1804 BAILEY AVE 2016-01-01 MF Import

APPLICATION FOR CONSTRUCT��ON PER�IIIT/ CITY OF EVERETT•BUILDING DIVISION VCA�� 3200 CEDAR STREET• EVERETT, WA 9P201 •259•8810 � Y b1� DENIOIITION f 1 COMBINATIQN � � BUILDING I 1 MECHANICAL � PLUMBING I ! SIGN PROJECT ADDRESS !X � � 4- � L� l( 4 ' _ ).�� , v t'� �� '� OWNER I MulAOpRF.55 ' • � arv ¢m ��pr¢ - ��I�7iI ��I ii' (�� f 1 iIL I ��IN"�11 �� . � i I L1.�('� ieM�Nr � �� l�( _l�� 'C �_.�( : IIJ:,�,It (.s� Ii.� ��.�5 sSb- .'E �:s� I u�n�noarss r,irv / / riv r��r�e �('��1F0 �l [d�(�t�i� �i�'1/� �� ly � ��' L'li��dlT l(�,`I `!�yl,� i (�C��[..� i�.3'- iA,(�i' �RGHiTCCiOf1pF51GNCN MNI�OORE55 ❑il )�P �NONF P�� , E ��/� _ eeNeruir.or�rrucion �uuuonncss �in nr r��nar �iereucrruse. �AFCH�NIUL CONiRAriOf1 M��l�DDPF55 CIIV ]iP PIIONF SiRE I�LEN$F� PUIM9MG CONIR��TOR /�/M�II ADDRE55 (;IfY )IP PHONE SGIE IlCFNSF� n,:,�� u�� 4 / coHrnu.rvmc[orwon� - -- HEATING SYSTEM: I � GAS � IEIECTRIC fl OESCRIBE NqRN ANO SMUi1F F0;qGE INVOlVEO CO�R�Ci Pf RSON I1Np PIIDNf NO L1Jrn,]I� f i.'!• � uilt� - StiJlv ft, ,;_l'JY �1di�7• � " i f � 7 �' '� " ' `�;t;r% , ��`-�' �. 1.� � � �,,�, l " �l � s ��- _ �� 5 ., _ Q��, �x;,�,;C,-1,�,_, - GsF- zz ' 3 ; 1 HEREBV CERTIFV THAT I HAVE iiEAD AND EXAMINE� THIS vrroroseousE or qunar+n APPLICATION AND NNOW THF SAME TO BE TRUE AND CORRECT ALL .�N n PROVISIONS OF LAWS AND GRDINANCES GOVER�IING THIS TVPE OF �� WORK WILL BE COMPL�FD WITH WHETHER SPECIFI[D HEREIN OR IEG�LOESCRIPTIONOFPROPEPIv�SHONMBELOWOR�iUCNTWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE ior e�ocK or_ _ AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER SLiTE OR LOCAL lAW REGULATINO CONSTHUCTION OR THF: _ PEFFORMANCE QF CONSTRUC:TION.TFIAT 1 AM AU7i10RIZED BY TIiE OWNL"R OF THIS PaOPERTV TO PERFORM THE WURK FOR WHII;N APPLICATION IS MADE AND I COMPLV WITH 1HE STAfE PMCEL T�k I O NUMBF.R ,� CONTRACTORS LAW 1827 HCW AN7 296.200 WAC. �tr��l ,4 .54�19-�U5-02�-�05/��,r��if-U�75-sbl-lr'r' � `/J� , �///q/// ////� ` CON��ON IO�H IENDEH.�DO(1ESS.TFL i'110NE NUMflSR xl/Y{�//_t�lJ�b�s�V� 4�./ � /�' `� _ � Si.N�IIIRf nsie cirv nu;n+i ss iicr��;r Ho — PLUMBIN6 MECHANIt:AL � _NO. 7YPE OF FIXTURE OR ITEM FEE NO. TYPE OP EOUIPMENT FEE _ WATERCLOSE7�TOILET) _ � q�C—A/FINDLGUNRS—H.P. __�___ BATHTUB ; FqRCED AIf7 SYSTEMS—P.T.U. M E.A. LAVATORV(WASH OAEiN) HFAT VUMP � SHOWER � UNIT HEATERS—B.T.U. Ai � KITCHEN SINK 8 DISf� i CL O?HES Dil1'EHS � DISHWpSHER VENTILATION FAN � —_ � LpUNORVTRAV � RANGE NOOD ' � CLQTHFS WAS1!ER —' WATER HEATER �— URINAL WOOD STOVE ORINKING FOUNTAIN i METAL FIREPLACF(WOOD BURNING) i _ FLOOR DRAIN y_ FIqEPLACE IYSFRT(WOOD BURNING) —�— BACKFLOW PREVENTERS ; GAS FIREPLACE ' � SINK(SERVICE—BAF,ETC.) GAS RA"�GE —�� GAS PIPING ' i EXHAUSTFAN i _ _�— _i _ � � — i — ' — �___ _/ _ � 3UBTOTAL 5 � SUBiOTAL S � VERMIT E PERMIT S i TOTAL FEE S TOTAL FEE S ' FOR OFFICE USE ONLY: fHONTSfTP�CN Rf�RSFiflAf.N SIpESFifl�f.N ry�NC1�CfkNUMpfR ) �Ff �fCFlPLNO ��'�\ U!iF20NF �o�enF� v�r.+r�rs��.. FEES VAIUATION FEE ��c: - r�� — -- _— �__ nun niar, ! -- � IIEIM�iLIMIi�TION NOIMOWFLIING Si1EOrNIfNi�l — '---- --'— — �—' IINIIS ly IIMIIINO i — _ _.____ __.._'_.__._ _—._____'—�__.. OCCUi`�NCY M'11M SInN15 (XICOP�Ni 10�0 P�SFMFNI � cntH�n Mf CIUNif.�l � ii�is ,� a,i ___ — _. .__—_—_�._ . cinc�ununvon nrescw ---� �nninnmei ri�aartcM -- ------ -----�—�--- nu�rn � — —___._--_'_____— nnesrnn+�irnnvno Ar�c�ra ------ ---...___ _._.—_---_�_.— �.in�c nunrrt�a sunr.�unrr ' � � — ' __ — —'_ _-- . _—' ___ - r trrrorcor+s� rinHserrn•��r�• er VITYOFEVERETT �� <<�nK�, � _ - - �- -- 1-�� - - - � LOCALSALES ----- - — ----1-- ,,.,, TAX CODE I� 1105 totn� � — __ -- ----i.