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• APPLICATIe1 FOR CONSTRUC1O)N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257.8810 <br /> O DEMOLITION 0 COMBINATION 0 BUILDING 51 MECHANICAL C] PLUMBING 0 SIGN <br /> PROJECT ADDRESS <br /> 1371 Col SY A1lcN1LF EUFrRGTr WA 9FR2Dh <br /> CAVN[R Yy AW1IUU CITY 1 (I FIR))/ <br /> TENANT MAR ACCRUE CRY it PHONE <br /> VERI7DN WAR ass I"iZ nI \ i)t fig AUE Cuckcir R97ria ! 111 -c1777 <br /> AAACJPncr CA O(SGAtA RAEA00RSS I CITY it <br /> WEEK CONTRACTOR IMP AOOESS CM it NONE PATE UC{NE• <br /> £..tcontnw-:t 77y7 rXmcrr ALIG SJ SerITTl,1= `19Ic� /zcY• A <br /> )A,T-')40D E7-1CQ1IAts'Ifin( <br /> M[CMM CALGpIHIKTOI YA(A0p!(SS CITY 7► STATE LG[NSE. <br /> BINNING CONTRACTOR AAA ADDRESS CRT OP CHOW UCENS(• <br /> t <br /> CONTRACT PLACE OF ROM <br /> 1�g1R 7,D HEATING SYSTEM: 0 GAS 0 ELECTRIC 0 <br /> SCREE PROM NO SOAR(FOOTAGE PNQ1E0 COrtAC1 PERSON ND N1aE N0 <br /> t7JSTAL (7) - -rats1 MIrSCtBrbM K <br /> I ¢1 c. -LebA ). (7a}11 2- 19- 3A7 <br /> . �/�T <br /> SIN Ir La_OMIT SySTEAk.C. a ia Fa I., <br /> I HEREBY CER'IFY THAT I HAVE READ AND EXAMINED THIS <br /> P.S I S Ti I..36 nel,rw I mg SVSTCAA. FPc,LL E 6 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AU. <br /> •Ncoos[0 use OF RnOP10 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br /> CC LLnLAE. SILL WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEONaTCRV TION CE NONE WV(LOAN ULON Ca ATTACA1 PA0 COFE SI NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE 1 <br /> LOT ROCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ----FL" A7rn�N&i) PERFORMANCE Of CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> YMCA TAA 10 NOON* CONTRACTORS LAW 16.27 RCW AND 296 200 WAC. <br /> CONSTRUCTION LOAN CoOER.ADONIS3.TELEPHONE NOWA X rt 'atrr_ 9-S'U�, <br /> SY/MTUIE DATE <br /> 0 Z.52 7 <br /> CRY MUSK SS LC(M I PO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUWPMENT FEE <br /> WATER CLOSET(TOILET) i z AIC-NINOIG UNITS • <br /> • <br /> BATHTUB ! FORCED AIR SYSTEMS I <br /> LAVATORY(WASH BASIN) I HEAT PUMP I <br /> SHOWER j UNIT HEATERS j <br /> KITCHEN SINK A DISP j CLOTHES DRYERS i <br /> DISHWASHER j RANGE HOOD . <br /> LAUNDRY TRAY I WATER HEATER <br /> CLOTHES WASHER I WOOD STOVE I <br /> URINAL I METAL FIREPLACE(W000 BURNING) j <br /> DRINKING FOUNTAIN j FIREPLACE INSERT(W000 BURNING) j <br /> FLOOR DRAIN i GAS FIREPLACE j <br /> BACKFLOW PREVENTERS I GAS RANGE <br /> SINK(SERVICE—BAR.ETC) I GAS PIPING I <br /> I EXHAUST FAN j <br /> i j <br /> ! <br /> tI ! <br /> i <br /> SUBTOTAL $ j SUBTOTAL S <br /> PERMIT S j PERMIT S I <br /> TOTAL FEE S ! TOTAL FEE S <br /> FOR OFFICE USE ONLY: /� <br /> MOW SCI(ACK IEARUTEAGI ICE SETEAOI rIA .c MIRm[,1/ �_i/ III TEC(IPTNO <br /> i'r . goo/- '1.•Y� <br /> USE ECEE LOT AREA VACANT 411 FEES VALUATION FEE <br /> OK! ONO 41lOFG <br /> NRORI TANTATON Val OW 6 MI•IAM I WE OFR00111 <br /> FTLAANNO <br /> OCCMPAPALY NO a(OW( OCCUPANT TON EASEMENT KCRANCX <br /> OTIS ONO <br /> Inc REFERRER TEO 0 REASON A0dTpN4 PUN OECR <br /> OTTER <br /> 1RL 40g11E00 MAL)N <br /> STATE R AD11O 4. 4A01L <br /> TEE O CORST MANS A)+RD.TD sr CITY OF EVERETT rwx Naves <br /> LOCAL SALES <br /> UATC TAX CODE IS 3105 TOTAL <br />