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^ r' <br /> APPLICATIO�� FOR CONSTRUCTI_iN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAfl STREET•EVERETT, WA 98207 •259-8810 <br /> ❑ DEMOUTION ❑ wCOMBINATION ❑ BUILDING p MECH.�NICAL G PLUMBING O SIGN <br /> PRO,lECTADDRESS: T /�3 �Y �¢s:.bl G� �W��� V�/l� �8�3 <br /> M6MA3 3� ►08TM Av �Aofo Sa,llavua. WA 9�ooE (ZoG�4�3 -o3z4 <br /> OWNER MNLAOOIiE55 C1iY 21P VIIONE <br /> TE�T MN�bOFE55 CITY IIP VIIpNE <br /> ARCHITECTORDES�GHEF AWIADOPE55 Cltt 21P PNONE <br /> GE�GONTPAGTp/p LADDRE �• CRY `[ ZIP Q PIIONE SqTEUCE � <br /> /5�2.1�// �`5 �/t��.../� C� ��� c75�0 SL �6�P�� �'�0�� 3 ��� <br /> E1ECHlWIC ONTMCTOR M/JLMONE55 dTY ZIP PHONE CiATEUC[NSE� <br /> bf'�cs-�t-cZ'o S�S�iY� <br /> PLUMBWGCANTHACTqi 4AlLA0OPE55 Lltt ZIP PHONE STATELICENSE� <br /> ���-97 <br /> cor+rw�cr vwce ov wwuc <br /> � 2��� HEATING SYSTEM: ❑GAS ❑ELECTRI.^, ❑ <br /> pE$CWBEWUPKANOSOUMEFOOTAGEINVOWED ��O^ � CONTAGTPERSONNIDFHONENO /� <br /> � '1 <br /> is �kx, �co- �Tencoxrt 5 o�x.- <br /> 7Z � �S� �4� d� 'NL �•Y � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> raoroseo use ov euub�+a�.} 1 _ PROVISIONS OF U1WS AND ORUINANCES GOVERNING THIS TYPE OF <br /> IlDJ0.1I �oo� SW�J WORK WILL BE COMPLIED WI7H WHETHER SPECIFIED HEREIN OR <br /> L��M,pE5Cryp71pNpFMqPEpfY�5110WNBELOWOi1�TT�LH7WOCOPIE51 NOT. THE �RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or�eiocu oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � �y�� OTHER STATE OR LOCAL:AW REGULATIN6 CONSTRUCTION OR THE <br /> Q,� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOH WH�CH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> 7NiCEl TAI(I.O.NU4IBER CONTRACTORS LAW iB27 RCW AND 2962 WAC. <br /> 4 to2 - o00 - a►7-�ov�o x_�,�. � �'/�s�9� <br /> CONSTRUC710N LOAN LENDER.ADDlIESS.TELEPNONE HUMBEq <br /> SIGN�TUfiE DATE ' � <br /> GTV BUSINE55 UCENSE N0. <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF flXTURE OH ITE61 FEE NO. TYPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILEn � A/C—NHNDLO UNfTS ' <br /> gp7H7Ug ; FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATERS ' <br /> KITCHEN SINK 3 DISP i CLOTHES DRYERS _� <br /> , DISHWASHER � RANGEHOOD ' <br /> LAUNDRY TRAY ; WAiER HEATER � <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ' ' MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRIiJKING FOUNTAIN ; FIREPLACE INSERT(WOOD BURNIN6) � <br /> FLOOR DRAIN � GAS FIREPLACE ' ' <br /> BACKFLOW PREVENTERS � GAS RANGE � <br /> SINK(SERVICE—BAR.ETC.) � GAS PIPING ' <br /> � IXHAUST FAN <br /> � ' <br /> � — i <br /> � ; <br /> � <br /> � ' <br /> SUB TOTAL S ' SL'B TOTAL S � <br /> i <br /> PERMIT S i PERMIT S � <br /> TOTAL FEE S � iOTP1 FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACI( NE�NSETBALK SIDESET6AC1( PLANGIECIfNUWBEF FEF pECEIPTNO <br /> � �- � OS <br /> USEZONE tOTMEA veuwrs�re FEES VALUATION FEE <br /> O�ES � NO � <br /> BUILD�NG �� i <br /> HEICHTUMITATION NO.OFDWEWNG SIZEOF6LUC✓C� i <br /> � <br /> UNIfC ���� f'LUMBING i <br /> i <br /> pCCIIPANCY Iq 0�SIquFS OCCUPANT LO�D B uENT MECNu7GLL � <br /> GROUP � <br /> OYES ❑ NO j • <br /> FIRESPWNIQfNfiEO'U REASON ADDIIIONALM�NGHECN � _ <br /> � <br /> O1HER i <br /> FlNEHMMNEO'D pEA, �� <br /> STAIE tlU4��N6 SIIRCHAfiCE U <br /> _' � <br /> � <br /> TYPE OF f,ONST PLANS MPHQW�p BY ��TY OF EVERE7T MIBLIf.WOpNS �_y� <br /> VM LOCALSALES , / � � <br /> w,TE I D( �(o TAX CODE IS 3105 TOTAL <br />