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APPLICATICA FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 IF (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ® SIGN <br />PROJECTADDRESS: �/�'nc ����r.•rnW <br />OWNF.1 MML AUOIIE55 OR, ZIP e1gN[ <br />r� �r SGnI �(raCr �r. L/riatr�.r 10.0, s-)25�-HC�/ <br />IMAIL DDRESS Gir e r rIgNF <br />Ancnnrcy On DESIGNER MAIL ADDRESS <br />GENERAL CONTRACTOR NMI ADDIIE55 CITY <br />ZIP PINNY SIAII IICCNSEF <br />3rrr_,uR,Cr ��71 K�C� l_.inn breidk 1C�3�771iA�%3f ��ifNey77CM <br />MF"CHARICA CONTRACTOD MAIL WRESS Gfl ZIP PROM SGIE LICENSE <br />PIUMBINGCONIRACTOR NMLADDRESS Cyr ZIP PHONE STATE LICENSE <br />CONTRACT PRICE OF VYQR <br />i< 3 Sac) <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />OESCDIBE YARI( ANSQUARE FOOTAG.'NVIXVED <br />Zn 'I U n 4,r:..r:I(i.(h:-+i <br />CONTACT KITSON AND PRONE NO <br />SDI' OF. OY••� 4 ,Z <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION, THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296,200 WAG. <br />� <br />X' Q-�Sfl�D• /�- 9 <br />r1Oro5FD use nF DI11mIN(1 <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELM ORATIACII yVro9ORE51 <br />Loy �ULOCK Or <br />�I¢n 5G Sr+f 'n c .../ <br />PMR ,L IA,N I D. AIIMDEn - <br />R?� f q -000 -�•R 3- 07� <br />CONSTITUCTIQN LOAN LEAFIER. ADDRESS. ILLEA10NE NUMBER <br />SIGNAIURE DATE <br />- <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OFEQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AMNDLG UNITS <br />�— <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATER": <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />13ACKFLOW PREVENTERS <br />GAB RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL $ <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONT YTDMK <br />nrAn SrIBACK <br />SIDE SEISACR <br />PLAN CHECK "Man L_ <br />rrF .� <br />nrCFIT NO <br />USE EDNrFF <br />IOIAIEA <br />vr.C.wI ATE <br />FEES <br />VALUATION <br />FEE <br />RUIRDING <br />_ <br />C <br />iJL <br />�j -� <br />OYES ONU <br />IRFIGIRT UMOAIpN <br />NOOF OVIEWNO <br />SUE OF BLOOM <br />I <br />IIMIG <br />rI11MnINR <br />� <br />UCCIR'ANCY <br />WMSIM15 <br />IX:CIIPANI IUAU <br />BASFMCNI <br />MFGIANICAI <br />GROUP <br />mE; D NQ <br />ADDITIONAL. FIANGRECK <br />--- <br />FIRE SPRNKLENRNEO'O <br />DFASON <br />OTIBn <br />DRE AUPMREO'0 <br />"FASOV <br />STAR RIQUINGSUnG AIRGE <br />�.� __ <br />F � <br />TYPE Or FORST <br />PlAnt PPOVIDBY <br />CITY OF EVERETT <br />rumO wOnKS <br />TIC <br />LOCALSALES <br />-- <br />— <br />—1—" <br />�J <br />q <br />TAX CODE IS 3105 <br />TOTAL <br />O: <br />DA,E <br />