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APPLICATIC�`t FOR CONSTRUCT ^)N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: �ga� w(,( �(y� A\I EI�C"12�I-I— �S�L�� <br /> I-�ER MNLAWRE55 Cltt I�P' PIIONE <br /> -,zrvw,.1 ��� �rnA �4A�� �a����,� A�I _ �I�rz�t�� ��� �S�t- �{�l�o <br /> iENNIT AW��� GIIY 710 P110NE <br /> Ai1�WiEGTOi1DE51GNEH MNIA RE55 — Cltt 711` PIIONE <br /> \ <br /> GENERAI,I, I c�,a1Gi�`���5 �da-V ��aLLll`���_.1�� l \ P�I(��h I CI��`�E�`��! \d� <br /> L�{J��.1�1 <br /> MECNANICALCONTRA�:TW AWt�ODRE55 f.ltt IP PIIONE STATEUCENSE� <br /> ��W� ���_� I.vO <br /> PIUMBWGCONTRM:TOR 4/JLAOORE55 Cltt PIIONE STATELICENSE� <br /> caera�crraceovwon� � � HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br /> DE9CRISEWORkANOSOUMEFOOTAOEINVOWEO CONGCIPCf150NANDPHONENO �� /� ^Q�� <br /> !u %\ <br /> - �g�' �-��O <br /> I HEREOV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ' rnoroseou:�uv euiidra PqOVIS10NS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �cµoescr�rrar+aPnorentt�arowNet�oww�n�tMrwocories� NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO CIVE <br /> tor eioac oF AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS M�BE�AND I C PLY WITH THE STATE <br /> v�ncELi�xi.o.�e[a CONTHACTORS V�827 9 .200WAC. <br /> �V � <br /> CpISTt1UCTpN IOAN L'NDER.110qiE55.TELEPHd1E NUMBEP x ' <br /> 516NMURE D�TE <br /> C11Y PUSINE55 LICENSE NO <br /> PLUMBINO MECNANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. 7YPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—NHNDL6 UNfTS � <br /> BATHTUB ; FOFlCEDAIRSYSTEMS ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNIT HEATERS � <br /> KITCHEN SINK 8 DISP � CLOTHES ORYERS � <br /> DISHWASHER � RANGEHOOD � <br /> LAUNDRYTRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE(VJOOD BURN�NG) ' <br /> DRINKIN6 FOUNTAIN ; FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIHEPLACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> EXHAUSTFAN ' <br /> � <br /> � <br /> i ; <br /> i � <br /> , � <br /> � <br /> SUBTOTAL S ; SUBTOTAL S ; <br /> PERMIT S � PERMIT f <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> iRONTSETBACK RE�RSETBALK SIDESFTBACk PI�NCIIFf.ItMlMflfp fEF RFCEIPINO <br /> -f'�` 1033- <br /> use za+e tOT�REA V�CANf SR[ FEES ' VALUATION FEE <br /> ❑YES ❑ � OUIIDING 1 <br /> _ i <br /> NEICNTUMITATION NOOF0I�ELL�NG SILEOFBIOGRI � � <br /> UNIfS 1'111MItiNC � <br /> — ��� <br /> OCC�ANCY NO 0�SI(NtlFS OCCUPANf IO�D B�SEMENi MEf.11ANIC�I � <br /> � <br /> ❑YES ❑NO � <br /> FIRESPRINKLERREO'D �FASON ADD�IION�I I`IANCI1f.CN � <br /> �- <br /> ou�en <br /> FIPEAI.1HMflE0'D AEAC(N1 � <br /> ST�I E 011ll NNG SIIOCII�IIGE <br /> __ �_ �"_ <br /> TYPEOFf.CNST PIAN$�PPf10VED6Y CITYOFEVERETT runur.wnnres � <br /> LOCAL SALES ----- — — —�'—' <br /> o�iE TAX CODE IS 3105 TOTAL � <br />