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,*rrMM:CITY Of GVErMTT LLDG DrT TO: 20G 205 WSO JtJLl^, 190G 91224RM g000 f.01 <br />APPLICATION FOR CONSTRUCTIOrd PERMIT411 <br />CITY OF EVERF.TT I, BUILDING 0IVISI0N 3200 CEDAR STREET • EVERETT, WA 98201 •25B•BB10 <br />:J DEMOLITION 0 COMBINATION C7 BUILDING n MECHANICAL ❑ PLUMBING ❑ $11, <br />PROJECT ADDRESS;At ElE,Z=�- MALL Wk/ <br />VWnkm 4MLAUMnkktl CITY Ifn PACK <br />-[QA CARi RD, EDMOalIdlS.. 78o2o <br />TENANT WILADDRESS GIY 11P PH/11i <br />SAP 7o115 'A07 88a6n <br />M7CHITLCT On DEWNEn MAIL ADDIM CITY III' PHONE <br />Ti+ <br />....i",... _— nroNe 31WI!LICEMPl0 -._... <br />.5€AzccF ZB�-(oga g�Kc�c�7raG <br />PIICNC RTATC LICENSE F <br />NIiNG CONTRACTOR MARADDRESS CITY TIC PHONE STATE LICENK0 <br />Alan DO <br />-cowmADr mCc or wnrlH <br />HEATING SYSTEM: O GAS D ELECTRIC ❑ (% D I=-�, iEpUAREF i/vc lI.2F'A/!L! - %/NY f.ON11-CI r(IIsp1ANb PH" NO. /14 <br />r D4 M EX l5T//Oder <br />,�i. 8c�(caD(a!G - _ <br />- <br />I HEREBY CERTIFY THAT I HAVE READ, AND EXAMINED T141: <br />APPLICATION AND KNOW T`1E SAME TO BE TRUE AND CORRECT Al, <br />PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPO EI <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN CII <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 010 <br />AUTItORITY TO VIOLATC On OAIICEL TIIE PROVISION OP A^I' <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TI II <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY It II <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FDA WHK L <br />APPLICATION IS MADE AND I COMPLY WITH THE STAI'I <br />CONTRACTORS LAW 18.27 RCW ND 288.200.WAC. <br />''n <br />X L'.--I "cT, Yf�l TAT/ 6k <br />PROPOSED USE OF µtlL0140 <br />_ <br />IAGµ DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COFIES) <br />LOT _ eLwA __ L'P <br />S <br />• <br />PARCELTAMLO. NUMBER <br />•JJnSTnUCT10,1 LOMI LENmn. ADDIICDF. TCLCnI pNC NUIRKn <br />SIONATURC DI1TE <br />-• <br />clry nl,wH:oa AICLfl]I: no. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />-TYPE OP EQUIPMENT <br />-- <br />FEE <br />WATERCLOSET(TOILEI) <br />FORCED AIR SYSTEMS <br />BATHTUB - ----- <br />-- <br />LAVATORY (WARM BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />' <br />UNIT HFATCRS <br />KITCHEN SINK d D.SP <br />.... <br />CLOTHES DRYFAS <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER_._.,....._. <br />wLxAl oTt'IV� <br />i <br />OLUI HC`v WAbRlhM <br />I <br />URINAL <br />—�" <br />^..... <br />METAL FIREPLACE (WOOD BURNIN3 <br />_. <br />DRINKING FOUNTAIN <br />{ <br />FIREPLACE INSEnf (WOOD SURNINC) <br />FLOOR DRAIN <br />_ <br />OAS FIREPLACE <br />_-' <br />BACKFLOW PREVENTERS <br />_ <br />GAS RANGE <br />SINK (SERVICE -BAR. ETC I <br />I <br />_GAS PIPING <br />EXHAUST FAN <br />• <br />1 <br />1 <br />, <br />TOTALlr•II <br />PEPWYT i <br />SUB TOTAI. S <br />PERMIT 5 <br />I <br />TOTAL FEE t <br />'- <br />TOTAL FEE 8 <br />FOR OFFICE USE ONLY: �r <br />