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APPLiGA,TIt►�I FOR CONSTRUCT vON PERMI'i <br />CITY OF EVERETT • BUILDING DIVISIOPJ <br />3200 CEDAR STREET • EVERE fT, WA 98201 • 259-R810 <br />f-; DEMOLITION fl COMBINATION fl BUILDING Il MECHANICAL il PLUMBlMG f I SIGN <br />RROJECT ADDRESS //)n!� _ / 7�� �,� /' 1 � <br />/ <br />OWNER MAILA�DRE55 Citt 21P PNONE <br />► -.Sc.l'Iuu�t d10 71 7 - jG �' C.-�� �%%l✓, .� �. =...-�..1� �ly�i L � 5 � � I '.�O % <br />TENANT MAI�PDURES$ f.liY ZIP i'RONE <br />ARCHITFCTORUESIGNER MAILAO�RE55 <br />GFNEtiPL i OMllAC70R <br />CIIY <br />21r <br />nr <br />� <br />PIIONL StAT[ l ICENSE � <br />I�h u c .: <br />PIION[ SiAiEIILFNSE+ <br />PLUMBINGCONiRAGTOR MAILA�DaE55 CIN 21P PHONE STAiEUGENS[• <br />�ESCRIBE WOPK AN� SOU��E FOO7AG'c INVOI.VED <br />LEGAL OESCRIPT�N OF PROPF <br />LOT S pLOCK <br />PARCELTAXI.O.NUMBEF <br />��� <br />_� /(.+i2. <br />SHO BELOWORATTACH <br />OF� <br />� �(J. <br />i�Y <br />CONSTPOCT'ONLOANLENPER.ADDRESS.TELEPHONE NOMBER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET�TOILET) <br />a. BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FJJNTAIN <br />BACKFLOW PFEVENTERS <br />SINK (SERVICE — BAR, ET <br />FOR OFFICE USE GNLY: <br />FfiONTSF.TPAGK_ REAR; <br />HEATING SYSTEM: f� GAS �I ELECTRIC fl <br />LONTACTPERSONANbPHONf-NO <br />a�% y I HEREBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO OE 1 RUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERVING THIS TYFE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />COPIES� 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 />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOF WHICH <br />APPLICATION IS MAC1E AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 �7 RCW A� 296200 WAC. <br />X ± "' � — <br />SIGNFTURE O�iE <br />CITY BUSMESS LICENSC N0. <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT FEE <br />� A/C—A/HNULGUMITS—H.P. <br />; � FURCED AIR SYSTEP4S — B.T.U. M E.A. ; <br />� HEAT PUMP � <br />� UNIT HEATERS — B.T.U. M ' <br />� CLOTHES DRYERS � <br />� �� VENTILATION FAN � <br />� RANGEHOOD i <br />� WATER HEATER � <br />WOOD STOVE ' <br />i METAL FIREPLACE (WOOD BURNING) i <br />FIREPLACE INSERT (WOOD OURNING) � <br />; GAS FIREPLACE I <br />GAS RANGE � <br />; GAS PIPING ; <br />� 2 EXHAUSTPAN � <br />SUB TO�TAL S <br />PERMIT $ <br />TOTAL FEE S <br />,/� S�DESEiBACH <br />USE ZONy� � 2��� l Oi AREn <br />� J <br />li[IGIITLIMITATION NOOFpWELLING <br />/f �, I I1NIiG <br />FlRF.SPRINKIERRfO'� I�F�SON <br />1YPE OP f,ONST <br />�� � untE <br />VACANt SIIF. <br />IIYES i'� NO <br />IIYES iY4p <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />SUB TOTAL 3 <br />PERMIT 3 <br />TOTAL FEE S <br />f'V.N�;11"fMNUA�ffF�^�, I FEF_� ^ � I �Ff,PiPiNO. <br />J 1 ' / <br />fiJil"1'N!: I / �d iui. I ///I)(! — <br />PlVl.�]ING <br />MECIIA4IC�L <br />ADpI11GN�L PLAN CHf.CK <br />O�HEfI <br />ST41E P.111101@G SU�if,M4qGE <br />runur,wnnKs <br />TOTAL <br />