <br /> fIPENAPMREO'D RE�S(X! - <br /> � <br /> i <br /> STNE Olnl�wG SIIItC1U11OE � <br /> � <br /> fVPEOFf,ONS� Pl�NSAPPf10VEn0Y � <br /> CITV OF EVE9ETT runnc vmnes <br /> LOCAL SALES --- — --;— <br /> o�rE TAX CODE IS 3105 TO7AL ; <br />