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r=-�--p--- <br /> APp�.ICA'�IOr� FOR �ON�TRUCTr�IN PERMIT ' <br />` CITY OF EVFRETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> fl DEMOLITION COMBINATION fl BUILDING I� MECHANICAL fl PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> �`�z,� � 1 /�li� Gt/ �UE,�'-�'T <br /> I nwe�eA uniuooness � em zm ri�o�+e <br /> X1�'�P1Cn ��' ('T1P5 �. n ��'cll� �Q�,�_L-y'riP�'�- E�. ��zia Nne�� �1�11nN_l�—�-� �- G1��„�� <br /> TENdNT �AAILA00(IE55 (;�7y � <br /> ARCIIITECTORC°SIGIlER MAl1A��RE55 CITY IIP PIIOIIE I <br /> GENEf70LCONTlIACTOfl h1a11.A0DRE5S Clly 21P PIION[ Sf'TEI ENSF/ C I <br /> 4��-0� ��- h`ercoNG05l� l � <br /> �s��'.�Qme s�LC�_. I��i�3 13nN��.\\ - C_vc�rF��G uwy. 1��+Lhe�1 ��ka� � ' <br /> I MELH0.NICALCONTRACTOR IAAII A�OPESS CITY ZIP PIIOkE STATE LICEN55 t <br /> I <br /> PWlADINGCONTR>f.TGR IAaItA0DRE5S Cltt IIP PIIONE STATEIICEIlSE/ <br />�� CONTMCT PRICE OF WOfiK � <br /> j HEATING SYSTEM: �(tGAS fl ELECTRIC rl <br /> U[BCRI9E WORK ANO SOUARE POOTAGE INVOi VE0 fONTnCi PERSON ANO PIIOi1G 1!0 <br /> _ � C # . -- ,� /�li '�-� 3/(�-���/, �.r . 3z <br /> I h�ERE9Y CERTIFY THAT I HAVE READ AND EXAfAINED TI1IS <br /> PROPOSE�USEOF01➢LOING APPI.ICATION AND NNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> S/NC-s( ` �/�I L-}' PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> N'ORK WILL BE COMPLIED WITH WHETHEfl SFECIFIED HEREIN OR <br /> � IEGALDESr,pIPTIONOFPFOPF. 7Y�SIIOWIlBEIOWORATfACf1T\'iOCOPIES� NOT. THE GRANTING OF A PERMIT DOES IJOT PRESUME TO GIVE <br /> tor � _eiocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> pb � p d pOTHER STATE OR LOCAL LAW R�GULATING CONSTRUCTION OR T!iE <br /> �I-f�l LC- C(�-.0�� ,rf�t�'�-� Z�� - l�i �I PFRFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � O�NNER OF 7�HI5 PROPEHTY TO PFRFOHM THE WORK r�q WHICH <br /> APPLICATIC'� IS MADE AND I COMPLY WITIi iHE STATE <br /> PAPCELTAR 1 P.NpMOER CONTRAC;�FS LAW 10.27 RCW AND 29620G WAC. <br /> f <br /> -�-`��''�-'-�L(t��1`�� Y , '''/// <br /> CONSfAl1CTION104NIE1l�ER.4DOpESS. .elEF1�0 N�AIBER /,� ������� ,/� v c�-� <br /> n i� <br /> SIGNATUR�— TE <br /> I _ C1IYOUSINESSIICEH5EN0 <br /> I PLUMBING <br /> MECHANICAL <br />� NO. 1'YPE OF FIXTURE OA'TEld FEE NO. TYPE OF EQUIPMENT FEE <br /> � WATER CLOSET TOILET i —T— <br /> ( 1 A/C—A/HNDLG UNITS—H.P. � <br /> `j. BATHTUB � FOfiCE�AIR SYSTEMS—B.T.�. M E.A. � <br /> I LAVATORY(WASH BASIN) —i-- HEAT PUMP , <br /> SHOWER ; UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK d DISP i CLOTHES DRYERS ' <br /> i <br /> DISHWASHER —�—�--� � VENTILATION FAN —i— <br /> LAUNDRY TRAY ; RANGE HOOD � <br /> � <br /> — <br /> CLOTHES WF.SHER --� WATER HEATER —i— <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN ; METAL FIHEPLACE(WOOD BURNING) i <br /> FLOOR ORAIN � FIREPLACE INSERT(WOOD BURNING) —�-- <br /> BACKFLOW?'AEVEN7ERS ; GAS FIREPLACE ' <br /> � <br /> SINK(SERVICE—DAR, F.TC.) �— GAS FIANGE i <br /> � <br /> ; GAS PIPING � <br /> � E%HAUST FAN —{— <br /> _ ' <br /> —— — —+— <br /> i i <br /> - �_ <br /> — � i <br /> _ � � <br /> ---r— --r— <br /> i � <br /> SUB TOTAL $ � SUB TOTAL $ ; <br /> PERMIT 5 �—i_— PERMIT $ i <br /> TOTALPEE $ �— TOTALFEE $ —� <br /> FOR OFFICE USE ONLY: <br /> FfiONT5ET0ACK RF.ApGF.IDPCN SIO[SfTOA.H PIAlICI!Gf.NNI1My(R FEE fiEf.FlPIIlO <br /> '7�'� � � � j�`fC,.'� 30 <br /> usezou� �� ioinnen�� • vncn��i:;nr FEES VALUATION FEC- <br /> � cn / I I YES l i IJU —_---- -_____ ___.____ _T <br /> — nuu niui; � 77 ' i �/� <br /> IIEIGIIi l.Al�l�ri� r�o or t�r.eiur�c size or ni ncn i �y'q o�—�:..-�c � <br /> uwrs ��j�y. S.F. LIVIN4 riur.�mr�r. �j / � <br /> ySs' S�F. 4ia2eG5 __ZJ <br /> OCGUPANCY NO Of S70PI(5 I OCCIIPANi IOAP OASpldEni i <br /> GROD UEf,11nf�ILAL �D i <br /> �-3 v-� 2 ��.�5 � �,� - - -- - - ;-- <br /> �f1p1110!lPI.PI AN C111.CH <br /> fIREALAR6IR[O-f1 f7F:n5CY —� I <br /> _ __ __�__ <br /> OII�FI1 i � <br /> _— ____ i <br /> FIRF.SPNNKIEHREO❑ q�nSON — �O <br /> SiRI G OIILL DIH(i SIIRCIIApGE <br /> imenrr.ousr rinr�snrrnQvenov CITY OF EVERETT runiir,wonrcs � <br /> �1 M' LOCAL SALES � ------�------ ------- �7�v �--- . <br /> _ �N ��A�E �� (o iAX CODE IS 31G5 TOTAI _ � ; Q _ <br /> — -- ��--------------- ---- --- --- �� O <br />