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APPLICATI�1 FOR CONSTRU�f.�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING l�MECHANICAL ❑ PLUMBING O SIGN <br /> PROJECT ADDRESS: 4 B 13 E v6�' C Q.EB nl wAY �vBB GT'r <br /> t� a, MA 8 320 �oB .wE Ne l�ao` 6EUFv�2, wa 98004 (ao6) 4So -2404 <br /> pyMEp MARADOHE55 GITY ZIP PNONE <br /> ���QW� <br /> TENANT M�ILAD�RE55 GITY ZIP PHONE <br /> �RCNRCCTORDLSIGNER MAIADORE55 GITY ZIP PMONE <br /> GENEP�IGONTRACTIXi M/JLADORE55 GIIY 2�P PI10NE $I�TELILENSE� <br /> HE�IT Ntc/MN/CAL 9630 /S3 k✓E �E REDMo.✓D 4BOSl ��6JB�3-92u NE�2�1M/�3cH <br /> MECHANIG�LCONTR�CTOa MAILADDNE55 CITV ZIP PIIONE SUTELILENSE <br /> PLUMBING CONTR�CTOR MMLAUDHE55 Clr`/ ZIP PHONE $T�TE LICENSE� <br /> � <br /> CONTMLTPPoCEOF WONK HEATING SYSTEM: I,�GAS O ELECTRIC ❑ <br /> /IN S i�l'Lf� T10 � � G i FJo RAD F 'Tb P <br /> DESGR�BE WORK ANO SOU�RE FOOT�GE IHVOLVED GONT�CT P[HSON M10 PHONE NO <br /> _ , '7P�1� v�vi % cur 'r7r olr/�,')�A u�Y UL4l Arnl51GY <br /> .a,.+ a 2�'s. a,�.� �ws+-�ss �s� z o 6 8 3 - 92 2 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> S A�l�C APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSEDUSE OF BUILOING pROVISI0N5 OF LAWS AN�ORDINANCES GOVERNING THIS TYPE GF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCi11PTIONOFPROPERTY(SHOWNBELOWORAR�CHiWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G�VE <br /> �aT A e�acK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �� ,� p.1 _� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> �OZ —000 ^OO / —��� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOflS LAW 1827 RCW AND 296.200 WAC. <br /> PNICELTN(I.D.NUMBER <br /> CONSTRIICT�ON LOAN LENDER.ADDRESS.TELEPMONE N�MBEA �( �J'- ' �4I�4��� <br /> SIGN� RE DATE <br /> D/ � 389 <br /> Cltt BUSINE55 LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF fl%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILE� � I NC—NFiNDLG UNRS ' <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS � <br /> DISHWASHER � RANGE HOOD ' <br /> � WATER HFJ�TER � <br /> LAUNDRYTRAY � <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN ' FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) � / GAS PIPING ' <br /> EXHAUSTFAN � <br /> � � <br /> � i <br /> � , ---T— <br /> i <br /> i � <br /> � <br /> � <br /> SUBTOTAL S � SUBTOTAL E l; <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE E ' TOTAL FEE 3 ' � <br /> FOR OFFICE USE ONLY: <br /> nEr.cirT No <br /> FROHTSETBACN AEMSETBpCN SIOESEIBACR PUNCII[CRNUTAOF.fi FEF <br /> usezoNe �oT�nen VAC�NTSIfE FEES VALUATION FEE <br /> ❑YES ❑ NO OW101N6 � <br /> i <br /> HEIGHT IIMITATiON UNI�OWEILING SIZE OF BLDGR.1 <br /> PLUMOING <br /> T <br /> 1 <br /> OCCUPANCY NO Of 5�011IE5 OCCUPANT lOAO BASEMENT MECIIRNICAL � <br /> GRWP - � <br /> ❑YES ❑NO i <br /> ADDI(IONPL�'LAN GIIf.CN � <br /> FIRESPRINKI.EHREO'D REASON — <br /> 0111EB � <br /> i <br /> FIFEAlARM17E0'D FEASON � <br /> $TAIE�UIIDING SIlRL11nRGE � <br /> TYPEOFf,ONST �1�N5����OVEDBY CITYOFEVERETT r�miicwonKs � <br /> LOCAL SALES �— <br /> I� TAX CODE IS 3105 TOTAL <br /> DATE <br /> � <br />