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� � <br /> APPLICAT14�1 FOR CONSTRUC? .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f-1 DEMOLITION �COMBINATION BUILDING f-1 MECHANICAL �� PLUMBING (1 SIGN <br /> PR ADDRES <br /> ��T�1 E MoRE. AYe. EvE&eTT In,� , q82o1 SuirF- # � �ro <br /> A ptt br P��oN[ ��O � � �� <br /> ��A RFI►L.T! Ho�.�l°r�5 coRP. <br /> c/Q M�FG Lea�l tr�P 4[�rn0 LAIG�W00'D lil.y� (oT14�l.ed� c�dJ6BE'AikJ � �(te� <br /> �N�NT M�II�DDRF.55 CItV IiP PHONE <br /> NoRTHWEST ��snc� {-12w� 1321� S�►1 A�E Sui�815 S�arn.� l5/�J <br /> 11RCNI*ECTORDESIGN[N Ml1!UDDRE55 Cltt �iP PNONF <br /> `LONNE1.l� UESIbN C'f'�VP ZZOO��InF A�.�U��LTi.L�A • q�_l�o-e�o�o <br /> GENEH�ICONTRRCTOR MRILAOOBE55 GtV IiP PHUN[ SIATELICENSE� <br /> TBt� <br /> MECHRNICAICONIRACTOR MNUDOAE55 f.1TV IIP P110NE STATE LICENSE� <br /> PWAIBINGCONTR�C70R MMLAD�RESS LItY ZIP PHONE STAIEUCENSE� <br /> CONTR�CT Pp10E OF WORN ��, <br /> Op HEATING SYSTEM: f 1 GAS �l ELECTRIC I l <br /> DESCRIBE WJRIf AND SOU�PE FOOT�GE INVOLVED CONT����N A�PIIONF NO /�.. 1� A _/� � <br /> �� 5� %�TIVI L1 l �M" �!�� <br /> (�np�.cvev+�� ( P�r�o►�. �inounaJ � 0—(o70(v <br /> OT C�•X�ST. L.7 �AIC'�W �R"Q-TI'T�C1NS I IiEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> PROPOSEO VSE OF BUIIDING APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> O�'\� WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL�aDE�SCR�IP�T�IONOFPROPENTY�5110WNBElOWOR�TTRCMTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iorlst,—LIL•—atocKlQl�Loa AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> 7THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE Of CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � � �0 � APPLICATION �5 MADE AND 1 COM.^LY WITH THE STATE <br /> PAqCEL TA%1.0.NUMBER CONTqACTORS LAW 1827 RCW AND 296200 YJAC. <br /> CONSTRUCTON LO�N IENDER.ADpRE55.TEIEPMONE NUTAPER x����y� ( - /Z�N/J <br /> SIGN�UR G� DRTE <br /> CIiV BUSINE55 UCENSL N0. <br /> PLUMBINO MECMIINICAL <br /> NO, TYPE OF FlIRURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—AMNDLGUNITS—H.P. ' <br /> BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 6 DISP i CLOTHES DRYERS <br /> DISHWASHER � VENTILATION FAN ; <br /> UUNDRY TRAV ; RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL WOOD STOVE ' <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DHAIN � FIREPLACE INSERT(WOOD OURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE _ � <br /> SINK(SERVICE—BAR.ETC.) GAS RANGE ' <br /> GAS PIPING <br /> i EXHAUSTFAN � <br /> i ' <br /> SUB TOTAL $ SUB TOTAL S i <br /> PERMIT $ PERMIT E � <br /> TOTALFEE S � TOTALFEE S ' <br /> FOR OFFIC� USE ONLY: <br /> PRONTSFTPACN PfMSFTP�CK SIpF.SETPACN PIPNCI�[CNNUMO` �CC � .�lC� �E«��TNO <br /> 5, /a� l3 <br /> usezor+e wt�nen vncnr��site FEES VALUATION FEE <br /> ' 1— <br /> nves i�� rvo �unnivr, I� '� (� ; �7 <br /> HEIGMT I�Mlt�fiON NO OF DWF.LUNG 512E 0�NIIX;rtI � <br /> IINI15 I�`.7(� TI. PIUVIIWC —�_ <br /> 4�� � <br /> OGGUPANCY Iq pi 5100i6 OCCUPqNi LORO BASEMERt N[CIIANiCAt � <br /> GROUP __ <br /> I T.J. T/. �r�FS �t N� <br /> FIqE�LARMRE0�l1 NERSOY �OUIIiONMPIANCHCf,N i <br /> �__ <br /> 11E ou�cn /� <br /> FlRf.SPRINNIGRRFOfI RF�SON --7 <br /> � srni[nmioiNcsunn�nnc[ _ �'_� <br /> Trveorr,owsi rinusarrnovener CITYOFEVERETT �u�ncwonKs <br /> �JM IOCAL SALES — ��;—, <br /> � I� ��q�E ��p TAX CODE IS 3105 TOiAI �(�!f �.� �-' <br />