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APPLI�ATI(. �� FOR CONSTRIACT .JN �ERMIT <br /> CITY OF EVEF�ETT • BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERCTT, WA 98201 • 259•0810 <br /> f I JEMOLITIVN �l COMBINATION IM'BUILDING �q�MECHANICAL �=�PLUMBING f-1 SiGN <br /> rHOJECT ADDFlESS �S'�� I.ZT"N f-}U� • W. <br /> � i-�TS9 M�2RiLL �2c-EK G�tRoc-�vs <br /> OWNrR MAllA0�t1G5S CIIY ZIP PHONE <br /> --���._5!=nJ /� I�tJF�.ZM (�322 7�r"D�'SE �iN�uoM�SN� uJA. 98z9o�2oc�33 j�3szs <br /> IENAI.: MAIIADPRF55 Qtt 21P PMJNE� <br /> APCHITE(.TOROESIGn:R MAILAD�RE55 CI7V ZIP PHONE <br /> GENER�LCONTRACTON MnILqDLlC55 Clri LP PIICN[ STATELIGENSE• <br /> , 4.���NI147 c <br /> (.U��cH�� C. ti>TRuci� �� :�,J�,. ��22 7E�HDRSC'. �IVo//o/tiSN ,A Y824o io6�33'7-3s Z4 <br /> MGCHANICFLCON7qACTOR MNLAODRES CIIY 21P PIIONE STATELICENSE� ' <br /> PLUMOINGCONTRP.CiOR MAILAD�RESS ptY ZIP PIIONE STRTELICENSE� <br /> contnncrrniceoFwonK HEATING SYSTEM: IN GAS f-1 ELECTRIC ❑ <br /> OGSCRIBG WORK AN�SOUME FOOTAGE INVCLVED CON CT VP 504 AND PHONE N <br /> _,�!� w Si R 33� -3S-�-g <br /> ,. � 3� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED "fH15 . <br /> APPLICATION AND KNOW THF. SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUIL�iNG PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 5 �r� WORK WILI BE COMPLIED WITH WHGTHER SPECIFIED HEREIN OR <br /> .i'�ALOF.SGRIPTIU`IOFPROPERTYISHOWNOELOYlORATf�CHTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES VOT PRESUME TO GIVE <br /> ioi ���o�ocK or L�— C°�FK G THORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED �Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WIiICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> raace�r�i.o.raun+eea — CO TRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRIIf.TION LOAN LENOER,n�ORE55.TELEPHONE NUMflER ��V.-XiV\J 'y y 7 Q s <br /> q X <br /> V WOO � 10 1 CnE C'J '.��jZ SIGNFTURE DA E <br /> CITV BUSM[55 UCENSE NO. <br /> 'r�U�t361NG MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TV'PE OF FIXTURE OR ITEM FEE <br /> 2 WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> Z BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M ' <br /> � KITCHEM SINK 8 DISP � � CLOTHES DRYERS i <br /> T <br /> ( DISHWASHER � VENTILATION FAN <br /> LAUNORY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER i � WATER HEATER �— <br /> URINAL ' WOOD STOVE ; <br /> DRINKIN6 FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOfl DFiAIN � FIREPLACE INSERT(WOOD BUFlNING) ! <br /> BACKFLOW PREVENTEFIS ; GAS FIREPLACE � <br /> _ _�— <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE � <br /> GAS PIPING � <br /> � E XHAUST FAN � <br /> i � <br /> � — �— <br /> � � <br /> � <br /> SUB TOTAL 5 ; SUB TOTAL $ ; <br /> PERMIT 5 � PERMIT S � <br /> TOTALFEE $ � TOTALFEE 5 ' <br /> FOR (1FFICE USE OiJLY: �y-t�. `�7 <br /> FRONT SETPAC� / REAR SETOAC�/ SI�E SETBACK / PLAN CHG/N UMBEP F���� J5- RE���j <br /> V 7 `, <br /> usezoNe 3 ` �ornr+EA _ _ _ VACANTSITE FEES VALUATION FEE <br /> C� ��l nvEs n ��o �;� <br /> riui�oiNc �� p�y r,� (� <br /> HEIGlITLIMI�N/ JOi SF7WELLING SIZEOFOLDG/TI. - � <br /> ��}�L' S F LIVIN4 1- PWMIIING �7 �Z� <br /> OCGUPANCV NO OFSi0pIE5 OCCUPANTLOPD �ASEMENT ' �� I �� <br /> GR UP � MECH4NICAL <br /> �.� I G n ves ro7o �, � <br /> FIREAIARMREO'0 flEA50h A�DITIONAI.PLANCH[CK �� � � <br /> i�}�� <br /> OTI/ER /O i(/L/ <br /> FIRE SPRINNI.ER PEO'D P[A50�: ' � <br /> STATE 6UIL�ING SURGHARGE � ��C�_.J <br /> TYPEOFCONS': PIANSAPPROVEDOY CITYOFEVERE7T PUDUCWJRKS �� iC�� <br /> �J �' LOCAL SALES ; �, <br /> .L-N DATE 95 TAX CODE:S 3105 ?CTH� _ ` _ <br /> /�'1/. j.:, <br /> ._ _ ..._. _..—�srW.� <br /> ....,.____ . __.r_-_ .,_...._-•.-v.. - _. _ �_..'_ _. <br />