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APPLICAT14�1 FOR CONSTRlJC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> I-1 DEMOLITION fl COMBIN0.TION �BUILDING f-1 MECHANICAL �� PLUMBING fl SIGN <br /> PROJECT ADDRESS '��/ �\ �`-� / ��� � ^2 2 Z ��� S� <br /> 'f".S <br /> OWHEH MRILA�DRE55 CIN ZIP PHONL <br /> l 7�f 2 —2 �7�_ <br /> � ),��ti� rs �'_ �LtG� ��,���.� ��2a�� . - <br /> IEN�NT MAIIA�DRF.55 CITY ZIP �'��ONL <br /> �l o ,n �-F� t)�c..� �/> 2v�l f �z�� C-� l'I�. 7��°��? <br /> ARCMItECT R DESIGNER MAI AO�RE55 CITv ]IP �ONE <br /> , � � . .. �.,� � ��-rv��s CC����F^ i2222 �r{'�-�� �`�s�� �e�O �S��?E> <br /> GENERALCONTRRCTOR Mn1U0�RE55 CIIY 71P PIIONE STATEtICGNSE� <br />� � �e+�t,'ey � CJ�SOt� ' '"�� i�r��' <br /> MECHANICAL CONTRACTOR MRIL ADDPESS GTV ZIP PHOITE� STATE LICENSE� <br /> PLUMBINGCONT OfiJ A i AODRE55 CITV ZIP P110NE STATEUCENSE� <br /> GONTRAGT PRICE OF WO K , <br /> HEATING SYSTEM: f I GAS f� ELECTRIC f-1 <br /> DESCRIBE WORK AND S UARE FOOT�GE I OLVEO CONTACT PERSON AND PHONF NO. <br /> G � <br /> \ <br />' OG�' <br /> I HEREBY CERTIFV THAI I HAVE REAO AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br />� PROPOSEDUSEOFBUILOING PROVISIONS OF IAWS AND ORDINANCES GOVERNING 7HIS TYPE OF � <br />� WORK WILL BE COMPLIED N'ITH WHETHER SPEGFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPROPERTY�SHOWNBELOWORRiTACHTWOCOPIES) NO7. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 'OT� BLOCN oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULAT�NG CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFiOPERTY TO PERFORM THF WORK FOR WHICH <br /> APPLICAT�ON IS MADE AND I COMPLY WITH THE STATE <br /> PMCELTAXI.O.NUMBE CONTRACTORS,LAyV 1827 RCW AND 296.200 WAC. <br /> 3c�� as� o.�� oo� ' /p� /1/�/ I <br /> CONSTRIICTION LOAN LENOER.ADDRE55,iELEPHONE NOMBEH X // ?�iL1✓�� � V� ���� ��I✓ <br /> SIGNRTURE OATE <br /> CITY USME55 LICENSE NO. <br /> PLUMBING MECHANICAL i <br /> NO. TVPE OF Fl7CTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ' WATERCLOSET(TOILET) � A/C—NHNDLGUNITS—H.P. ' <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> i <br /> IAVATORY(WASH BASiN) � HEAT PUMP � I <br /> —�-- <br /> SHOWER ' UNITHEA7ERS—B.T.U. M ' ' <br /> KITCHEN SINK&DISP i CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY � RANGE HOOD � <br /> CLOTHES WASHER i WATER HEATER � <br /> URINAI ' WOOD STOVE ' <br /> ORINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINGj ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE ' � <br /> � GAS PIPING � <br /> i EXHAUST FAN � <br /> � <br /> � ' <br /> SUB TOTAL 3 ' SUB TOTAL $ ; <br /> � PERMIT $ � PERMIT 5 � <br /> TOTAI FEE $ � TCTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSFTPRCN REA(iSFTPACK SIDESETBACN PIANCIIECKNUMF3f� PGF RFCFIP�NO <br /> Z�' ' � / I ' <br /> i <br /> USEZONE�j iornaen vacaNrsrte _ FEES VALUATION FEE <br /> �-31— � , <br /> IIYES i� �7UIL�MG � `� C� i — <br /> HEIGHi UMITATI^.N NO.OF 11WElLING SIZE OP BLOGRI � <br /> � � <br /> � UN17$ )Z� �. PLI1NpING T_ <br /> �J i <br /> pp�UPANCY NO Of StpRl[S OGCUPANI LOAp /�! BRSEMENI M[CII�NICAL _ _ <br /> � �OG�JR�fj(C/ 'E$ I1 NO j ) � /� <br /> FlRE AIMM REO'11 RFASON �DOIIION�L PI.AN CHI.CK /.�/ L � <br /> i <br /> N� p111ER � <br /> FIRF SPRINKIER REO'� �FASON <br /> /�I(� SiN[BUILORlG SUf1C11ARGE �f) <br /> VV <br /> TYPEOFf,ONSf PL�NSAPPlIpVEO��Y CITYOFEVERETT �`IIOIif.WOqNS � <br /> � ' � oare ��' l7 h TAX CODE AS 3 OS TOTAL �� ' � <br />