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�-�-..�--- <br /> APPLiCdTiON FOR CONSTRIyCT�ON RERMIT <br />� CITY OF EVEF:TT• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br /> fl DEMOi.iTIAN f rOMBINATIO�J fl BU!LO'.NG 11 MECHANICAL f-1 pl,UM81NG fl SIGN <br /> PROJECTADDRESS C/�// �y l�� nl�� ��- ����, ,,,, �,L <br /> J -/ i f'r ''��'� <br /> I OWNER MAllA00RE55 Cltt ZIP PMONL' <br /> ,�"YYlPlcoElomes ��.\,s��� 11-F�• rP�4-1- . �iow,el�,�Kn � a y� l- Gi�l„5 _ <br /> ���-- PHONE <br /> IENAtlT �a1Lq00RES5 f.ITY 21P <br />, RRCIIITELTOROESIGIlER IAAIIA�DRE55 CIIY ZIP PHONE <br /> GENEflALGONTRACTOfl lAAILAOORL3S QIY 21P PIION[ l��y\-OL�7�ATELI f$�lO�L�s'��y <br /> n 1 /C <br /> �Me�'cn O(l,ec`Ll_, l�Cl '� �nF�!\L�\ - t.,vi';Pl��� W. �1S e,l �i�01� I�A �T_.�..•• •-•�� -' �•��,.' <br /> F4 � li—�--�-41— s- - <br /> �MEf.HFNILALCONTPACTOR MAILAOORG55 CITY ZIP PIIONG STATELICFNSl1 <br /> PIUMBINGCONTRAf,TOR IAAILA��fiE'.5 CI7Y 21P PIIONE STAIEI.ICEN$E� <br />� COHTfinGT PPoCE OF WORK <br />, HEATING SYSTEM_ D(�Gnb fl ELECTRIC fl <br /> DESCf11�EWORKAND50U�REFOOT�GEVNOi "O ��--_• CONTrtCTPER50NAlIDPIlONE1�+� <br /> � J C l� i-c�v�� /ri� ' ie7�� �/�-o�l,�,r}. 3z _ <br />' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> r�oroseo use oF eu ioiNc / �1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �lLq/p '�tl[ • WORK WILL EE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IEGALDESCRIPTIDNOFPFO RTV�SHOWNBEL OBATfACHT\YOCOPIES� NOT. THE GRANTR'G OF A PERMIT DOES NOT PRESUME TO GNE <br />, � ior�o�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> P2��� � 7 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> � � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br /> , �V� Cy APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> rnACE�rnx�o Nurne n � CONTRACTORS LAW iB27 RCW AND 296200 WAC. <br /> �y�0-eoo-c�-r'��� -�o�''� ���� ���� �� �9� <br /> CONSTflUCTION l OAN l ENOER.PODRESS.TELL'91:�NE NUMBEfi � r � � �y/ � `\I � / <br /> SIQNATUPE q TE <br /> CITY OUSINESS LICEHSE NO <br />� PLUMBING MECHANICAL <br />� CO. TYPE OF F'IXTURE UR ITEM FEE NO. TYPE OF�EQUIPMEMT FEE <br /> -- --� <br />' WATERCLOSET(TOILET) � A/C—A/HNDLGUN�TS—H.P. ' <br />' � BATHTUB � � FORCE�AIFlSYSTEMS—B.T.U. M E.A. ' <br /> � <br /> LAVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER ' UNIT HEATERS—B.T.U. M ; <br /> �— — <br />, KITCHEN SINK 8 �ISP i _� CLOTHES DRYERS __� <br /> DISHWASHER � VENTILA7IUN FAN ' <br /> LAUNORY TRAY ; RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATER � <br /> _�_ <br /> URINAL ' WOOD STOVE ' <br /> ORINKING FOUNTAIN � �1ETAL FIREPLACE(WOOD BURNING) � <br /> --*— <br /> fLOOR DRAIN � FIREPLACE INSERT(WOOD BUflNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE _ � <br /> SINK(SERVICE—BAR,ETC.) �— GAS RANGE _ � <br /> GAS PIPING ' <br /> � <br /> i EXHAUST FAN _�_ <br /> �-- <br /> i ' <br /> i — � ' <br /> � ' <br /> --�— --�— <br /> � � <br /> � � SUB TOTAI_ $ ' <br /> SUB TOTAL $ � _� <br /> PERMIT 3 � PERMIT S _� <br />' __�_ TOTAL FEE 5 �_ TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br />' FOONTSFTOBCK RF.AfiSfTOAf.N SIOCSf10/f.h P1411CIIGf.NflIIIAUfl1 fff RGCfIPtNO <br /> �C� �C:� „ J���l/�/ ��� <br /> ❑SEZONE iurnnen vnr.nr�isnr FEES VALUATION FEE <br /> _t—_ <br /> _ �_ ?> �,`l'res i t uu nunmrin --_—_ _r'1'J Q`�J � ���a I<��r'� <br /> uEic�rz tu.ur ia� nu or oweiur+r, size or ni ncni � <br /> Z� uNrts / I�ou SF. �.�.buC� � r�ur.�muc �I �O <br /> 462 S,F. G�o�L,aG� {— <br /> OCCUPANCV NOOFSIOPIES OCCUPARIIOAD 045EldENi �,i[C11ANIf.nL �U j �� �� <br /> GRDII l � <br /> �"3 J�r 2 IIYES (J�+� - " � <br /> FIREALARMREO'D fIFA50N AOUIIIONAI PIAHCIIIkCR � <br /> �__ <br /> i <br /> OIIIER � <br /> Flf1E SPRINKIER REOD �FnSON <br /> $TAIE OUIL014(;SIIRGInflfiE -- - _� � i <br /> — � _— <br /> rvrEOFr,ansr ainnsnrrnovenor CITYOFEVERETT rumir.wonKs .� ��:`."' <br /> �� LOCAL SALES - --�----- --------- - <br /> �{� /�'�„ TAX CODE IS 3105 TOTAL �/� _j dv <br /> _ �-�.,� ___.UAIF._�_��� _.___-__'-"'__-__._"-- _— '--____-__- <br />