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APPLICATION FOR CONSTRUCTION <br />PERMIT <br />' <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 90201 1259.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING LI MECHANICAL <br />❑ PLUMBING x®cSIGN <br />PROJECTADDRESS: _210 S.N. Everett Mall Way <br />4hNE0 YAN AMw1E55 Gw )IP PNUxE <br />Cingular Wireless 210 S.W. Everett Mall Way, Everett, <br />IGIANE MAIL AD(ml ss nlr _-_......)'^ ...._.__ PIroME <br />AnCMgU1w1 OE51GN[D uuI ADDNESS GIT-�--/gip '— rIIwIF <br />Plumb Signs Inc. 5838 S. Adams Tacoma 98409 253 473 <br />3323 X10 PLUMBSI0770S <br />GFNEnAI CONIPAaw1 uuuDIXnSs (:nv---.._i�r ... _•_— PINKIE <br />5u1L 11cENSE. <br />MECUMICALCOUTAACTM uM AgN1F55 Clry )il' 1,1102 <br />STATE IICENSEI <br />MV481x6 CONmgIM uAlU1p116S Cn\--(n.---- PINKIE <br />STATE LCENSEI <br />CONTDACIrNCEOrwpn. <br />-------- <br />- <br />- �RGn nn <br />HEATING SYSTEM: (]GAS <br />r.InllAla ----1- rI1wIEIq <br />❑ELECTRIC ❑ <br />OMMOE M"K AUD SOOAnE,OOIAOEnrVIXVLO <br />Install single faced wall sign <br />reading "Cingular Wirelesa" <br />LOT BLOCK OE_ <br />PAIICEL To I D.M un - <br />CWSmUCTIGI IOAN LENDEn, AWESSS. UL E InIWE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN On <br />NOT. TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUrHoRirY TO VIOLATE On CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHON2ED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAG. <br />X __ <br />SIONAIULF DATE <br />nuslNEssllDrrlsc <br />NO. <br />TYPE OF FIXTURE On ITEM <br />FEE <br />.NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />_ <br />_^ <br />—MINDLG UNITS <br />r— <br />BATHTUB <br />_A/C <br />FORCEI I <br />FORCED AR SYSTEMS <br />LAVATORY (WASH BASIN) <br />___ <br />MAT PUMP <br />�— <br />SHOWER <br />____ <br />KITCHEN S!NK A DISP <br />_ <br />_UNITIIEATEnS <br />CLOT( TES DRYERS <br />;— <br />DISHWASHER <br />RANGE HGOO <br />LAUNDRY TRAY <br />WATEn HEATEn <br />CLOTHES WASHER <br />__ <br />%O'6( OVE <br />URINAL <br />METAL FIIICPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGESINK(SERVICE—BAR. <br />ETC.) <br />� <br />GASP IPING <br />�— <br />EXHAUST FAN <br />(_ <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT S <br />TOTAL FEE S <br />1 <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />POE SMACK I rim, <br />L. 1 <br />OYFS G NU <br />nIn111Y1n <br />UMRATION <br />NO RUWLlUNO SIZE Or OLD O/11 <br />UNIIF <br />--- <br />IMIIWIY,n <br />NCY <br />IOD'SU)"IS <br />OCCUPANT LUAU <br />BASEMENT <br />MF=uMCM <br />O 'ES DNO <br />CITY OF F.''VERETT <br />LOCAL SALES <br />TAX CO'3E 19 3105 <br />rrr IRECE1PT NO <br />ADw111111A1 HA111:11Tf.B <br />wori <br />SUIE nwuxnn.Wn1:11AUDE <br />PUTIM <br />TOTAL <br />