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APPLICATIOrI FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT• BUIIDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f-1 DEMOLITION f 1 COMBINATION fl BUILDING fl MECHANICAL `� PLUMBING f 1 SiGN <br /> PROJECTADDRESS 3�G5- ��� SLL <br /> oymE� MMLADDRESS (� cin zm riwN� d���_qci� i <br /> L�, . . -� QJo r�� � 1�1U.( �Cc�i':!-� �'�U �� c C�e:cvt sk �a�� <br /> TENANT MMLA11 RE55 I f.IIY 21P �.( � ���ONE <br /> �v-�Je:t� �nc��L- ��t-e_O � l �C p. u� �J e o�- � 3�1- �`lo� <br /> nnc�a*r.cronoesicnen Mnaenoness a�v zm rNor+e <br /> GENEMLGONit1�CTIX1 MRI�Apl1RE55 CIIY IiP P�104E SfATGLICGNSP� <br /> MECHRNICALCONTRACTOR MAILAOURESS CITV 71P P��ONf: STATEIICENSE• <br /> PLIINBINGCONTRPCTOR MAILAUDRE55 CI1Y 21P PIIONE�a{�-(�ly SiAiEUCENSE� <br /> 0.5 S �.� — 3 'G 5-�- �o�. .��1� GF,k��3�i0T5�NS�cLYc`�- <br /> CONTq�CT PRICF.OF WORK <br /> HEATING SYSTEM: ( 1 GAS fl ELECTRIC �1 <br /> DESCRIBE WORN AND SOUARE FOOTAGE INVOLVE� CONTACI PERSON�ND f IIONE NO <br /> �3u�,��/o� ,. �� <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECi ALL <br /> PROI'OSED USE OF BIIILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYf'E OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREiN OR <br /> LEG�LDESCRIPiIONOFPROPERTYISNOWMBEIOWCR/TTRGHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or e�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofi THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 8`/THE <br /> – OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> PARCELTA%ID.NUMBER "� <br /> CONSTRVCT�ON IOAN tENUER.�DDRE55.TELEPHONE NUMBEfI �(�11�R'V3�1 � ����' �'` ` ,\ •�� `� - <br /> SIGHRiUHE -r �A�� <br /> CITY BUSINE55 LICENS[NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—A/HNDLGUNRS—H.P. ' <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; � <br /> LAVATORV(WASH BASIN) � HEAT PUMP ' <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK d DISP i CI.OTHES DRYEPS � <br /> DISIiWASHER VENTILAT�ON FAN � <br /> LAUNDRY TFAV ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER ' <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SIN'!(SERVICE—BAR. ETC.) GAS RANGE ' <br /> GAS PIPING � <br /> ; EXHAUSTFAN ' <br /> � � <br /> � SUB TOTAL S `— <br /> SUB TOTAI 5 ; <br /> PERMIT S � PERMIT 5 <br /> TOTAL FEE 5 ' TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> IRONT SETPACN PE��SFTMCK SIOE SETB�GR PlANC11ECN NUMOER <br /> rtF nFcnrrHo <br /> s0/o� <br /> v�car+r sire FEES VALUATION FEE ___ <br /> usezouc iornnE� , <br /> �i res i� r+o ouanwc � <br /> 11EIGIITLIMITATION N010FDWELLING 52EO�BlDGR1 � <br /> PLUAI[fING <br /> �_- <br /> OCCUPANCY NO 0�SIORiFS OCCUt'ANf L040 B/•SEMENT MECIInNIGL � _ __ <br /> i <br /> cnour - <br /> IIYES I� NO <br /> �DD�110NRL PIAN CN(.CN _ <br /> FIRE AI��M RF.OD RfASON <br /> OiHER <br /> i <br /> fIRF.SPRINKIF.RREO� RFnFOv � <br /> STniE B��ILDING SUncllMfiE <br /> +__ <br /> �vrEorr.oNsr PlANS�PPPOVf.OAY CITYOFEVERETT �'unncwonKs __�___ <br /> LOCAL SALES 1 <br /> ��p�E TAX CODE IS 3105 TOTAL _ <br />