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AP�LiCATI!"�1 FOR CONSTRUC?�"JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 320o CEt�AR STREET•EVERETT, WA 98201 •259•8810 <br /> ❑ DEMOUTION CON!BINATION �/❑ BUILOING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> PROJECT AUDAESS:�� > � � 2- .�J�Q4A�JG✓/P/ /i ii/-�=1� <br /> � �' � �it�"G�' � <br /> q ' M�Il�00f1E55 �Q� Cn r, vir r��o.1e <br /> 3'y�I/O/ �,�_ /I C1dZ0/ v5�7-1�/C�� <br /> IEA�NI 4qL I.DDRCSS GIIY ]IP PIqHE <br /> I1RCW�[GTORDESIGNFR MMl�U0FE55 Gn' 7�� PNONE <br /> >rG��%' /'a�,�s /�Gi� /3 ��i � /S-�w v%,� iti,a 9so�7 <br /> cEr�nnicoa+n�ctw MIJL�UURE55 cnr 7OU nr �� 9e��Zri�oNe ilAlEllG[NSE• <br /> �Hi�/.��y /J.�/���t�aC /Z20 �57"vAur' S/_Liiav>1r.�u:Gui /�P.o� - 290-�fBZZ _— <br /> � ECNAMCAICONTR�CTpI M�R�DONE55 Lltt 7iP PHONE SUtEIiCENSE• <br /> �/j'DIr�.II9G i�74 2 <br /> WMEklOCOMTR�CTOR MqI�DDRE55 pn' 21P �NONE SiATEUCENSE� , . <br /> % <br /> ��°" r �O`"'O"K HEATINGSYSTEM: ❑GAS ❑ELECTRIC � — <br /> //.��Do �>o - <br /> DE IIE YNiiK SOU�RE FOOT/�GE INVqVEO LDM�GT 1'f.R50N AM PNONE NO . . <br /> � 1 HEREDY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS _ _�, � -A <br /> APPUCATION ANO KNOW THE SAME TO BE TRUE AND CORHECT ALL �. .`:�'�, <br /> vnoroseov�or em�ona PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE OF � � : 1�� <br /> WORK WIIL BE COMPLIED WITN WHETHER S�ECIFIED HEREIN OR <br /> ieeuoEsca�rrwr�arnovEnn�s�avmeeioww�nr�cNT"roca'''Es� NOT. THE GRANTING OF A PERMIT POES NO7 PRESUME TO GIVE <br /> LOT BL� � AUTHORITY TO VIOLATE OH CANGEL THE PROVISION Of ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR TNE � � ������ <br /> PERFORMANCE OF GONSTRUCTION.THAT 1 AM AUTl10RIZED BY THE <br /> OWNER OF THIS PROPEflTV TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON fRACTORS LAW iB27 RCW AND 296200 WAC. � -� � <br /> PlHLEI TA%IA.MMSEN / JG� <br /> CONSiilUCT10NlO/�NLENDER.�DpiE55.TElEPNONEMIMBEP ��� �j��Js)>?� /Z/O / /�� , � . . <br /> IG URE DAIE <br /> qTY BUSINE55 UCENS[NO <br /> PLUMBIN6 MECHANICAL �_� <br /> FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE HO. TVPE OF EGUIPMENT � <br /> WATER CLOSET(TOILET) � NC—AMNDL(3 UNfTS _, <br /> BATHTUB ' FORCED AIR SYSTEMS � <br /> � <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER � UNITHEATERS i— <br /> ' CLOTHES DRYERS ' <br /> KITCHEN SINK 6 DISP � <br /> DISHWASHER � RANGE HOOD � <br /> IAUNDRY TPAY ' WATER HEATER ' <br /> � <br /> CLOTHES WAShER ' <br /> WOOD STOVE ' <br /> � MEfAL FIREPIACE(WOOU�URIJING) � <br /> URINAI � ' <br /> ' FIREPLACE INStRT(WOOD BURNING) � <br /> DRINNING FOUNTAIN ' <br /> � GASFIREPV+CE � <br /> FLWR DRAIN � <br /> BACKFLOW PREVENTERS ; GAS RANGE ' <br /> SINK(SERVICE—BAR.ETC.) GAS PIPING _ � <br /> EXHAUSTFAN � <br /> i ' <br /> i � <br /> i � <br /> � <br /> � <br /> SUB TOTAL S � SUD TOTAL S � <br /> i <br /> PERMIT S � � <br /> PERM�T TOTAL FEE f ' <br /> TOTALFEE f <br /> FOR OFFICE USE ONIY: nrr.riri r+o <br /> rir,HciiccKr+uMnrn rEF <br /> FRQ`!T SEiB�CN AE�R SE7BACN 90E SETBACN ����^ <br /> USE 20NE l0T�tiE� VALANi SIIE <br /> FEES/ VALUATION FE� <br /> ❑YES �NO pU1lDiN6 '- <br /> _' � <br /> HEIGIITIIMIUTION NOOFDWEIUNC 92EOFBlUGRI , <br /> UNITS f'lUMOiNG { <br /> 1 <br /> 1 <br /> OCCUPANLY NO(%S�OuifS OLLVP�Nil0�0 B�SEMENT uF���nwLAl. '__ ��i <br /> GRWP i <br /> ❑Y[5 ❑NO � '� <br /> ADDIIION�L�lANC11fCR . <br /> �— <br /> FIRESPWNNLERREO'D RE�50Y � <br /> nmcn ' <br /> (IPEMARMPEO'D RE�SOr1 STAlE0l1110�NG511BLN�(ICE —_ ��� <br /> I <br /> TYPE Of f,ONSI �lANS�� �OVEDdY CITY OF EVERETT ruaiir.��onKs ___ ___._;__ <br /> ���4�I LOCAL SALES <br /> o•tE �� TAX CODE IS 3105 TOTAL <br />