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APPLICATIO�I FOR CONSTRUCT rdN PERMIi <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREE? • EVERETT, WA 98201 • 259-8810 <br />I-1 DEMOLITION �l COMBINATION � �UILDIIVG �l MECNANICAL � 1 PLUMHINC f 1 SIGN <br />PROJECTADDRESS /���� � ��— �_ ��%L�� �f}', ��GL, � <br />.�I�� 1��1vr1�fiSS �/i <br />TENnNr ,�(� MnannoraEss <br />� /l(�l.�$� �v��� <br />ARGRITECTOROESIGNEP MPIIAODRE55 <br />GE � AICONTP�lGiOR ldA1LA0!)RGSS <br />IAECIIANI �LCONTPACTOR MNLAODRE55 <br />cm zir <br />L�tJ, �/L'"'�e�'ZT �tJf1. <br />arv rir <br />�(17t flZ�c'�.s GP�', �7/L'Z� r�Y� <br />— cirv zm <br />CIIY ]IP <br />cirv zm <br />r��or+E <br />=70J/ <br />� <br />PIIOHE STRE UCENSE � <br />PLUMBINGCONiRACTOR M�IL�DUfiESS GItY ZIP PNONE STATLLICENSE• <br />CONTPACT PRICE OF WJRK � �9/� <br />J <br />�ESCPoBE WOPK ANO SOU��E FOOTnGE INVOLVE� <br />S ta� i 3� � 5 /�%5 <br />e':�.� PU� � ��a- <br />PRO: JSED USE OF AUIIDING <br />LEGAL LESCFlI IUN nP PROPERtt �SHOYIN BELOW UH ni n�n iw <br />LOT�BLOCK Of ��`� <br />PARCEL TAX I D NIIId9ER � <br />33Sa �Joc� oo � ��nU i <br />CONSiRUCTION lOAN LfNDER. ADU�E55. TEIF.PHONE NUNDE(1 <br />NO. TYPE OF FIXTURE OH ITEM <br />WATER CLOSFT (TOILET) <br />BATHTUB <br />LAVATORY (1VASH BASIN) <br />SHOWER <br />KITCHEN SINR 8 DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />-�i <br />FEE <br />� SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE S <br />FOF OFFICE USE ONLY: <br />fRGYTS[TpACK � �F�� SFTBALK SI�E SEi�nCK <br />/ � <br />USE ZONF. � I Oi �RE� VFCA�IT 51iF. <br />,� 42,�?% �ives <br />IIEIGIITLIMITATIC4 NO.Of�WCLLING SIZ[OI'[iL�GRI <br />35 � ���,�,t � S 9 �S <br />OCGUPANCY NO O�SiPRiFS CCCUP�NILOAD DASEMENi <br />G�UPI I ^� !� �IVES <br />f1F.0'� <br />rinHS <br />� <br />NO <br />i� <br />CITY OF EVERFTT <br />LOCALSALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM f 1 GAS f 1 ELECTRIC f I_ <br />CGNTACT f'F.RSON AhU PHONE NO <br />/>a� /�u//1D��S 7�v "� 2� � <br />I HEREBY GERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANU KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HC-REIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PcRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNER OF THIS PROPEf�iTY 1�0 PEFiFURM THE WORK FOR WHICH <br />APPLICATIOI�� IS MAD � AND I COMPLY WITH THE STATE <br />CON�CTDRS���ACW AND 296.200 WAC. <br />7 � I <br />xG L� (�-� ^^ =— �u..�Jc= 519�5 <br />SIGNATURE ��TF <br />CITV �USIKE55 LICEMSE NO <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />A/C — A/HNDLG UNITS — H.P. ' <br />FORCED AIR SYSTEMS — B.T.U. M E.A. ' <br />— -----r <br />HEAT PUMP ' <br />UNIT HEATERS — B.T.U. M � <br />CLOTHES DRYERS ' <br />VENTILATION FAN ' <br />RANGEHUOD ___� <br />W�.TER HEATER <br />WOOD STOVE `_� <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) ' <br />GAS FIREPLACE � <br />GASRANGE <br />�AS PIPING � <br />I EXHAUSTFAN ' <br />aU8 TOTAL 5 <br />PERMIT 5 <br />TOTAL FEE 5 <br />ri nN c[ie���'JA rF� �� i�� ���, N���/ <br />�f <br />auunwc I.`"_� i 7 7 I // /r9 j— <br />PL�1Mf11NG � <br />_— —T <br />� <br />� <br />MEC���N�C�L �_ <br />i'7 <br />�ODIIIO'IAI. PV�N CNECK // � / � <br />O�HER <br />Si4TE DUIIDING SIIf1C11MG[ <br />runi ir, vronKs <br />TOTAL <br />