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7 <br /> APPLICATIOA FOR CONSTRU�T�ON PERMIT <br /> CITY OF EVERETT•BUI�DING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-B810 <br /> fl DEMOUTION fl COMBINATION BUILDING (� MECHANICAI r � pLUMBING fl SIGN <br /> PROJECT ADDRESS � U��Tr��C-K•i- Yll��`� <br /> ONRlER M�iL��ORE55 CITY ZiP PNDNE <br /> t% � !��t"�TT C1,1(�1Dt��l�y - 'Zob �- �O �5i <br /> TFN�NT M�It� F.55 CITY )IV F��ONE <br /> Sia,,14,. <br /> •RCMITECT q pES�GNEP �M �pDti[55 QTV lIP PHONF. <br /> l�3}��f� p�QI,N�T`cCq�� l�Z�l '����f�Jti. rJ. S4ta�f'L� �.sA 9� Z� �� <br /> cEH nicoNtnrcror� uu��orne. zir w�or�r: sr�TeuceNSE. <br /> �-� „-F' Q,,� 1�;� b � � <br /> NI IICpLCONiPR TO M�ILADDRF CITY Zm PIIONE S�ATF.LICENSE• <br /> — f��) � l �o�> �,�� l� 9,777 �%�-�i75 l7// <br /> PLUMBINGCONTR�PTOR MnIlA00RE55 CIf1 zlP PMONE ST�tELICENSE <br /> CONTR�CT FRICE OF YARK I <br /> lJ(J O HEATING SYSTEM: I 1 GAS �l ELECTRIC n 3-Z°-9 <br /> DESCRIBE K/��SOUAR�FppTAGE�Nf �I IO �� ���S�P^RSONRNI)f'N F �l-�I� _LC,� . � � <br /> y��\ ,U�.�\� h�� IV <br /> _ �c�(J��)�c '7 <br /> i HEREBY CERTIFy THAT I HAVE READ ANO EXAMINED THIS <br /> PRoroseo usE oc auudrxi APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7 ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE OF <br /> LEG�LDESGRIPTIplpFpqppER7Y(gp�yrygE�pW�q�n��HiWOCOP1E51 WaRK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRAN"iING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIGN OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINQ CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER ^• PROPERTY TO PERFORM THE WORK FOR WIIICH <br /> APPIIC TI N I �DE AND I COMPLV WITH THE STATE <br /> PMCEL TA%IA.MIMBER CONTRA R It�.�� 'D 296200 WAC. <br /> CONSTMICTONtWN�ENDER,�DIXIESS.TELEPHONENUMBER X � � ���� <br /> SIGN�TIIRE - O�TE <br /> CITY BUSINESS LI EC`Ny 0. <br /> PLUUSINO MECHANICAL <br /> NO. TVPE OF Fl)(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—AMNOLOUNITS—H.P. <br /> � BATHTUB ; FORCEDAIRSYSTEMS—B.LU. M E.A. � <br /> LAVATORV(WASH BASIN) HEAT PUMP , <br /> SHOWER � UNIT HEATEFiS—B.T.U. M <br /> KITCHEN SINK 3 DISP ; CLOTHES DRVERS <br /> DISHWASHER � VENTILATION FAN � <br /> UUNDRY TRAY ; FANGE HOOD � <br /> CLOTHES YlASHER WATER HEATER � T— <br /> URINAL � WOOD 3TOVE <br /> DRINKING FOUNTAIN i METAL FIREPLACC(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE --� <br /> GAS PIPING <br /> i E%HAUSTFAN � <br /> i � <br /> i � <br /> SUB TOTAL E � SUB TOTAL S � <br /> PERMIT E PERMIT 5 � <br /> TOTALFEF. E � TOTALFEE 5 � <br /> FOR OFFICE USE ONLY: <br /> FRdJi SETPnCIt REnR SF.TP�CK SIDE SEiBnLN PI�N CUECN NUMBFR PEE � ECEIPi NO <br /> � 2 <br /> usezor+e IOTAREA wc�rutsrte FEES VALUATION FEE <br /> _ nves n r+o eunnwc; � � _ <br /> HEIGIR UMItATION NO OF pWELLING 512E OI BIDGT <br /> I <br /> UNIIc /1� O� 1 PLUMOING � <br /> d 1 I <br /> OLCUPANCY WJ(IiS�OFiES OCCUP�NTLO�D B�.EMENf � <br /> GR P N[CIIANICAL <br /> 2 A: NA N ��YES ,,la � <br /> FI E�IARcM REO'D RFASW ADDIIipN�l.PI AN CIIf.CK <br /> F XST�i � <br /> piHER <br /> fIRFSPRINKIERRE00 fiFP�pN <br /> F�( 5�(�. STnI[B1nLOMC SUncNnnGE � <br /> TvoeoFr,orvsr oinNs �novEnev CITYOFEVERETT �uPnr,wanrs I <br /> �_ � A� LOCAL SALES --�— <br /> o�*E - 12•SS TAX CODE IS 3105 TOTAL � <br /> I � <br />