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APPLICATIO.� FOR CONSTRUCTI.�N PERMIT <br />� CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 9B201 •259-8810 <br />� ❑ DEMOLITION ❑ COMBINATION;> ❑ BUILDING O MECHANICAL O PLUMBING �SIGN <br /> I PROJECT ADDRESS:_L� , % ' .� _ <br />� OMTIEN MML�OIX1E55 G SIP 14�pNC <br /> ST�11� u�/�NG /93� �RcqOwAy <br /> TEN�NT qIMORC55 CI1V 71F PuONC <br /> II ARCNITCGT d1 pESIGN[q M�It�D�RESS GITY 71P PNUHF <br /> /NSrbN�A SibN i�Uc SBo� L/aKEinoi✓T �SLvO �E �LIEdaE wf} 9db�L �✓3-dui0 <br /> GENEf1ALCONTp11GlOq MAIL�OORESS CIIY 71� PiIONB c1�1E11C[NSE� > <br /> 1' Ir //�/Jf��S� ��i2. J.5 <br /> MECNIINICAICONTR�CTOR MAIL�ODRE55 CITV zIi' PIIONE 57�iF.lICGNSE� <br /> INSi LS/ OS3 D Z <br /> i4UMBMGCON1R�Ci0i1 MML�ODRE55 CIfY zIP PIIONE S7A7ElILEN$E1 <br /> CONTP�G(PPoCE Of M/ORK <br /> �' g pD v. HEAi ING SYSTEM: ❑GAS ❑ ELECTRIC p <br /> DESCRIBE WORN�NO SW�RE FOOTKsE INVhVEO CONt�CT PCR50Y AND PNONE NO <br /> //USALL 70 SL P !N - J FF NC �o <br /> I HEREBY CERTIFY THAT I FiAVE READ AND E%AMINEO THIS <br /> Pnorose0 us¢oF Buud'xt APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ¢�,f����.T PROV�SIONS OF UWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> 1EG11L0ESCRIPTIONOFPROPERTY�51qWNBELOWOR�T7AGNTWp�pPIES) � I/� NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oi ��^�b e�ocK.��ov !I '� �!� !'� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> • OTHER STATE OF LOCAL LAW REGUUTINO CANSTRUCTION OR THE <br /> 6 N PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WORK FpR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PMCEL TM I.D.M/MBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUC7�ON ION/LENDER.1100i1E55.TELEP110NE MMBEP x � ZO ( �P <br /> `/�jlfy�{ TV U fE <br /> CIIY StNE55LICENS[NO <br /> PLUM81N6 MECHANICAL <br /> NO. TYPE OF Fl7RURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE� � NC—NHNDL6 UNITS � <br /> BATHTUB � FOPCEDAIRSYSTEMS � <br /> UVA?�ORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS i <br /> DISHWASHER � RANGEHOOD � <br /> LAUNDRY TRAY � WATER HEATER ; <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL � MEfAI FIREPLACE(WOOD BURNING� ; <br /> DRINKING FOUNTAIN i FIREPLAC[INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPIACE � <br /> BACKFLOW PREVENTERS � GAS RANGE <br /> SINN(SERVICE—BAR,ETC.) � GAS PIPING r <br /> IXHAUST FAN <br /> � <br /> � � <br /> i � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL f ; .� <br /> PERMIT S i PERMIT S �— � <br /> — --•— <br /> TOTALFEE f ' TOTALFEE f ' <br /> FOR OFFICE USE ONLY: __ i <br /> f{MNTSETP�LK NEAqSFTB�CK SIDESEiB�CR PUNCIIfLNNUMOCR fEf /� �FCFIPINO I <br /> -io N.. iv .�"2 �7 7 = <br /> usezon �nEn VACANI5�7E FEE VALUIITION FEE <br /> ��Z 7�'� ❑YES 13'HO T <br /> o���o�N� p0�'� / �Ov <br /> HEICNT LIMIIATION NO OF DWELL/NG SIZE Of BLO6R1 � <br /> ZC UNIfS �^ p111M01NG <br /> ..J � <br /> OLCVPANCY Iq Of SIONI[5 OCWP�Nf LO�O fi�SEMENT MECIUNIL�I ' <br /> OAOVP <br /> ❑vE5 ❑NO - <br /> FlRESPPINKLERNEO'D fiEA50N �DDi110N�LPt�NG1lfGlt , i I <br /> ��T-- <br /> on�en <br /> FIREAURMREO'0 RE�CpN � <br /> $TA7[BUILOINF SUIICNARGE � � <br /> _ � <br /> � <br /> TYPF.OFf,ONST PLANSAP ov¢oev CITYOFEVERETT runi�r,wonKs ' <br /> ,�h` LOCALSALES — — /�"`—� <br /> o�TE -Q( TAX CODE IS�105 TOTAL _ <br />