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APPLICATI� FOR CONSTRUC'1'�'JN PERMIT �� <br />` CITY OF EVERETT•BUILDING DIVISION � � <br /> I 3200 CEOAR STHEET•EVERETT, WA 98201 •259-8810 <br />� ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINC � MECHANICAL ,�PLUMBING ❑ SIGN <br /> PROJECT ADORESS: �7�9 �r.Jo�a- t2 0-�--- , <br /> oww¢n cw��oonEss cm zir r��a+e <br /> AbRo 5't�Rce rnec4,'r� �'� �1- Nc11 Lacat �_Z5�_9�•1`� tS}�� S ��- �'/�J;� ' <br /> IENNIT 4W1�00RE55 QTY 1iP �qNE / �. <br /> 87a9 A,'��,-t 3�� 7��- D-�« <br /> �TRCMT[CTd10E51G11EP WI11100RE55 CiTV/ 1iP ^ PNpNE/� �-- Ili <br /> 7.=0h4��_ (df�SM1 Qv� � A O /QTGG ��� }(�$� H��eV I� <br /> (iENEMICONTMCTOR MYlAU0RE55 Crtv li� PNONE Sf�TEIICENSE� '� <br /> S� L �`nr-oorc..�-io✓� 3150 i��c�nar�c �oG� � <br /> MECNNIICALCONTMCTq1 NMl�pp1E55 CITV Ilf` 9��33 pIqNE i1�TElIGENSE� � <br /> _�n1�LC.�t 5i`�-�J mec�na✓�ica� ` 1'_SOO t�! 13 0 $� . 1o6-36Y-99/� /�i✓mc 3+P3q9 <br /> PUMMMIGCONiRAtTOf1 MAllA00pE5$ Cltt ZIV P1qNE SUTELILENSE� '�� <br /> -yI�JC <br /> LONiMtT MYCE CF <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �E9LRISE NqN(11ND SOUIIRE WOil16E INVOWEO CONIACT VER$ON�NO PHONE NO <br /> ` / � J�O�� �/� <br /> I HEHEBV CERTIfY TMAT I HAVE HEAD AND E7(AMINED THIS <br /> -� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHEC7 ALL <br /> vnoroseo use ov mx�pna PROVISIONS OF LAWS AND ORbINANCES GOVEpNING THIS riPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> i[¢wo[SC OFP110PERl`f�5110WNBELOWORATThGNiMqCOPIE5) NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> i01 etocK Ov AUTHORITV TO VIOLATE OR CANCEL TNE PROVISION Of ANV <br /> OTHER STATE Ofl LOCAL lAW REGULATIN6 CONSTRUCTION OR THE <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLV WITH THE STATE <br /> wwtE�r�x i.o.raweEn CONTRAC R 18. RCW AND 2A6200 WAC. <br /> iyaao4= - - ' -a- - o� . a 7 . 96 <br /> CON6TRl�:iSiiMi IOAN lENOER.Md1E55.TEIEPNONE NUMlER X tp <br /> URE D�TE <br /> CITY SINESS IICENSE NO. <br /> � VLWABMMNi MEC ANICAL <br /> NO. TYPE OF FO(TURE OR ITEM FEE 7YVE OF EOINPMENT FEE <br /> WATER CIOSET(TOILET) 'd� - 2 A/C-AMNDLG UNffS <br /> BATHTUB ; FOHCED AIR SVSTEMS � <br /> UVATORV(WASH BASIN) � HEAT PUMP � <br /> � SHOWER - Z UNIT HEATERS ; <br /> KITCHEN SINK 8 DISP - CLOTHES DRVERS <br /> DISHWASHER J � - flANGE HOOD <br /> LAUNDRY TiiAY ; WATER HEATER � " <br /> CLOTHES WASHER WOOD STOVE <br /> 3 URINAL aJ � - MEfAL FIREPLACE(WOOD BORNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) i <br /> FIOOR DqAW � GAS FIqEPLACE � <br /> / BACKFLOW PREVENTERS ;- GAS RANGE ; <br /> SINK(SERVICE-BAR,ETCJ � GAS PIPING <br /> IXNAUST FAN <br /> i <br /> i e <br /> � <br /> SUBTOTAL f � SUB?OTAL S <br /> PERMIT S ojp � - PERMIT S <br /> TOTALFEE S ''- TO?ALFEE E <br /> FOR OfFICE USE ONLY: <br /> FIIONTSETS�GIt RE�RSETB/�CN SIOESETB�LI( 'l�NC11EfCN�MBF.q� FEF RECFIVTNO <br /> l� <br /> aY <br /> u4¢za+e IOT�RE� V�C�NTSITE FEES VAWAiION FEE ,_ <br /> ��Eg �N0 BUII��NG <br /> IIEIONT LIMiAT10N NO OF OVIELIING SIZE OF BL06R1 — -i <br /> UNIiS p�UMBINC — �� � /J(� <br /> OC�ANCY NO 0�51(WIES OCCUP�NiIO�D B�SEMENT MFCNnkiC�l 3�7 � –_ <br /> ❑YES ❑MJ -- -- <br /> FIRE3PPoNNlERREO'D RE�SON �DOIIIONAI.PI�HCH(CN <br /> �_. <br /> I)IllEq <br /> f1NENARMflEO'o REe5tX1 �� - -- <br /> St�IE BUIIDINC SIIRCNRlGE <br /> lYiEOFf,�NSi VIANSI�PPROVF v CITV OF EVERETT P11911f,WpRNS <br /> -;M /� LOCALSALES --� — <br /> oaE 7 , v TAX CODE IS 3105 f TO7AL <br />