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A.P�LICATI�..� FOR CONSTRUIC7 .ON PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA J8201 •25P-P310 �.��" <br /> �1 DEhnOLITION ki COMBINATION I I BUILDING I I MECHANICAL I ? PLUMBING f� SIGN <br /> PROJE4T ADDRESS i' � _ � `\/ / <br /> �f�.°i<�� �_,,,� _ , ' ) <br /> OWNEA u�n.�ooness arr �m r�wr+e <br /> �LiN CovJST. TW�. �U. 3crA21 IHwlc��tet urt. 9k��,: 35Lo-774fC 353-7.�7l0 <br /> TENANT M�IL�I'7RFS5 f,IIY � l6' PIIONF <br /> �u/.i�EDf sc:�[' �----�W <br /> 7��RKri�'.kJ .34SIa�Ss.Ld� fUF.L/1_jy)B <br /> er+c�ata or+oescnrH rnmi.�ooness � cnv rir rNone <br /> BOb�n� rnn75T. T.��r /�o. r3oh aZ�Jllti.l"�fCO y WF}. 9f12)s' `s53-�o>L .t3oUA�GI /O/Ml= <br /> OENEfU�CONIRACIOR M�I���OilE55 Cliv llv PIION[ SiATELIGGNSE� <br /> �F.�--_ � �s �3� �'" sl• s.w. �uEn�rr 9S�-c,Ia 1Yo-14Z� g�c:�.�.�•F <br /> MECN�NILALCONTRACTOB MRI�p00RE55 CIrV :IP PIIONE GT�TELICENSE� <br /> KyL�+c t � <br /> J`Yfyj�t�c�iii c E Ar-,...,.Ainl i/1U _�it= 'jo /�1dwvi%i , L�rt 9k' �/3S SC[�C <br /> PLUMBIN�CONiR,1CT0{I MMLA[1DFE55 CItY 21P PNONE STATELICENSE� <br /> y�n 7So 00 / <br /> CONTRACT�CE F vron� <br /> �Q 3� �y`T T)y s.�n HEATING SY:iTEM: fr}'fiAS fl ELECTRIC rl <br /> UE CRIBE WORK�ND 5011�RE FOOTAGE INVOlVEO CONT�Ci PER50 �ONE NO ��3- Q7G <br /> io 't/ �Ci�in�L / vt{a I / • 1 � 7 � <br /> /IIO,��/ .3�`�G�-77�/�'' _ <br /> I HEREBV CERTIFV TNAT I HAVE RFAD AND EXAM�NED THIS <br /> _�/JZ!LF L.9in/Ly�F ' - pPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSCD USE OF BUIl01N0 � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> LEGI1l�ESCRIPTIONOFPROPERTV15NOWNBELOWORATTACH7 ocovie i N07. THE �RANTIkG OF A PERMIT DOES NOT PRESUME TO GI\'E <br /> �pr�o�ocK or__�y?�L�� AUTHORITY TO VIOLATE OR CANCEL THE PNOVISION OF ANY <br /> OTHER STATE OR IOCAI LAW REGULATINO CONSTRUCTION Oli THE <br /> L�/,, �� R��c fta)nn� ]�. Fi PERFORMANCE OF CONS7RUCTION.THAT I AM AUTHORIZED BV 7HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> _O APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> P CELT ID.NU�ABER <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC <br /> SNT 2 �FCT SRiI�rUG�S�MMi�� - /� j� <br /> GONSTPUCT�ONIOANlENOER.�00RE55.TELEPNONE NUM9EF <br /> � ATUFE --� DATE <br /> C 'BUSINESSLICENSENO <br /> PLUMBINO MECHANICAL _ <br /> NO. TYPE OF fll(TURE OR ITEM FEE IJO. TYPE OF FIXTURE OR ITEM FEE <br /> N'ATER CLOSET(TOILEn I � A/C—IVHNDL(i UNITS—H.P. ' <br /> BATHTUB f ' FORCEDAIRSYSTEMS-0.?.U. M E.A. i <br /> ' -- <br /> LAVATORV(WASH BASIN) J � i HEAT PUMP � <br /> SHOWER � ���IT HEATERS—B.T.U. M ' <br /> i <br /> KITCHEN SINK 8 DISP � CLOTHES DRYEHS ___T_ <br /> DISHWASHER � VENTILATION fAN ' <br /> LAUNDfiY TRAV ; RANGE HOOD �_ <br /> CI.OTHES WASHER � _ ' WATER HEATER ' <br /> URINAL WOOD STOVE � <br /> DRINKIN6 FOUNTAIN i METAI.FIREPLACE(WOOD BURNING) i _ <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNIN6) ; <br /> BACKFLOW PREVENTERS i GAS FIfiEPLACE � <br /> SINK(SERVICE—BAR,ETC.) QAS RANGE ' <br /> � � GAS PIPING � <br /> , E%HAUSTFAN ' <br /> � <br /> i <br /> i � <br /> � <br /> , ' <br /> SUBTOTAL $ � _ SUBTOTAL E ' <br /> PERMIT $ i PERMIT 5 � <br /> ?OTALFEE 5 ' TO7AL FEE E �_ <br /> FOR OFFICE USE ONLY: 7 � <br /> FRONT SETBACN �ERP SETA�CN SIOE SETB�CH / PUN CH�CN NUMAF.R YEE RECE�PT M0. <br /> Z� / �� � J!"' ' l% <br /> 7 <br /> use zor+ � �otnnee v�ceNt srtE FEES _ VALUATION FEE <br /> � nres r r+a euaon�n pb 5�'S �' �� <br /> NEIQMT LIM T i�/ NO.OF DWRLiNO SIIE OF Bl rtl – �] i � <br /> � uruTs �q�4 �F ���� P�UM0ING <br /> OCGUP�NCY NO O�SipPiES OCCUPANiIOAD P�SEMENi { MELNIHI�:4L � <br /> GPOIIP '� Z I '—'—_� <br /> IlYES IWNO I <br /> ADDI`IO`!.!'PUN CNECK <br /> FIRE ALARM REOD �E�50�: j� /� <br /> �0 OTNEP —�� /✓ O`� <br /> FIRE SP INKLEN REO'0 RE�5()N <br /> ' .(."[ I� � �' � _ . ' � , / r ST�1EOUiL01NU5Uf1:N�RGE �S�� <br /> P ^ <br /> rrve cor+sr r.�Ns�rrno oar CITYOFEVERETT P�1BI.ICWORNS --/(� '��7 <br /> �y�.�• LOCAL SALES <br /> 7�-r,f I OATE�Z/'tO/ TAX CODE�S 3105 7oTAL i �5 t-� <br />