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APPLrCATIC 1 FOR �ONSTRUCT �N PERMIT� <br />CITY OF EVERETf • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOUTION ❑ COMBINATION f�BUILDING LN�MECHANICAL �LUMBING ❑ SIGN <br />,PROJECT ADDRESS: ��' 1 �I — L �ie,v..[,u.C�/yr,ti� <br />/�OD11�55 <br />GIY <br />$L9U ?,�7-3s2 <br />AIIf�:11TEGTq1DE516NER Mul�OonE55 cn♦ nr �nvne <br />�,.;nS�.l�e C�n,�,�'�.-�. . G3�z ���+�¢G, Yr � ye1vo i_3�-.3sz8 we«nr�y��c. <br />GENEO�ICONT0�Cf0i1 JulMDf1E5 CIfY lm PuONE SUIEIICENSE� <br />MECHANIC0.LONTRACi011 MAllA0DRE55 Cltt 7�1' PnONE SfA1EUCENSE/ <br />PIUMBW6CONTRI�CTOR YAIIADORE55 CIfY IIP PIIONE STATELICENSE� <br />CONIMGT PRICE OF WORK <br />OESCWBE N9RK �ND SOU�11E f <br />N� w sFR 11. <br />',1.� �C � D <br />SfR <br />vnoroseo use ov e�n�ar+a <br />lE6AL DESCNPTION Oi PROPEi <br />10T �� BLOCI( . <br />� w A <br />� 9.39 ooS u z <br />�SIIOWN BELOW <br />� <br />� <br />� ����. � �,�, - <br />f10N lOM1 lENOER. ADq1E55. TEL PNONE NUMBEII <br />Q <br />TYPE OF F11(TURE OR ITEM <br />WATER CIOSET (TOILEn <br />BATHTUB <br />LAVATORY (Wi '.H BASIN) <br />SIIOWER <br />KITCHEN SINK 8 OISP <br />DISHWASHER <br />UUIJDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />OHINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEFiS <br />SUBTOTAL S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />ff10NTSElO�CR f NE�ASETBACN <br />,� <br />USE70NE� � ior�ne � <br />un <br />IIEIGIIfLIMIIAIION �/ �N'rOiDWCllIN6 <br />��/CJ <br />OCCUPANCY NO OfSi(Wf$ OC[UPANfLO�D <br />Gt1IXIP <br />?•3 U•I � <br />f111ESP(yNKIEBREO'D �E�SON <br />RF�GpN <br />O�fE <br />SIDE <br />HEATING SYSTEM: �AS ❑ ELECTRIC ❑ <br />'1\'Lll.Lv��1�Pi'QI�NO� �37�3�iZ�c�J <br />1 I1ERE�V CERTIFY THAT I HAYE REAU AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PflOVISION OF ANY <br />OTFIER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOHMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEHTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 HCW AND 296.200 WAC. <br />� �`��,�, � zl � s�9 � <br />x <br />SIGN�T E 0�� <br />CIIY BUSINESS IICENS[ NO <br />MECHANICAL <br />NO. TYPE OF EGUIPMENT FEE ._ <br />FJNCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYERS <br />MEfAL <br />' OYES ❑ NO pWlleNf. <br />SiZE Of glUO/f I -- <br />125� 49� -^.F, rwuowr _ <br />9ASEMENf ��� MFG��NiCM <br />❑YEi Y/H�� <br />eoomoNu runartcK <br />nmcn <br />St�tE OlIIlOING 511nOUfIGE <br />CIT1' OF EVERETT runnr, wanes <br />LUCALSALES — <br />TAX CODE IS 3105 To7AL <br />SUB TOTAL S <br />PEiiM1T S <br />TOTALFEE S <br />fEF I eEf.EIPf NO <br />30 " <br />