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APPLICATII..� FOR CONSiRUCI.ON PERMIT <br />CITY OF EVERETT • DUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />I] DEMOLITION f� COMBINATION I� BUILDING I I MECHANICAL I 1 PLUMBING I i SIGN <br />PROJECT ADDRESS ��, �_` , <br />�•,o -» - , 1 <br />OWNEP / MAI�µDpE55 (.nv <br />:nm..; .. •' P�/ liP PuONE <br />/iJA�=-�soN is's/ '� 29�� AV FE /yT, �r• � K ih'Ur L �/G -�'�6i' <br />TEN�Nr M+il ADo.1F55 � ]in rr10NF <br />��GHIiCCTOR0E516N[fi M�R�Df)RE55 ��tV )iP PrONE <br />GENER�lCON7RALtOq MAi��DDPF55 (;tly )ip PIIOHE Si�TELICENSE� <br />11C�� isy��-z9r^Avd�' /11i�� Cr.vC 9�U�L .�'/;�.i'�o� �/GI �J��,/G? <br />MECIUNILFLCONTRACfOR MAqAD0�E55 Citv )p PIIONE STALEUCENSE� <br />PLUMBINOCONiR�CiOR MAII�DDRE55 [iLV IiP pHpNE ST�1ElI,;EN>E• <br />AND SOU�RE FppT�OE iNVpIVED <br />PROPOSED USE OF BUIlOMO <br />IEDA� OESCRIPiION OF VRr rERtt �SNOWN BELCW ON Afi'�CH IWO COPiF51 <br />�oT 13 e�ocK or lti� d� p P�7 k,t' <br />PMCEITA%IU NUMBER <br />CONSiRIILT10NiJ�NIENDER �DDRESS.TEIEPNONE NUUOER <br />;=2�Ny,re PvBor zZ� /ri�:-•,� � <br />:��-�,�� <br />PLUMBINO <br />N0. TVPE OF FI%TURE OR ITEM FEE <br />�N4TER CLOSET (TOILET) <br />BhTHTUB <br />i <br />I A`/ATORV (WASH BASIN) <br />SHOWER <br />( KITCHEN SINK 8 DISP ; <br />� DISNWASHER � <br />LAUNDRYTRAY <br />CLOTHES WASHER —' <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN —� <br />BACKFLOW PREVENTERS � <br />SINK (SERVICE — BAR, ETC.) � <br />SUB TOTAL S <br />PEAMIT 5 <br />TOTAL FEE S . <br />FOR OFFICE USE ONLY: <br />FRONTSETORCN � RE�R SETB�CB S��ESETB�CN <br />,zC� 2 0 5 . <br />USE 20NE LOf �nEA vACUR Sn[ <br />�-1 � 3 c� �ES � � ,,�, <br />NeiarturairenoN �ioocpweu�Hc s�z�ormur,�� <br />��.(� UNrtS 1._. S L <br />OCWV�NGV NJO�StUu�.ES OCCI <br />GROUP <br />:3 •� 2 <br />FIREAIARMRE00 RE�S <br />fIRESPRINKLERREO-D RE�S <br />TYPEOFCON51 �PUN <br />�-N I wre <br />HEATING SYSTEM: It1yGAS f� ELECTRIC �l <br />CONI�CT pf flcpry �NP p110NF. NO <br />l — <br />1 HEfiEBV CERTIFV THAT I HAVE READ AND ExAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIOIJS OF LAWS AND ORDINANCES GOVEANING THI3 TYPE OF <br />WORK WILL BE CUMPLIF� IyITH WHETHER �"cCIFIED HEREIN OR <br />NOT. THE GRANTING OF A FEFMIT DOES NOT PRESUME TO GIVE <br />AUTI;OHITY TO VIOLATE OR CANCEL THE PROVISION OF AN`. <br />OTHER STATE OR LOCAL LAW REGUTATINO CONSTfiUCTION OR THE <br />PEfiFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR12ED BY THE <br />OWNER OF THIS PROPEFTY TO PEHFORM THE WORK FOR WHICIi <br />APPLICATION IS MADE AND I COMPLY WITH THE STAT[ <br />CONTRACTORS AW 1827 RCW AND 296200 JVAC. <br />. _7�Id17���� ` �. <br />d a� -��- <br />siG4 uR ontE <br />O ,7 y�,�� <br />GIiY OUSiNE55 t ICP�SF Nl, <br />MECHANICAL <br />N0. TVPE OF FI%TURE OR ITEM FEE <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DFVERS <br />T <br />RANGEHOOD <br />WATER HEATER <br />WVVUSIVVt <br />METAL FIREPLACE (WOOD BUFNING) <br />FIREPLACEINSERT(WpOD BURNING) � <br />GAS FIREPLACE ' <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN , <br />�'2� ", I� //C�,�}� 'J' 1 / <br />PU4C�IF.0 N/V'MOFl1 FEE PECEiPiHO <br />�/'��� � <br />nunon�0 ��'/ ' ' i �%�i4 f4S/ � �1�.�/ .. <br />Z f ^ i�4�t vtuunrvu . % �/. <br />t__..t �t � _ — �— ` _�_ <br />O�tiFMFqt idFCun�uCN � <br />�(% �i.,'_ <br />�.« a , <br />nooinoru� r�eN c��ECK ; <br />__ OTNEf1 <br />SUIE OUILOING SVHC11AqGE <br />CITY OF EVERETT ruPt.icwonHr. <br />LOCALSALES <br />TAX COpE IS ?705 70TAL <br />/ �. ' \ <br />/ � <br />�—r— <br />�-�I <br />���� ) <br />