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APPLI�ATI�..� FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION ��,� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-BP10 <br />�' DEMOLITION COMBINATION ✓ BUILDING MECHANICAL PLUMBING �' SIGN <br />PROJECT ADDRESS _ <br />(�i5 /��l'mc�i = t r✓Pi2'ii �N� `)3J� <br />awram u.nnnr+nr« ,1'\ nrv :m rv�o��r�+ (� <br />LC X Ilvt �� i'�V. �_C��JIC�/�� � N,✓wCC(f L�i�. 900:3�G " �Ui�` 0`��"�.�1%7 <br />iFNANt �� �ODnf��� ���r�N ..� lir�-� P��pial �� � <br />�mM ' �Zz.� � s�r� G/5 /i;? r,, -,� 5t 3y8-93o� <br />nnc�u CTOf1DE5iG EP Mnn �nnness urr �ir r�wr+e <br />f,fNf11N COHfRRCTOfI U�II �ppOf55 fltY /iP PIIDNE ST�IELICENSE� <br />eNnN� <br />AIECNRNICAI f.ON1AACTOf1 M411 ADf1RF55 CITY 21P PIIONE ST�iF LIC[NSE � <br />PLIIMAINGCONLR�CIOf1 N�il RO�RFSS ptY AP PNONE SiAIF IiCPNSf � <br />coN rnnc � rnir.E or wnnk „�� O�� <br />� <br />nFScnipF wonNAv05o11nnF roOTnrf INvolvfU <br />rno�'OSFD u5E o: 81111nINo <br />IFC�I OESCRIPiION OF PRO�ERIV ISNON?! Bf.IOW ON �TT�CN <br />LUT PL(%:N Of <br />P�RCELTA%10 NUMflFR <br />CON� IfiUCTIpN 1 OAN IEN�EII ADDRE55. TELEP110NE NUMpER <br />PLUMB�NO <br />NO. TYPE OF FI%TURE OR ITEM <br />WATEF CLOSEt ITOILETI <br />LAVATORV(NASH DASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />OISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHEH <br />UfiINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />PACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.I <br />FOR OFFICE USE ONLY: <br />fA(1Ni�F�B�fN p(ApSRR�CK <br />Uci- ZON� <br />NEIOHT UMIi�TNN <br />cticUreq6v qn ,� <br />� I� <br />f IPf �l MM Hf O P <br />HEATING SYSTEM: i�GAS fiELECTRIC fl, <br />`�fl/.. i'd �. i a/� nNf'?�A�i/e <br />3�/8 -'i 3vo <br />�UN �iJPfU <br />I HEREBV CEFTIFV THAT I HAVE READ AtID E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AI.L <br />PROVISIONS OF LAWS ANp ORDINANCES 30VERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOi. THE GRNNTING UF A PERMIT OOES NOT PRECiUME TO GIVE <br />AUTHONITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR !.00AI. LAW REGULATINO CONSTRUCTION Ofi TNF <br />PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZEO �Y TH[ <br />OWNFR OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STAT[ <br />CONTRACTORS LAW 18.27 PCW AND 296200 WAC. <br />CItY pU5Mf55 UGPNSL NO <br />MECNANICAL <br />FEE NO. TYPE OF FI%TURE OR ITEM <br />A�C — NHNDLG UNITS — H.P <br />� FORCED AIR SVSTEMS — B T.U. I <br />HEArPUMP <br />' UNIT HEATERS — B T.U. M <br />i CLOTHES CRYERS <br />VENTILAI ION FAN <br />' RANGEHOOD <br />' WATER H[ATER <br />WOODSTOVE <br />, METAL FIREPLACE (WOOD BURNINI <br />GAS FIREPLAC <br />GAS FANGE <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL E � <br />PEHM17 S i <br />TOTAL FEE S ' _ <br />$IpE SFTe�CN rl �N <br />I fll �RC� <br />NO O� OWf 111N6 <br />IINrt� <br />p:( lui•vl l 1 UnU <br />r�n�c I �[n���a <br />VAI �'�t �IIf <br />� V(< � i __—_ ._ <br />nun niur, <br />SVF pi PIINiII <br />Z\ �)y> r PIIIMOMli <br />o• �i � <br />MFNI MFCIUNICQ <br />I`VIS i a� <br />♦pDiIIpNAI PUN CHECK <br />on�en <br />D�tF <br />FEE <br />SUBTOIAL E � <br />PERMIt S <br />TOTALFEE E _ <br />rrr nFceivT No <br />VALUATION FEE <br />�� � 1 _ — <br />�� - <br />i <br />.. . ---- —� - <br />i <br />_ . ' _ <br />SI�JE Pl/1LDINC SURCNM(lE <br />__—__ <br />��' ��� CITV OF EVERETT r mi ic wnnks <br />�^ LOCAL SALES -- -- � - -- - --- — - ---- - <br />��R� TAx COGE IS 3105 ioin� _ <br />i i "' <br />--/ <br />--� , z�� <br />