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APPLiCI►'1'In�d FOi� �Ol�ISTF�l1C� .0�1 P�RNEIT <br />� C:ITY OF EVERETT• BUILDING DIVISION <br />� 3200 CEDAR STREET • EVERETT, WA 98201 • 259-E1810 <br /> �I DEMOLITION I 1 COh181NATION I I BUILDING I 1 MECHAMICAL f 1 PLUMBING rl SIGN <br /> PROJECT ADDRESS �— <br /> 5��� / �' ��'F�. ��� <br /> owrv�n Mni�noor+ess cirv zir riwNe <br /> ��i'ie�.� ��/ �j1C" /z4�t ��1;� ��� lJ 9�1�� 7 � I3 -��� <br /> TEN�NT INb ADDRL55 Cltt ZIP PIIONE <br /> ARCHITECTOP�ESIGNER MAIIADDRESS Citt ZIP �f ?NE <br /> GEN[RAI.CONTf1AGTOfi MNLAO�f1ESS GiY ZIP PNONE STATE LIGENSE M <br /> MECHANICFLCOP'�RACiOR MAILAODFESS CIT`! 71P �'��ONE STATELICENSEY <br /> PLUMBING�JNTRACiOP MAILAO�RE55 CITV 21P PNONE STATELICENSE� <br /> CON�RAC7 PPICE OF WORK <br /> HEATING SYSTEM: 1=� GAS fl ELECTRIC �l _ <br /> '�ESCRIBE WORK AND S ARE FOOT�GE RIVO�VED CON AGT PER ON ANO PHONE Nn. <br /> C.11'�'r!.(�(,(.r/� SI=1L- , , �c� <br /> �Ci�-Jr�rn sa f�r s i� r�Jt�l� I�aSP��P�1�- <br /> �1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMIIJED THIS <br /> � y°�L APPLICATION AND IWOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROFOSEO USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOAK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCRIPTION CF PROPERTV(SHOWN 6ELOW ORATI4CH TWO GOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT � �- BLOCK aF AUTHORITY TO VIOLATE OR CANCEL THE PRGVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTP.UCTION OR ThIE <br /> /I� >J , � � /�. PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> C':JNER OF THIS PROPERTY TO PERFORM THE WORK FOR JJHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON RAGTOR L y� 1Q�2�7� R�QW AND 96.200 WAC. <br /> PARCELTA%I.D.NIIMBEA / /� � AV�T!'YI C.�'J �4�. <br /> CONSTRUCTION�OaN LENOER.pDDRE55.TELEPHONE NUMBFfi X � /���/ ' '`� —�C/ <br /> SIGRATORE OATE <br /> CITY�USINESS IICENSE NG. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F7XTURE QA ITEM FEE. NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. ' <br /> � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. �_ <br /> 2 LAVATORY(WASH BASIN) � HEAT PUMP � <br /> � SHOWER � � UNIT HEATERS—B.T.U. M ' <br /> I KITCHE�!SINK&DISo ; � CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FPN ' <br /> LAUNDRY TR.4Y / RANGE HOOD i <br /> CLOTHES WASHEF � WATER HEATER ' . <br /> URINAL ' WOOD STOVE �_ <br /> � <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) �_ <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) _'_ <br /> � <br /> �ACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAP, ETC.) GAS RANGE ' <br /> � a GAS PIPING � <br /> ; EXHAUST FAN ' <br /> � <br /> i <br /> i <br /> � <br /> SUB TOTAL S � � f� SUB TGTAL S i <br /> PERP/�T S � PERMIT S � <br /> TOTP.I FEE 5 ' TOTAL FEE_$ ' <br /> FOR OFFICE USE ONLY: <br /> FFONTSETE3AGN Rf.Ai15FTP4CK SI�ESET�ACK �LANCIIECHNUUOF.R fEE RECEIPTNO. n� <br /> �5 ' � `� � - ' � � ���i �D � ////�, <br /> usr: �ornr�=_�< vncnNrsi.e FEES VALUATION FEE <br /> ���� �-�'C�O Y'vEs n rvo ouaoiNe �iJ`i .J2.? ��i <br /> HEIGIITLIMITATION NOOFJW[i.I.ING SIZEOFpLDG�TI. i <br /> � uNiis + 1 2:. SF G c..E, riun�niNc � ' <br /> � <br /> OCCUPANGY NO 0�`�.i011iE5 OCCUPANT LOAI: BASEMENT , � <br /> MGCIIANICAL � � � <br /> G���3 i r � <br /> 1 ES f� NO � <br /> FIREALARMREO'D RFPSON ADDIiION�LPLANCMECH —� <br /> � i <br /> � OTHER r�;Z�/I � <br /> FIRE SPNhNLFq REO'0 REAS�N � <br /> STATE O111L01NG SURClIFRGE �'� ��� <br /> �� — • n ' <br /> TVPEOFCONST PIANSAPPeOVE09V CITYOFEVERETT �'UOLICYlORKS ��(%� <br /> J N LOCAL SALES - —//�'� `,,— <br /> �' I�l onrE 1 �Z G I� TAX CODF. IS 3105 70TAL <br />