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APPLICATIO.. FOR CONSTRUCTI.�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT;WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> �PflLOJECT ADDRESS: i•` �U /✓ 13YOGQ'G✓A � �-, ,� e,G{ GJ J�• ��' �� � <br /> :k �l l �QQ /(� ) �l n � GtiV 2ir rnoNE � ' / / <br /> OwNEH J MA�AWnE55 <br /> / ()�'( li �'71�I <br /> iEN�N MM�AODPE55 �ITY 11� PNONE <br /> ARCIYTECTOROESiGNER MM1110DRE55 CiIY )iP PNONE <br /> c��uv�r�r �'a � <br /> GENEMICOHTMCiOR MAILADURE55 CIIY 71P PNONE Sf�TEIICENSE• <br /> NECNu11LALCON7R�CTOR u�4ADDRE55 CIIV ZI{` PIIONE STATEUCENSE� <br /> PLVMBINGCONIP�CTOR M�IL�OORE55 �IfY qP pHONE SUTELICENSE� I <br /> CONfMCTPPoCEOF N <br /> Q'j� HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑__ <br /> �DESCRIEE WORK ANO SW�RE FOOTAGE INVOLVEO CONt�GT PCRSON AN01'NONE NO <br /> �rv2 �i.n•o U Gr,a <br /> �-��.J S Yoc. � n� <br /> �� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEO USE OF euyoiNc APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7 ALL <br /> � �o � PflOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOPK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LDESCRIPTIONOFPiIOPEqTY�SHpYMBELOWIXiATTALHTWOCOPIES� NO7. THE 6FANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tor e�ocK or AUIHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW pEGUUTING CONSTqUCT10N OR THE <br /> PEHFORMANCE OF CONSTRUCTION.THAi I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> FANCEL TA7(I.D.MIMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> i�a 9 os� o5i o007 � �/ <br /> CONSTRUCTION IO�W IEN�Ep.ADDnE55.TEIEPNONE NUMBEP x �'� (�. ✓� /�/��/�/ <br /> n <br /> SIGN�iUPE DATE <br /> CIfY BUSINE55 UCENS@ NO <br /> PLUMBING MECNANICAL <br /> NO. TVPE OF FlXTURE Oq ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET(TOILEn � A/C—AMNDLG UNRS � <br /> .BATHTUB ' / FORCED AIR SYSTEMS � <br /> � , <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATEHS � <br /> \ KI7CHEN SINK 6 OISP � CLOTHES DRYERS ' <br /> i <br /> , DISHWASHER � RANGEHOOD � <br /> UUNDRY TRAY ; WATER HEATER � <br /> � <br /> CLOTHES WASHER � WOODSTOVE , <br /> URINAI � METAL FIREPIACE�'VOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BUflNING) i <br /> FLOOR DRAIN � GAS FIREPIACE � <br /> BACKFLOW PREVENTERS � GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> EXHAUSTFAN � <br /> � ' <br /> � � <br /> � i <br /> SUB TOTAL f ; SUB TOTAL S ' <br /> � <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE S � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�LN RE�IISETB�Ck SIDESETB�CM PUNCIIGCNNUMOf(1 � fEF RECEIPfNO <br /> ��'jc <br /> � <br /> USE20NE LOt�REA V�C�NTSIiE FEES VALUATION FEE <br /> - ❑Y($ ❑ NU pUILDMG � <br /> i <br /> HEIGNT LIMTATION NO OF DwELLING SIZE OF BIDOR.I � <br /> UNIfS <br /> 1'1UM01NG � <br /> i <br /> OCCUP�NCY Iq 0(SIDPofS OCCUPANTLOAO BASE4ENT I <br /> GRWP �ECIInNICM � <br /> ❑YES ❑ N7 1 <br /> FIRESPflINKLERflEO'D �E�SON <br /> �OD�IIDNA�PUN G��fCN ' <br /> on�en I <br /> FlREMApMREO'D RF��ON <br /> � <br /> STAIE OUII�INf SIII1f,11Af10E � <br /> TYPEOFf.ONSf PL�NS�PPROVEDPY CITYOFEVERETT �1191�CWOfiNS <br /> IOCAL SALES — --�— <br /> o�tE TAR CODE IS 3105 70TAL �-�� " -� <br />