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/� I^'� <br /> APPLICATIG�N FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERE'T• BUILDING DIVISION <br /> 3200 CEDJ,R STREET• EV�RETT, WA 98201 •259•8810 <br /> I� DEMOLITION fl COMBINATION fl BUILDING f� MECHANICAL ' �LUMBING I 1 SIGN <br /> PROJECT ADDRESS <br /> Z7o7 GOt..[v ,ci�iC. <br /> owr+En MMLADOPE55 cin zm rr�ovc <br /> �/) /� /Nc Z'7?/ G✓F��,rn�cE Av£ ,�vE2E:� �'i F' o r <br /> TF.NIINT IAAl1.RDORF55 f.ITY 71P PI�CNE <br /> Nr CkOLE't9'�f SE w�'✓[-Y _ <br /> 11RCHITCCTORDESIGNCR MAILAO�PGSS GTY 7�P PNORE <br /> GENERRLCONTRRCTIXI MMlADIX1E55 CIIV DP PIIONE $TU@IICEN56� <br /> MECH�NIC�LCON7RAGTOR M�ILAMSIGSS dTV ZIP PIIDNG STAi[UCENSE• <br /> PIUMBINC�CONTRRf,TOR M�I�ADDPE55 Cltt 21P P110NE STAiEUGFNSE� <br /> �i.u� vE,r__r�rr ME P-a✓r . — /�O. ox 77">2 S_! 76v-SSaO UNivn.c 343 <br /> cor+rn�cr vnicE or wonK 'v`� <br /> .u�r kN���N HEATING SYSTEM: I l GAS f 1 ELECTRIC (� <br /> OESCRIBE WURN AN�5011�RE FOOTeGF INVOLVED GONTRCT P[RSON�NO PIION[NO <br /> ��NIG �N C �Ktq%/ <br /> I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TPUE AND CORREGT ALL <br /> PROI'OSED USE OF BUILDINQ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �rTA�L WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREI�d O'1 <br /> LEGIILDESCRIiRIONOFPAOPERTY�5110YMBELOWOR�TTAGIITWOCOPIES) NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot eiocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATe OR LOCAL LAW REGULATING 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 COMPLV WITH THE STATE <br /> PARCEL TA%I D.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUCTION LO�N LENOEii,�DDRES5.1[LEPHONE NUMPER X ( � /�_..n� ���6 /S� <br /> SIGNAiUfiE —� DRE <br /> CITV OVSINFSS LIC[h5[NO <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR I7EM FEE NO. TYPE OF EOUIPMENT FEE <br /> —r— <br /> WATERCLOSET(TOILET) � A/C—P/HNOLGUNITS—H.P. ' <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASN BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M <br /> •-- <br /> KITCHEN SINK 6 DISP ; CLOTNES DRVERS �� <br /> T� <br /> DISHWASHER VENTILATION FAN <br /> 1.AUNDRY THAV ; RANGE ti00D � <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKINC FOUNTAIN METAI FIREPLACE�WO00 BURNING) i <br /> —•— <br /> FLOOFi DRAIN � FIREPLACE INSERT(WOUD BURNING) ; <br /> BACKFLOW PREVENTERS i GAS fIREPLACE __� <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE ' <br /> GAS PIPING <br /> � EXHAUSTFAN � <br /> i � <br /> � ' <br /> � --�— <br /> �T � <br /> 1 <br /> SUB TOTAL $ ' SUB TOTAL $ ; <br /> PERMIT $ i PERAAIT $ —� <br /> TOTAL FEE $ � TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSFTP�f,K RE�fiSETAACK 90ESCTOACK PIANCIIHCKNUMfffO fEE �EL[IPTNO <br /> usE1oN[ tounen vnr.nNrsne FEES VALUATION FEE <br /> i <br /> I IYE� I� HO OUIl01NC i <br /> NEINIT LiMITATION NO OF DWElLINO SIZE Of pL00R1 � <br /> UNIIS 1 <br /> Pl11AlAING � I <br /> � <br /> OCCIIPANCV NO 0�S10Ni6 O(:CUPAN7 LORU BASEMENT � <br /> GROUP MCCNArvIf.AL _ i <br /> I1�E5 I I NO � <br /> FIRE ALMM REOD �1[ASON ApDI110NAL i'1 AN CPCGN � <br /> --i— <br /> � <br /> O�H[fi i <br /> FlRF.SPPINNIFRAGOD HfR50N � <br /> tiiAl[OUILDiNG SURf.NAqGE � <br /> irr[orr.ousr i�inNsnrrnoveom CITVOFEVERETT �`�.�niir.wonKs ' <br /> I— <br /> LOCAL SALES ; <br /> „�,� TAX CODE IS 3105 icSa� ' <br />