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A APPLICAT& FOR CONSTRUCOON PERMIT <br />CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257-8010 <br />❑ DEMOLMON ❑ COMBINATION *BULDING ❑❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 221 &�=A L s4vc Qt'rl <br />TENANT - —uu1 .Cp1F55 - CITr <br />ARCMTFCTGRGFSIWIEP ANN ApNPE55 n_ CITY llr rNONF Y <br />MMI ADI CIIY <br />MECNAMCAL CONTRACTOR VAR A.I 55 Clry llr nhYiF STATE LICENSE <br />PIIIFIMGCONIRAg1Cn MAP ADDRESS On P, FRONT SIATF IKFNSFF <br />cwf f PRKE aF NEER C� ae <br />hEATING SYSTEM: CJ GAS ❑ ELECTRIC ❑ <br />I1E$CpSf LYJPII ANGSWAPFEWIF NVDVEG <br />CONTACTnPSONAWPKONFNG <br />r�FyAK1(.�:1.5 YdS— ifC.-O'8•�' <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 WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTK.A OR THE <br />PERFORMANCE OF CONST IUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OLTHPROPA n TO P FORM THEWORN FOR WHICH <br />APPLICATIM ATO COMPLY WITH THE STATE <br />'RCW D2COMPYi7 <br />_ 2-/V <br />moPOMO NSL OF R M"Aw. <br />LEGAL DESCRIPTION W PRD'ERTY ISNOWN!FLOW M ATTACH TMO CONE51 <br />LOT eLou D <br />10 NIAlSFnOONTRACT <br />- I9- 00I - 009- I9- 001- 009COMERIICTIONIOANIFAOFR. <br />AOPIESS TELEPIFyhMNWN <br />CKI q UAll <br />CITY IAI9MSS lKFN51 NO <br />IPL No <br />MECHANICAL <br />Np, T <br />TYPE OF FIXTURE OR STEM <br />FEE <br />NO. <br />_ TYPE OF EOUIMENF <br />FEE <br />WATER CLOSET (TOILET) <br />AC—A/INDLG UNITS <br />BATHTUB <br />FORCE') AIR SYSTEMS _ <br />UVATORY (WASH BASIN) <br />I <br />HEAT F '!IP <br />SHOWER <br />UNIT HEA'. ERSS <br />KITCHEN SINK A DISP <br />CLOTI ES DRYERS <br />DISHWAA. TER <br />pRANGE <br />HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKNG FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />r_ RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL f <br />SUBTOTAL f <br />IF <br />PERMIT $1 <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />` FRONT SFTPACK <br />RF.R 5F1w. <br />LFIF ?f TI.CM <br />PLAN CAECA NVWFP <br />C Ile <br />FFF <br />PffFIP1 NO <br />'ISE IONF <br />IOf AREA <br />L..Nl WE <br />DYES ❑ NO <br />FEES <br />VALUATHME <br />FEE <br />E -r— <br />Pu1DNf. <br />HEIGNI IIMII.1*1 <br />NO OF (ANRLING <br />umlR <br />51IE OF ELOG'fl <br />rw:.MING <br />I <br />oculPANtY <br />GRWP <br />M1n.nna <br />Wn1PAN1Lmo <br />::AssMFNI <br />OYF$ ❑ NO <br />Nn:N.NCM <br />.ODIIN41 n.NCIIFCA <br />_ <br />FIRE SPPINKLER PEOO <br />nFASw <br />mnfn <br />TIRE Aunb PLC _ <br />Rf ASOl <br />S I.IF BIXLOING SUPE.APGE <br />nmur. vmnKs <br />_ <br />IYPF OF rwsT <br />PLARs.PP.OVFORY <br />oA1E <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE 15 3105 <br />'- <br />TOTAL <br />--- <br />