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�+r �, <br /> APPLICATI�,N FOR CONSTRUCI iON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-BB10 <br /> ❑ D�MOLITION ❑ COMBINATION ❑ BUILDING '�Q 6AECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: 22 f7 �'tSLgy AUC. � ` <br /> OWNER '/ MNLAOORE55 Cltt 21P PIqNE <br /> �7LEaln( nE�rrO ,3/af; 204rt� F�L 7W L.Y!✓.Vwa�� 4�p�, 77�-5'��oZ <br /> tEWWT MAILAODRE55 GTY Zli CIWNE <br /> �RCMRCTORDESIGNER MNIMDRE55 G11Y t�P PHONF . <br /> �NDRe ��v�p Co�cr�r�o�noN +o. �3�xisF�2 E✓�i2r-r� q82oco 25�-�47/� �Au�P�ocop9Kl� ' <br /> OENEiWCONT(UCiOq MNl11DOBE55 CIIY SIP PI10NE $MTELICENSE� <br /> MECNNLCAICONTRACTOR MNL�WRE55 ('ATY ZIP PIIONE ST�TELICENSE• I <br /> PLUTABMGCONiR�CTOR MMl11DCiiE55 CIfY ZIP PHp1E ST�TELILENSE� I <br /> fANTMLTVIMCEOi Wd1N <br /> �c����y h( i Cy HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> cescwse wo��rrz�sou�nE roouee x�vaveo corvucr aensoa uro rNone ra <br /> E u� <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> vnoroseo use ov aw�on�a APPLICpTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE Of' • <br /> WORK WILL BE CAMPLIED WITH WHETHEH SPECIFIED HEREIN OR <br /> lE6ALDESCNPTIONOFPROPEN7Y(SI�OWNBEIOWOR�TT/�LN7N'OCOPIES� NOT. THE (3RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oi aiodc__oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW RE6ULATINQ CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> r�nce�iu�i.o.rnw�a CONTRACTOR LP,W 1827 RCW A D 296/2,00 WAC. <br /> CONST/FIC1IONlOAN IEHDEH.1100RE53.TELERIONE NIMlER x vl�_.,..i ��EN✓IF� (�/Y J(O <br /> 516NI1N D117 <br /> GTY BU9NESS IICEH�E ND <br /> PLUMSINO MECNANICIIL <br /> NO. TYPE OF FlIfTURE OR ITEM FEE NO. TYPE OF EWNpMENT FEE <br /> � WATEq CAOSET(TOILET) � NC—AMNDL(i UNITS � <br /> BATHT�B ' FORCEU AIR SVSTEMS ; <br /> UVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITIIEATERS � <br /> KITCHEN SINK 6 DISP ; �3 CLO7 HES ORYERS ; <br /> DISHWASMER � RANGE HOOD � <br /> LAUNDRY TRAY � WATER HFATER � <br /> CLOTHES WASHER i WOOD STOVE � <br /> UHINAL � MEfAL FIREPLACE(JJO��D BURNING) � <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(VJOOD BURNING) � <br /> FLOOR DRAIN � GAS FIREPIACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPINO � <br /> ' DCHAUST FAN <br /> � <br /> � i i <br /> SUB TOTAL S ; SUB TOTAL S ; <br /> PERMIT S � PEFMIT S � <br /> TOTALfEE S � TOTALFEE S O ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACN RE�R SE78ACK SIOE SETB�CK PIAN CIIECN NUMBER FEf RECEIPT NO <br /> �a ���. <br /> USE20NE iot�nen v�uNrsir¢ PEES VAlUAT10N FEE <br /> _ ❑YES O NO BWIDMC i <br /> � <br /> HEI6NTLIMITATION NOOFDM/Ell1Np SREOFBIOGRI � <br /> UNIfS p�pldplNO � <br /> GC�CO�PANCI NOOiSIpqFS OCCUPAHTlt1�D B�SEMENf MECN�NICAL i <br /> ❑YES O NO <br /> FIRESPRINIdENNE�'D AEASON �OOIIIONq.iRANCM(:CR � <br /> O7HER � <br /> flNEAI/�RMflEO'D RE�SpN � <br /> r <br /> S1AIE BUROIN65UtIC11A00E i <br /> rv�ocr.owsr PLANSAPPROVEDBY CITVOFEVERETT mmnr.wonns <br /> LOCAL SALES --�— <br /> OATE TAX CODE IS 3105 TOTAL <br />