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APPLICATIL N FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98207 •259-8810 ���i <br /> ❑ DEMOLITION '� COAABINATION �'BUILDING ❑ MECHANICAL ❑ PLUAABING ❑ .ilf;N <br /> PROJECTADDRESS: S-tf3� ,�,Qv�}�w��/' � Vc•2�L? g8�'k'3 <br /> �p wa�oo�ss an ziv a� � <br /> c+��- (Z�(=t�E2 S � C ZaG -353 -758'� <br /> TEWWT 4NLMIXiE55 arr IIP PN(MIE <br /> NICMTCCTOROESIG R M�ILI�DORE55 C17Y IIP 14/0NE <br /> � �� � <br /> GENERNCONTMCIOR MNLAWRE55 GITY ZIP PIIONE SIATEIICCNSE� <br /> Sc-�F <br /> YEdUMG1LCONTR�CTOR M/JL/�DORE55 an 21P PNONE ST�TEUCENSE• <br /> 1'IU�MKCONTR�CTOR MMLAUDRESS GTY IIP PIIONE $T�TELICENSE� <br /> CANTMGT fMtlCE OF YNfiK ' '— <br /> �S(� HEATING SYSTEM: ❑GAS ❑ ELECTRIC f� _ <br /> OESLitlSE �ND AREFOOT MVOLVED CONTAGTPERSON�NDPNDNENO <br /> ~5 �t' ' rnJU� �a�n��� rz 3 —�S�_ <br /> O F li-0 u 5 c � '� t'. — <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> APPLICATIpN AND KNOW THE SAME TO BE TRUE AND CORRP:.T ALL <br /> vrqPoseo use a no PqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �5� ��K�� WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED HEiiEIN OR <br /> IEGALDESCPoPTqNOFPR01'ERTY�SIqWNBELOWOfiATTACMiNqCORES) NOT. THE ORANTING OF A PEHMIT DOES NOT PRESUME '�O GIVE <br /> ipT �p� pp AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTIdN OR THE <br /> PERFORMANCE OF CONSTRUCTION.TH�T I AM AUTNOHIZ!?D BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK �OR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH 7r1E STATE <br /> PNiGEt TA%ID.MIMBER CANTHAC3JORS LAW 7827 W AND 296200 WAC. <br /> �'ODG '- rJU-O - Q000 � / <br /> CONSTRUCiIONIO�WLENDEP.11DOpE55.1ELEP110NENUMlER !� —IZ V <br /> RE DATE <br /> CITY BVSINE55 LICENS[N0. <br /> pLUMSING MECHANICAL <br /> N0. TYPE OF Fl%TURE OR ITEM FEE NO. fVPE OF EOUIPMENT FEE <br /> --T— <br /> WATER CLOSET(TOILE� � NC—AMNDLG UNfTS ! <br /> BATHTUB � FORCED AIR SYSTEMS � <br /> —�— <br /> IAVATORV(WASH BASIN) � HEA�PUMP � <br /> SHOWER � UNIT HEATERS <br /> KITCHEN SINK 8 DISP � CLOTHES DRVERS � <br /> � <br /> DISHWASHER � RANGEHOOD � <br /> UUNDRY TRAY ; WATER HEATER ; <br /> CIOTHES WASHER � WOODSTOVE � <br /> URINAL � METAL FIREPIACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPIACE INSERT(WOOD BURNING) i <br /> FLOOR DHAIN T GAS FIREPLACE ' <br /> BACKROW PREVENTERS ; GAS RANGE � <br /> SINK(SERVICE—BAR.ETC.) � GAS PIPING <br /> IXHAUST FAN <br /> � � <br /> � <br /> � � <br /> , — � <br /> � � <br /> � � <br /> SUB TOTAL S � SUB TOTAL S ' <br /> � <br /> PERMIT S � PERMIT f � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> lRONT SETB�CN PE�R SF.TBACK SIDE SETB�CN PUN LIIECk NUMAER fEF �FCEIPT NO <br /> � � <br /> USEZONE IOTAREl1 WCANTSITE FEES VALUATON FEE <br /> ❑YES ❑ NO ��ryLDINA D� I'OU <br /> i <br /> MEIGNTUMITATION NOOFDN'EWN6 52EOFBtOG/f.l � <br /> UNIfS FlUAt81N0 —_ } <br /> GCW�N�Y Iq:MSI(WES OCCUP�NiL0�0 BASEMENT � <br /> p(M � � MECN�NIC�L <br /> ��(" `L �YES B�O i <br /> FIRECRlI1MLEFRCQ'D REASW! �DDIIION�LPL�4fNf.CK i'(� , <br /> OtHER � <br /> FIREALARMRW'D REA90N � <br /> STAIE OUIl01NG$IIRCN�RGE �5(� <br /> TYPE OF CONST PLANS�PPROVEO BY __:---- <br /> CITY OF EVERETT runnr,woner. <br /> �.) � LOCAL SALES — — <br /> �/.� oe*F 3 Z��`�G TAX CODE IS 3105 TO7AL ? 1._L_ <br />