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, <br /> APPLICATIf�I FOR CONSTRUCT'9N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAH STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITiON COMBINATI Q BUILDING ❑ MECHANIC �L ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: ' (LlsS�/L' c� J�ZT L I� <br /> T '" <br /> � ��v�svE�zK . � zrs STizVinmF i2,/ � 9�V2 z� �sB-ois9 <br /> OMMER MNL�OOPE55 Lltt ZIP PNONE <br /> TEWWT MN1�0011E55 f.ITY TIG PIIONE <br /> ARCMTECT OII DESIGNER M/Jl AODqE55 LIIY IIP PHONE <br /> 5'�even ,%v/,n ��1Nl�5'�/�/Z/c SAm�= �95�_ .t7.6orJE _ <br /> 6ENEIULCONTR�LTOi1 YMIADORESS QtY IIP PHONE SGTEIICENSE� <br /> MECH�NICAI CONTMCTOR WW AODRESS Cltt ZIP PHONE ST�TE ULENSE� <br /> PLUMBkJOCONiR/�CTOii WILA0011E54 Cltt IIP PIIONE $TATEUCENSE� <br /> CON7MCT PRICE OF NpPI( <br /> HEATIKG SYSTEM: ,�GAS ❑ ELECTRIC ❑ <br /> OE6CRIBENVqK�NOSOIMREFOOtAOEWVp,VED / � ^ ', CONTACTVERSONANOP110NE O/�� <br /> � d�✓ <br /> t�A � ' O/- la4¢ <br /> I NEREBY CERTIFY TNAT I HAVE READ AND E%AMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CI��RRECT ALL <br /> °�0���°F�N0 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �oescawrqHacPnorEmv�sNowNee�aw n�cn�woc esl NOL THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � aT�_�pp� pp AUTHORITY T6 VIOIATE OR CANCEL THE PROVISION OF ANY � <br /> OTHER STATE OR LOCAL LAW RE6ULATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> ' OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS Ml�E AND I COMPIY WITH THE STATE � <br /> �y T��p CONTRA ORS LAW 8. 7 FjC AND 296.200 WAC. <br /> �-a�d a. n �/ �Q^� <br /> ' CONSlIN1ClION LOAN lENOEP.�ODRESS.TELER1dlE R x ��".. �`1N /Y / / <br /> �� SIGyAT DAIE <br /> C'tY BUSINE55l�CENSE NO <br /> � pLUMSINp MECHANICAL <br /> N0. TtlPE OF FlXTURE OR ITEM FEE NO. TYPE OF EGUIPMENT FEE <br /> ; WATER CIOSET(TOILET) � NC–NHNDLa UNITS ' � <br /> - �. BATHTUB ; / FORCED AIR SYSTEMS ; <br /> � � UVATORV(WASH BASIN) � HEAT PUMP —?— <br /> . $FqWEp � UNITHEATERS ' <br /> . KRCHEN SINK 8 D!SP � / CLOTHES ORYERS � <br /> DISHWASHER � / RANGE HOOD � � <br /> - LAUNDRY TRAY ; 1 WATER HFATER ; <br /> CLOTHES WASHeR � WOOD STOVE —� <br /> URINAL � MEfAL FIREPLACE QAIOOD BURNING) ' <br /> DRINKIN6 FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DqA1N � / GAS FIREPLACE ' <br /> � BACKROW PREVENTERS ; GAS RANGE � <br /> SINK(SERVICE–BAR, ETC.) � GAS PIPING � <br /> � IXHAUST FAN ' ' <br /> � <br /> i � <br /> , � <br /> , i <br /> SU8 TOTAL S ; SUB TOTAL S ; <br /> PERMIT S � PERMIT f � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: ,�S,S�y� � <br /> ipONTSEi6MX , PEMS�K SIDESETBAC� J �lANC1��NUMPF� fEF_ _J�, n/7 �Ef.EIP1N0 <br /> � � 00 <br /> [/✓ J <br /> useza+e LOTAPE v�ceNrsnc EES YALUATION FEE <br /> ,�J �/ ���D ❑YES �J NO BIIIIf11NG � <br /> /!D 3Y(o r' I G,') <br /> � 11E1611f LIMITATION / NO OF OWELUNG SIZE OL&bG/I I ---'— — �–"" S '� <br /> � UN175 '39 '�ZZ �r. PLUMPWG --'-_-- "_ — . <br /> ��NCY Iq Of SIMES OCCUP�NT LO�D B�SEMENT MECN�NIf.M �'� � C�'1 <br /> R.3 V.� 2 ❑res �+o ---- -----—- -- , � <br /> AODIIION�L PL�N CHF GN i �� <br /> FIRE SPRINI4c'fl flE0'D REASON /' � _ <br /> __ _ <br /> O1HER <br /> FIflEAWiMHEO'D RE�SdJ <br /> STATE BUILDINf.5UNC11�I1GE �SO <br /> 1 <br /> _ '"_"_ " i._ <br /> TYPEOFf,pNST MANSMPROVEDBY CITYOFEVERETT ��IIfl11f.WOfIRS �� <br /> � LOCAL SALES — � <br /> DATE ZZ TAX CODE IS 3105 TOTAL �8�n � SS <br />