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6 r��. <br /> APPLICATIG.i FOR l2QNSTFEUC7 .JN PERMIT � <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVER�TT, WA 98201 • 259•Bd10 <br /> f I DEMOLITION f 1 COMBINATION I I BUILDING I 1 MECHANICAL f l PLUMBING ��J�StGN <br /> PHOJECT ADDRESS <br /> r��r.r�n I �a�f'_ <br /> OIYNEfII - MNIq � ;5512� w,Pio�n,��� ��"�� 7iP PNONF <br /> II'�1tYn, P�"�IflQ�q� �--�..r_+'t'�?'"1.1�0. C1�C.2.�7 �o��'I — S�i�'� <br /> rFNaNr rani� �rss arv zir r��oNe - <br /> ARCIIITf.CTORfE51GNER AIMLqbftR@55 CIIV JIP P110N[ <br /> ����� <br /> GGNEf1�LCONiRACTOf1 MAiIAUL`nL55 ❑IY JIP PIIO4E $TATEUCCNSE� <br /> I I r�S f� I I I� �1c; ,--I�Ja n� RRD3�I� �a�-3�c� l-�q-�t,6�.���rz,�5- <br /> MECHANICALCONiR4C10R hIAILADDPE55 CITV ZiP PHpNE SiNFUCENSE• <br /> CLUMBINGCON7RRCTOf7 MAI�pDDRE57 b"� IIP PIIONE STAiELICENSf:Y <br /> CONTRRCT PRICE OF WO� <br /> �� HEATING SYSTEM: I"I GAS f� ELECTRIC fl <br /> qESCF�^E\VORNAN0.:.� FOOiAGEINVOLV@D CONiACi�ER50NAND1'110NEN0 <br /> 1t�'�`�a I I (i LD�� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> rnor �GD USE OF BUILDING APPUCATIUN AND KNOW THE SAME TU BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND UPDINANCES GOVEPNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH Wl1ETHER SPECIFICD HEREIN OR <br /> IEGALDESCflIPTIONOfPROPERTY�5M01YN8ELOW0{IRTTACHiWOCOnIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot e�cerc or AUTHORITY TO VIOLATE OR CANCEL TH[ PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF COIJSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> OWNER OF THIS PROPFRTY TO PERFORM THE WORK FOR WHICH <br /> APPL�CATION IS MADE AND I COMPLY WITH THF STATE <br /> PARCELTA%ID.NU6�OER CONT TO LAW18.2 C AND296200WAC. <br /> CONSTNUCTION LOAN LENpER.�DURE55.TELEPIIONE NUMBER X <br /> S�GNn1URE OhT[ / <br /> CIiY OUSIkE55 LIGENSE N <br /> PLUMB�NG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOiLET) � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS ' <br /> � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD ' <br /> CLOTHES WASHER � WATcR HEATER � <br /> URINhL ' W000 STOVE � <br /> DRINKING FOUNTAIN ; METAL FIRE?LACE(WOOD 9URNING) � <br /> FLOOR DRAIN � FIREPLACE INSEfiT(WO00 BURNING) <br /> BACKFLOW PREVENTEFS ; GAS FIREf'LACE ; <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGF <br /> GAS PIF'ING <br /> i EXHAUSTFAN � <br /> � � <br /> � i <br /> � � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL 5 ; <br /> PERMIT S � PERt.41T 5 � <br /> TOTAL FEE S ' TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FRUNTSGTOnCN BEnRSFTIIACK SIDESET84CK FfANCHF. N �UiAtl[R FEE T PL(:EIPTNO 2 <br /> '] � O� � � `�� ///�JD <br /> ose zor�e ��Ea 7 VqCANT SIIE FEES VALUATION FEE <br /> � nres n �:o ��Yj C � <br /> nm�oiHc � � <br /> 11EIGHTLIMITqT10!� J�M NO'O�U:If.ILIN SIZF.O��IUGRI p�UNflING i <br /> � • I <br /> OCCUPANCv t10 C�SICn'F$ (Y'CU['ANL IOAp p4$EMENi <br /> GROUP MECNaNICAL I <br /> ❑YES [l NO — i <br /> FIREALARMREO'D RGASGN ADDIiIONA�PUNCHECK � <br /> 0T11ER � <br /> FIRE SPRINKLEP RE00 REASON � <br /> STR7E BUIIDING SUBCHRRGE j �l <br /> i\/ <br /> 1YPEOFCONST PIANSAPPROVEO�Y CITYOFEVERETT ruoucwonns ; <br /> ��M LOCAL SALES <br /> DAIE � � TAX CODE IS 3105 iOTAL � ' , �y <br />