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APPLICATIC .J FOR CONSTRUCT_ �N PERMIT <br /> CITY OF EVEFETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-BB10 <br /> ❑ DEMOLITION f 1 COMBINATION fl BUILDING ❑ MECHANICAL I l PLUMBINO �l SI�N <br /> PROJECT ADDRES <br /> 3003 � . (�}-si,�. 2�. ��-�l. / �4// <br /> OWNEH M�ILAOpRESS QTY 21P PNONEp <br /> P�E'id6 G�. � P• o. Box 3707 w�5 o6t-�� , ScS9�Tc.�t,WA . / YlLS� 3 Y2 - 7339 <br /> TEN�NT MMLM�RESS f,ltt � 21P PNONE <br /> SO�.r"i�c• <br /> �RLHffECTqi0ES16NEN MMLADDRE55 Cltt ZIP PNONE <br /> (3 oc�.+�. <br /> GENEMLCONIMCTOR MN1�001iE5S LITY IIP PNONE ST�TEIICENSE� <br /> (�/Lou�ti Gu. <br /> MECN�NIC0.CONTRACTOR M�IL�DORE55 CITY 21P PIIONE STATEIICENSE/ <br /> PLUMBINOCONTRI�CTOR MAILADDRESS Cltt ZIP PNONE STRELICENSE� <br /> CONTNACi PfiICE OF WOf1N <br /> Z� 8 p� HEATING SYSTEM: L�OAS ❑ELECTRIC ❑ <br /> UESCPoBE YA7(IK�ND SOUARE FOOTME INVOIVED CONTACT PEPSON�NO PIqNE N0. <br /> L�'•t7�/�� PA�-riT/o�/ w.4�,t� G�»�✓r�W �7c�.,,/eRs.�/ 2G6-3slJ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> rraroseouseovaunarxa PROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TVPE OF <br /> O�"PtGI WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEp�LOESCRIPTIONOFPROPERTY�5110WNBELONORATf�CNTWOCOPIES) NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO 61VE <br /> �ot e�ocK ov AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REQUUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK WR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PNICEL TN(I.D.NUMBER CANTR/A1CTORS LAW iB.27 RCW AND 288.200 WAC. <br /> CONSTHIIC110N LO/JI LENDER.�DOIIESS.TELEPIIONE NUMBER x pL .Q/ • L��'`�^' • //�� • � <br /> 516NATURE DATE <br /> CITY BUSINE55 LIGENSE NO. <br /> p�,�p MECHAIMCAL <br /> N0. TYPE OF fllfTlME OR ITEM FEE NO. TrPE OF il%TURE OR ITEM FEE <br /> WATERCLOSF.T(TOILEn � A/C—AMNDL6UNITS—H.P. � <br /> BATHTUB ; FORCEO AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(YNASH BASIN) � HEAT PUTAP � <br /> grypyyEp � UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY � ; RANOE HOOD i <br /> CLOTHES WASHER � WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKINO FOUNTAIN � METAL FIREPUICE(WOOD BURNINO) � <br /> FLOOF ORAIN � FIREPLACE INSERT(WOOD BURNINO) ' <br /> BACKFLOW PREVENTERS ; dASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � OAS RANOE ' <br /> � OAS PIPINO ' <br /> i E%HAUST FAN � <br /> i <br /> � <br /> i ; <br /> � <br /> � <br /> � <br /> SUB TOTAL S ' SUB TOTAL S ' <br /> PERMIT S � PEHMIT S � <br /> TOTAL FEE S ' TOTAL FEE E ' <br /> FOR OFFICE USE ONLV: <br /> FHONf SE7BACK RE�R SETBhCK SIUE SEiB/iCK PUN CNECN UMBER FEE RECEIPT NO. <br /> USE ZONE �or�n� VI�C�NT SITE ES VALUATION FEE <br /> fIYES n � BUIIDINO <br /> NEIONiUMITATION NO.OFU�MEWNO SIZEOFBIDU/fl <br /> UNITS � u p�UMBINO <br /> OCCIIP�NCY NOO�SfOPoES OLCUPANTLOAD B�SEMENi MECM�HIC�L <br /> 6RWV S ❑YES G1"NO <br /> � , /V� �DOIiION�LPUNCNECK <br /> FIREUMMREO'D REAS�N <br /> Y� � �� )��� . OTI/ER <br /> iIRE6VPINkIEHREO'U REISON �- <br /> �✓ES � 5'/ STATE BVRDIN3 SVNCN�RQE � <br /> U <br /> IYPE OF CONSi. PLANS APP OVEO BY CRY OF EVERETT PUBLIC WONNS <br /> / � _ � I1y LOCAL SALES — <br /> o�te - �Y'q S TAX CODE IS 3105 TOTAL <br />