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APPLICATId 1 FOR CONSTRUCT jN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 32G0 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS• � <br /> �o�,►+ �u,�4,���1 — <br /> OWHER MML�W�E55 Cltt � Z�P PnONE <br /> �lai��u � �- Pt 35�,� alhi A�i� f�ic� - '`f� L,/.4 <br /> IEIUNT uAIL�ODRCSS CIiY IIP PI�ONE <br /> MCMTECTOfiDESH)NER u�neoonEss Gltt ]�i• �NONE <br /> ��i � 9�G-i88C� — <br /> GENEMI COHiRAGTdi L <br /> MMI�DORE55 dfY Th` �� NE SUTE IICfHSE� <br /> � / C <br /> 1K11 t7 rllL' � /'S��G rn S ll�� - ��J ~ �f/! ` • / PIIONC��9�7ATEUCE 5/�S7 ��J <br /> YECM�M�C0.00�1TR�CTOf1 MAllAIX1NES5 �•"• `•• ` . . <br /> PLUWIMGCON7P�CTOi1 M�ILAWRE55 Qtt I�� PIqNE SfATEIICLNSE� <br /> CONiR�GTFPoCEOF WOfIK �-�f NEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> � � S�� <br /> p(5�q1lEWdiN�ND AREFOOT�GE�M�OlVEO CONIACTP[RSOMANOPNONEND a� -�BAO <br /> e- a � a(',�1.���l�G� 9 <br /> 4 0 . ��� <br /> I NEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT ALL <br /> riqposeo use oc B�n�wr+o PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � �� �l L WORK INILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �G��p�S�q�pnp�pFppppElliY�$110WNBElOM�OR�TTAGNTWOCOP�ES� NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Lo' B1�K oF AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTIQN OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICFI <br /> APPLICATION IS MADE AND I COMPLY WITH THE STIITE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> PMCELTIW I.D.M1M0ER <br /> Cp�STRIILiION LOIJ/IENDER,�OORESS,TELEI'NONE NUMBEN 7( DATE -� <br /> S�G URE <br /> CITY BUSME55 UCENSE NO <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF F7XTURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> FEE <br /> WATER CLOSET(TOILET) ' <br /> NC—AIHNDLG UNfTS � <br /> BATHTUB <br /> � FOflCED AIR SYSTEMS �_ <br /> � HEAT PUMP ' <br /> IAVATORY(WASH BASIN) , <br /> SHOWER � UNITHEATERS � <br /> KITCHEN SINK 6 DISP i CLOTHES DRYERS ' <br /> � <br /> DISHWASHER � RANGE HOOD ; <br /> LAUNDRYTRAY ' WATERHEATER <br /> � <br /> , WOOD STOVE ' <br /> CIOTHES WASHER � MEfAL FIREPIACE(WOOD BURN�NG) � <br /> URINAL ; <br /> DRINKING FOUNTAIN � FIAEPLACE INSERT(VJOOD BURNING) <br /> GAS FIR[PLACE � <br /> FLOOR DRAIN � � <br /> BACKFLOW PREVENiERS i GAS RANGE ' <br /> , GAS PIPING � <br /> SINK(SERVtCE—BAR,ETC.) � <br /> � EXHAUSTFAN <br /> � <br /> — � � <br /> i <br /> � <br /> � <br /> � <br /> � <br /> � <br /> SUB TOTAL S � SUB TOTAL S i <br /> � <br /> PERMIT S � <br /> TOTALI fEE S � TOTIIL FEE E ' <br /> FOR OFFICE USE ONLY: ncumrNo <br /> PRONT SETBAGN REAR SETOACN SIDE SETB�CN f'lAN C11EGN NUMUGR IEF <br /> � 3 � <br /> FEES VALUATION FEE <br /> VSE ZONE IOTAPEA V�CANT SIfE � <br /> ❑YES ❑ NO OWl01NR � <br /> � <br /> HEIGNTL�MIT�TION NOOi'UWEIUNG 512EOFBLOGRI � <br /> UNIfS PLUMOINO _-4-- <br /> i <br /> OCCUPAN�Y NOO�SIMtlES OLCUP�NTl0�0 BilSEMENT MEGINNIGIL �- <br /> GRWP ❑YES ❑� � ' <br /> i <br /> ADDI i ION�L PLAN GNECN � <br /> FlRESPRINKLERflEO'D AFASON r_ <br /> i <br /> 0711ER i-- <br /> ' i <br /> FlPENMMREO'D RE�SOr+ � <br /> S1AIE OWIOMG$IIRCIUOGE � <br /> - ��_ <br /> TYPEOFf,ON51 PLANSA�OVEDBY CITYOFEVERETT f'llfllif,WORNS _ __�__ <br /> LOCAL SALES 1,�� ; �� <br /> oaTE � �. TAX CO�DE IS 3105 70TAL <br />