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Ap�i.If�.�L3'10 � F'C1R CONSTRUCT: )N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-88'10 <br /> �DE►AOLITION ❑ COM/$, ATION ❑ BUILDING ❑ MECHNNICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS:_ n I a ��-�C/��'�� _ <br /> ' ' i - ^ iJ HtJ N � , c I .1�`� N�PL l.�'��mr�nr� 9Ro_SZ ( Za6) �(o� 7��' y . <br /> ER MARADOiiE55 GITY ZIP PIIONE <br /> IENANT MAIIA�DFlESS CIIY ZIP ���ONE <br /> MCNRECTOROESIGNER MAllA00RE55 GIIY 21P PNONE GauGCJ��pp�� <br /> G R�LCONTR�CiO(1� ��M�`���5 �' /�� ���• z1� ���/N� SfATEIICENSe• <br /> 6-1.-� ,c .� <br /> MECH�NIGLCONTRACTOR MAILADDRE55 Lltt 2�P P110NE rn � C,������SE� ^ .7� �� <br /> y -iL <br /> PLUTABINGCONTRACTOR 61AILAODRE55 CIfY 21P PHONE ST �E�ICENSE� <br /> ���•� _ <br /> CONTR�CT PfiICF,OF WORK HEA7ING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> OFSCRIOE WORK ANO SOUARE fOOTAGE INVOIVED CONUCT P[fi50NAND PNONE NO <br /> ��P�Md�����, <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USEOF BUIl01NG PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHE�� SPECIFIED HEREIN OR <br /> LECAlDESCRIPTIONOFPROPERTY�SHOWNOELOWORATTACHiWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or eiocK oF_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OH LOCAL LAW REGULATING CGNSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> - OWNER OF THIS PROPERTY TO P�RFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> P EL TA%I.D.NUMBER CONTRACTORS LAW 1827 E1C�W AND 296200 WAC. <br /> / <br /> )� 9'.� 3 -"ODO —d � � � d7� � ,//' � c <br /> D NSTRUGTION L0�1 LENDER.ADDRESS.TELEPHONE NUTABER x���/(� �G/�I __G� ,� O �[�I y <br /> 5 NATl1PE OATE <br /> CITV BUSINESS UCENSE N0. <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG'JNITS � <br /> BATHTUB ' FORCED hiF SYSTEMS � � <br /> LAVATORY(WASH BASIN) � H'cAT PUMP ' <br /> SHOWEP � UNITHEATERS <br /> � <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS ' <br /> DISHWASHER � RANGE HOOD <br /> � <br /> IAUNDRY TPAY ' WATER HFATER � <br /> CLOTHES WASHER � WOODSTOVE ' <br /> URINAL ' MEfAL FIR[PLACE(WOOD BURNING) �' � <br /> DRINKING FOUNTAIN i FIREPI?.CE INSERT(WOOD BURNING) � <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTEfiS ; GAS RANGE � <br /> SINK(SERVICE—BAR.ETC.) � GAS PIPING ' <br /> � EXHAUSTFAN <br /> � � <br /> i � - <br /> � <br /> � <br /> � <br /> i � <br /> � <br /> � <br /> SUB TC�TAL $ ' SUB TOTAL S � <br /> PEP,l.SIT 5 � PERMIT b � <br /> TOTAIFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETOACN AEARSETBALK SIDESETBACN PLAHCSS�J��� FEF RECE�M�/fOI� <br /> � (%Q <br /> FEES VALUATION FEE <br /> IlSE ZONE �OT AREA ��CANT SITE � <br /> ❑YES 0 ��O pWLO�NG � <br /> —. i <br /> HE�GNT UMITATION NO.OF DWEILING 5�2E OF OIOGRI � <br /> UNI�S PLIIMOING � <br /> T- <br /> I <br /> OCLUPANCY NO Oi510WE5 OCLUPANTLO�� L•ASEMENT ME���pry��p� i <br /> GROUP — � <br /> ❑vE5 ❑NO � <br /> AODI IIONRI.PUN G��LCN � <br /> FIRESP(11NHLENPEO'D REASON �� <br /> OfllEfl <br /> FlBENARMHEO'D �EASON ' <br /> SNIE OOIl01Nf.5URGnnOFE � <br /> _' T— <br /> i <br /> i <br /> TYPEOFf,ONST PLANSAPPfiOVE00Y CITYOFEVEftETT �'umir,wonKs ___ _i_ <br /> LOCALSALES —— � <br /> �aTE TAX CODE IS 3105 TOTnL '—'-- _—_--- -- ' _ <br />