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i <br />` APPLICATI�rN FOR CO�ISTRUC'� ION PERMIT , <br /> CITY OF EVERETT•BUILDING DIVISION � <br />� 3200 CEDAR STREET•EVERETT,WA 98201 •258•8610 I <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING � MECHANICAL O PLUMBING O SIGN I <br /> PROJECT ADDRESS: B�Zq ,I/,P�.,CT ,eow O <br /> COWNEA AWlM0�ES5 ciiv zir w�oN¢ <br /> i�a!'r�e'� �wesl 9/Ls/STNPL S SQrT1E 9PieP•S79/ ?04 • 96I• 0304[ ' <br /> i(MWb 1W1�00RE5S f.1�Y }IP VNONE <br /> CLhM G'AtLS'9iv }�ASaC /92S R.c r.st[E1v S'E.i rstE 9P�e/�%/� 2GiG • �f/ • fqiG _ ',I <br /> ApGWTECi0f1pF51GNER 1MII��ORE55 CIIY )IP PIIONF <br /> CSDL lSo.t/ P.e. B•x /6pf .PE��cv.ic �Poo _ 2QL• G4! • 9eoe <br /> oEranKcor�m�cToa MNL�DORE55 citr r�r PIIONE St�iEIiCENSE� PA7:P/�„P <br /> CPwTLiiT i'ilE 2o�of.A �PTH AVE CTE TACswA 9pf2� ZoL• 926 • 229. py.kp <br /> MECNIIWCALCpITMCipR M/Vl�OqiE55 GlY 2IP PIIONE ST��ELICENSE• <br /> VIWMWGCON7MCTOR WW/�OpRESS CIiY 21P PNpNE Si�TEl1LENSE� <br /> GONTINCT iRICE OF WOPN <br /> #/L, o00 � HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESCNBE W011K 11ND SOUARE FOpTwE MIVOIVED CONI�GT PEfI50Ni4lD PHONE NO <br /> N • ZZ�I <br /> ?3// BtD6 •— <br /> I HEREBV CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUIlpNO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT ALL <br /> nrsE�e[.Y/.e.��ri,vG HwtG PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lEWL0E5tWV710NOfflqGERlY�51qWNBEIOWORATfAGMTWOCOPIES� NOT. THE GRANTING OF A PERMIT�DOES NOT PRESUME TO GIVE <br /> ioi xocu oF AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR IOCAL LAW REGULATINO CONSTflUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOH WHICH <br /> APPIICATION IS MADE ANO I COMPLY WITH TME STATE <br /> VNICEt LVI1.0.MIMBER CONT CTORS lAW 1827 RCW AND 296200 WAC. <br /> i4tBd 2-o2.�-a� �lszdos-2- 32-oao GI2�I9G <br /> CONSTWICiION Lp1N LENOER.App11E$5.TELEP110NE NUMBER X /? <br /> ra <br /> SIGNATU D�TE <br /> GTY ESSl10EN5EN0. � <br /> ���►� MECNANICAL <br /> NO. TYPE OF flXTURE OA REM FEE NO. � IYPE OF ECUIiMENT FEE <br /> � WATER CIOSET(TOILEn � NC—AMNDLG UNfTS � <br /> ��� � FORCED AIR SYSTEMS ' <br /> LAVATORY(WASH BASIN) HEA7 PUMP 1 <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK d DISP i CLOTHES ORVERS i <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY � M�ATER HEATER ' <br /> � <br /> CLOTHES WASHER i WOOD STOVE <br /> URINAL MEfAL FIREPLACE(WOOD BUHNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(VYOOD BURNING) � <br /> FLOOR DRAIN GAS FtqEPLACE � <br /> BACKFIOW PREVENTERS � GAS RANGE � ; <br /> SINK(SERVICE—BAR,ETCJ � GAS PIPING <br /> E.�HAUST FAN <br /> � <br /> � /34 i.CE S'P,ei.v . S <br /> � � <br /> � <br /> � <br /> SUBTOTAL f SUBTOTAL S <br /> PERMIT S � � PERMIT S <br /> TOTALFEE S � TOTALFEE E � <br /> FOR OFFICE USE ONLY: <br /> FRpNi SEiBAGR pEAR SETBACK SIDE SFTBAGN O��N CIIECM NUMBEP FEF RFf.EIFT NO <br /> �I 3 5� <br /> usEzonE ioreaEn V�C�Ni51tE FEES VALUATION FEE <br /> ❑YES ❑ NO l— <br /> BWIDINfi <br /> NE�GMi UMTATION NO OF pNEIUNG S12E OF BLDG/f.l — <br /> UNIIS <br /> PLUMBMG <br /> � <br /> a��d�V Iq(%SIpPoFS OCCUP�NI LO�D BAaEMENT MECNANIf.AL <br /> ❑vE5 ❑NO - <br /> !IRE3PRINKLERPEO'D REe$ON �D�IIIONeI�uNGNf.LK <br /> 0. nT/� - <br /> fIRENARMBEO'D RE�SON OTMER r�iv �1 . '/ !L�L7 <br /> ST�IE BUIlDiN6 1NCH�RP,E <br /> trrEorr,orisr V�ANSAPPRpVEDBY CITYOFEVERETT �UBIM,NqRItS f <br /> ��M LOCAL SALES --� <br /> D�TE '] q TAX CODE IS 3105 toT�� <br />