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AFPLICA'YIL.� FQ� CONSTFiUCl .OI� PERMlT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STfiEET • EVERETT, WA 98201 •259-8f110 <br /> f-1 DEMOLITIUN �I COMBINATION f�1'BUILDING �k��ECHANICAL '�PLUMBING f 1 SIGN <br /> PROJECTADDRESS �S/� lzT"N f}U� • UJ. <br /> �-or.s7 M�=�Rrc.� c-2c-E� G�rKOE�vs <br /> owNea ma�noo��ss eirv nr rnoNe <br /> �,�Es�c-,� l; �uF�LN (�3�2 7G'"1�RSF S;✓aHdi�//Sy� LJA, 98z9o���J.33 ��3sza <br /> IENMlT MMLADDRFLS QiY 71P PNONE� <br /> ARCNITFCTOR�ESIGNER LIAILMORE55 GIiY ZIP PNONE <br /> GENERALCONTRACiOR MML�D'JRE55 Citv ZIP PIION[ STATELICENSEa(��,�NzI1�QC <br /> �,IJE�cM�� ��n1sTRuci i'an), �,ac_ .�322 7��r �RSC-. �'VoHo!nsH,G,�q 9929c�zo��,33'7-3�zfl <br /> MECH�NICALCONTNACTOR 1dNL�•.`�RES CIIY ZIP PHONE STATELICENSE� <br /> PLUMBINGCONTilACiOR MNL�DOPE55 Q7Y ZIP PHOtJE Si�TEIIrENSEx <br /> CONTRACT PRICE OF WORK <br /> HEATING SYSTEM: W�GAS f l ELECTRIC n <br /> OESCBItlE�YOFK�SO�GE FOOTAGE INVOLVED_ S1 � ; CON �C�S�U�IANE Nq 1`` 33�—3 S�-8 <br /> �� 1 9J.ti <br /> �� <br /> . I HEReBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUIl01NG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> . s�^` PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPe OF <br /> � WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR <br /> ' LEGF.DESCRIPTIONOFPROPERTV�SNOWNBELOYl^O/'P'�',TfACMTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> . �oT ��-7 9LOCK oF/�lbh �L C�«K G THORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAN�REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I CJMPLY WITH THE STATE <br /> PARCEITAI(I.D.NUlABER — CO TRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSiRlICT104 LOAN LEN�EQti,FpDORcSS,TELEPHONE NUMpBEP X �L��v� �/{-�( '�I S <br /> ������ Wcp(� �'O/�l G�}"�E C'OU�I� ' �� ����2 SIGNATIIRE OAE <br /> CIiV 9USWE55 LICENSE NO <br /> PLUMBING h1ECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF fIXTURE OR ITEM FEE <br /> 2, WATERCLOSET(TOILET) � A/C—A/HNDLGUNITS—H.P. � _ <br /> ' 2 BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> - ��— <br /> Z LAVATORY(WASH BASIN) HEAT PUPAP � <br /> SHOWER ' UNIT HEATERS—�B.T.U. M ' Y <br /> � KITCHEN SINK 8 DISP ; / CLOI"HES DRYERS � <br /> / DISHWASHER � VENTILATIONFAN __ __1__ <br /> LAUNDRYTRAY ; RANG[ HOOD i <br /> CLOTHES WASHER � � N'ATER HEATER y___ <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD fiURNINC) � <br /> FLOOR DRAIN � F!REPLACE INSERT(WOOD BURNIP:G) � I�, <br /> BACKFLOW PREVEN'ERS ; J GASFIREPLACE � I <br /> SWK(SERVICE—BAR,ETC.) � �ASftANGE � <br /> i GAS PIPMG � _ <br /> � EXHAUST FAN i __ <br /> — — i _ <br /> i <br /> i <br /> SUB TOTAL S ; SUB TOTAL 5 ; <br /> FERMIT S i PERMI? 5 � <br /> TOTAL FEE 5 ' 70TAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FFONTS;TOAC�: FE4RSETBACN � SI�ESEiBA�K PlAt1iNECKI;UNo�� FFE �` _Q� PLCE����.��� — <br /> S � �� L�� r <br /> I � TJ � � J <br /> usezoue 2 �oranen vncnNrsi�e FEES VAWATION FEE <br /> �,� ✓� S59 "�+E3 ii N0 PUIIUING �1C - � � �/� <br /> � vl ' <br /> HEIGNTLIMITATION� NOOFOWELLING SIZEc�OFBL�G�I G "_, <br /> Z�] uriirs � I DOI 5( L�vi� -I— awr�oiNc _ 7�1 <br /> GHOUPphCY NO.OFSTORIES OGCUPANTlOAO i BASEMENi � � MEGHaNICq: �l� � <br /> _3 N/� _ ��. <br /> ❑YES' fKlO i <br /> ADOI710VA(PLAN CHECY, i <br /> NflEALARMREO'0 RE�SON � i <br /> - -�_ <br /> � OIt1EF �� ' <br /> FlRESPRINNLEFREO'D RE�SON l ' <br /> �o STATE OfIIL�IYG SUR�114RGE i'� <br /> TYPEOFCONST PLANSFPPP1OV DBV CITYOFEVERETT PU�LICWORKS ���� � <br /> V� LOCALSALES � <br /> ' I.J on*e S /9 9S TAX CODE IS 3105 TOTAL IO <br />