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APPLICATION FOR CONSTRUCT& PERMIT <br />CRY OF EVERETT E BUILDING DIVISION <br />/ 3200 CEDAR STREET E EVERM,, WA 98201 • (425) 251-8810 <br />❑ DEMOLITION eNMENIATION ❑ BUILDING ❑ MECHANICAL ❑ PLIMAONKi ❑ sm <br />PROJECT ADDRESS: Ist`O 3 Flem* ft3 5-t . <br />aL.cr 4'/e �WIl A0d1E S 6rcM "Zo4 3 -3332 <br />OMrtR 2P EL10I4 <br />IENANI NMLADow" 01V NIP wUME <br />AIICHRCT OR IK!yWER NAx ADDRESS CITY Im PNONF <br />T,sT Q +E r "a se Lvrsr grog++ 48QPI :1dyfum-Air <br />CENTRAL CONTRACtm MAIL AOOIIF]E Clrr )m hgNF IwR LICENSEA <br />ME.CMANILALCONTRACTOR MWAOpESS flT` ZIP PNONE STATE LICENSEA <br />PIIRRNGCd1FUfTm MAR AWIIEss CITY VP P F STATE MAW <br />CONrRACT PRK:Eawaw <br />-tyc4roift <br />HEATING SYSTEM: GAS ❑ELECTRIC Cl <br />Di W AND SQUARE FMIAOE NN%XWb <br />L'CNTACT KRSCN ALO n NO <br />&- 3179 <br />1 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 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 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION, THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />ODNTiUCTOR3 W 27 RLW AND M.200 WAD, <br />�� <br />INKwosFo IISE a elRLowa <br />LfoIE OTBcwPnwly wlOAERTY (wIOwTI BELOW OR MACH Iwo C S) <br />LOTxLOCx Cs <br />9 <br />ww,a IAR I,4 ARIMBER <br />Doc <br />NL <br />uVIJO <br />CdiISqTIA1l�Fwl]N ACM F�NQCER,.bIEM/ ES5.fEwM�i�V <br />ypNA OAIF <br />ph K1rAE55lM;ENs[ W <br />— — <br />PLUMBING <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />T1TE OF SQUIPMerr <br />FEE <br />WATER CLOSET (TOILET) <br />AAC—AROKKA UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYEAS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />W000 STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DR'NKING FOUNTAIN <br />FIREPLACE INSERT WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIING <br />EXHAUST FAN <br />SUB TOTAL $ <br />SUB TOTAL f <br />PERMIT $ <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY! <br />I RANT SFTRACR <br />/0 <br />WARSFTSACK <br />20 <br />SADE rSKlt <br />77 <br />PL.WCIIECRNUMER <br />F!F •...0 <br />w"N'T NC <br />USE IONE, <br />101 AREA <br />v T91T <br />YES D NO <br />FEES <br />VALUATION <br />FEE <br />BMIrMw: <br />NEICHT IIMI1110N <br />/ <br />No OF DWELLING <br />UNITS <br />we Of K0041 <br />" S <br />Pr <br />—� <br />RuNIIN.7 <br />CCCUTANCY AOOISIPAVYS <br />GAIN <br />a . 2 <br />'E <br />IX.CUPANI LOAD IIASF11ENl <br />OYFR NO <br />MFCHANK.AI <br />IIRC PPINMERREOD <br />RFASW <br />ADdIpT1lJ. P.W CNCCR <br />OTKR <br />RRL AV RM REOD <br />RFASOV <br />$IAIE 5 BAN, EINICHARGF <br />— <br />tvPE Of 104s1 <br />PLANS APPIAMFO BY <br />CRY OF EVERETT <br />nlRl lc WDPNC <br />I <br />LOCAL SALES <br />-- <br />DATE tl <br />TAX CODE IS 310E <br />TOTAL <br />