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_� � <br /> APPLICATI�.N FOR CONSTi�UC'� .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAH STREET• EVERETT,WA 98201 •259-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION $1 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT AaDRESS: rlf�i�i LIP;� ��If i� �� 1-1�'r� <br /> ON?!ER M�R�OdiE55 LIIY 71P P11pN[ <br /> �k'�o �finDil�i:v, �57�✓ �L�i���f �.�tr Dr. F� „�-t L��F �18'�>3 "355- I�� 1 <br /> IEN�N�— YI�ILM)ORE55 CIIY 71P {`IIONE <br /> I�IIN;�'ia �n't-Ir�r-htn �l�si��n <<,. ;�.I(1-°133� <br /> �RCMTECT OR OESIGNER M�II AODRE55 Lltt 71P PNONE <br /> AI�=�,�� Cn,^sl-ri��-1i;�-, �0 P�cnc (;'-1 17nrr�rv;}�.,-. �Ba�ll �.I�-`133r� ALL�_s� Did�2-�'� <br /> GENEf10.GONTR�CIOR M�ILADDf1E55 f.I1Y ili' PUONE SUtF11L[NSE• <br /> MECHIWICACONTR�CTOR MAiL�ODi1E55 GTY llP PIIONE STAtEUCENSE• <br /> PLUMBMCCONTRACTOR M�ILADORE55 CI1Y IIP PHONE STATEUCENSE• <br /> GONTRAGT VRICE OF VIORN <br /> HEATING SVSTEM: ❑GAS O ELECTRIC ❑ <br /> OESCPoBEWORI(�NDSOUAREFOpTKsEWVOlVEO CONT�CTPLRSONANDPHONE O <br /> r • ��r? �i l, , ,� 1 � <br /> �,� _ �1� 4 �• � Lc� - �i0 s< <br /> I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> `"�"" � APPLICATION ANp KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rnbroseo SE OF BUILpNO PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR � <br /> IEG�L0E5CWPt10NOFPROPER7Y�5lIOWNBELOWOR�T7/�CNTWOCORES) NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE <br /> ioi�e�acK a AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW RE6UUTINO CONSTRUCTION OR THE <br /> FI�PftlfPi�1'1 ��'C��' �1nL I�' R,� ( PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHRED BV THE <br /> OWNER OF THIS PROPERTY TO FERFORM THE WORK POR WHICH <br /> � (1(7'� t� U � APPUCATION IS MADE AND � COMPLY WITH THE STATE <br /> veace�tex i.o.M�n CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> n � <br /> LONS7RlICT10HlWNlENOER.MORESS.TEIEA�ONEMIMBER y ��///�/]—_'�/' �I��'+(V� r �(')!�' . <br /> 51 a�Nl1TUNE _—� DAIE <br /> C1TY BU9NE55 ULENS[NO <br /> PLUMBIN6 MECNANICAL <br /> NO. TVPE OF Fl%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) � NC—AMNDLO UNITS ' <br /> BATHTUB ; FORCED AIH SYSTEMS ; <br /> V,VATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS ' <br /> KITCHEN SINK 6 OISP � CLOTHES DRYERS � <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ; WATEfl HFATER ; <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ' MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKROW PREVENTERS ; GAS RANGE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> ' IXf IAUST FAN ' <br /> � <br /> � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL S ; <br /> PEFMIT S � PERMIT S <br /> TOTALFEE S � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: �, a S <br /> FRONTSEiBACK REARSF.78�CN SIOESEiB�CK �'UNUIECRNUMB(0 (EF L7 (ifCFlPINO <br /> Zo ' S ' S � 20 Z 7�� <br /> usez?� IOTAREA v�cer+rsrte FEES VALUATION FEE <br /> IL.- I ti �� ZbO % ❑ves �� ouuon+r. � <br /> S SS `— I Ov <br /> NEICIIf LIMI�TION NO OF OWELUNG SIIE OL BIOGRI -- ; <br /> ( / ' UNITS , � ` PLIIIAOING <br /> .] � _ �T— <br /> OCCUP�NCY NO O�SIqqES OGCUPAM IO�D BASEMENi MFC11nNICA� � <br /> GROUP �� ! <br /> ❑YES fdMO � <br /> FII7ESPRINKLERREO'D RP�SON aUD1IlONGLPIANG�fCN �—_ -- //7 i/�� <br /> __TM1ii <br /> _ _ ' <br /> anrtn ' <br /> � <br /> FIRENMMREO'0 RF��(N� � <br /> SIAI[OUROIN6 Sll�f.11�fiCE i�"� <br /> _' _�.3— <br /> 7YPEOFf,ON57 PtANSAPPOpVEOBY CITYOFEVERETT runi�r.vmnKs ____ <br /> LOCAI SALES � -� <br /> -� o�ra �D 6 TAX CODE IS 3105 TOTAI a� ��S" <br />