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-� -- <br /> APPLICATIO.. FOR CONSTRUCTI.�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING J� MECHANICAL ❑ pLUMBING ❑ SIGN <br /> PROJECT ADDRESS: I�(o �C /'�L, �Q�,a.-� � - ���� <br /> �„��•.(,� �afs�� �cd ��.�:� � s�,�.�..�/ 9.�s'ac3 �3�- 0� �-a <br /> OMMER MIIILA00{IE55 CIiY IIP p110NE <br /> 7EN/�NT MAIL�DDPE55 CIIY lIP PIIONE <br /> �RCMIiECTORDES�GNER MuIMDRE55 Gltt III` P110NE <br /> GENEMICONTR�LTpq MAILAODRE55 CIIY JiP PI1pN@ SfAfEUCENSE� <br /> � S --// <br /> MECHANIF0.CONTR��TOR M�IIADDqE55 (:Itt 7m PIIONE STATEUCENSE� <br /> PIUMBINGCONTRACTOp M�ILAOOPE55 LIfY lIP PNONE STATEUCENSE� <br /> CONTMCT PpICE OF WORK � <br /> �'�v O ' HEATING SVSTEM: JF(1 GAS ❑ ELECTRIC ❑ <br /> OE$CRIBEWORI(ANUSOUAREFppTAGE1NVOlVEO ^ LONf�CTPy�p NANDPHONENO <br /> � � h e TS�d� i'�,� 4w /�e �5 �v- '77�,�'-8'TI,�" <br /> I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rnoroseo use oc auiton+o 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 OF <br /> LE6IILOESCPoPTIONOFPROPERTY(SNOWNBELOWOi1ATT�CNTWOCOPIES� NOT. THE GRANTING OF A PEFMIT pOES NOT PRESUME TO GIVE <br /> �ot e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATINO CONSTRUCTION OR THE <br /> PERFURMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCELTA%I.O.NUMBER CONTRA TORS LAW 1827 CW AND 2g6200 WAC. <br /> CON5T11UCTION LOIW LENDER,�0011E55.TEtEP110NE NUMBEP x (�� y_ (, —� ✓9 / <br /> S�CN URE U�TE <br /> CITV pUSINE55 UCENSE Np <br /> PLUMBIN6 MECI{ANICAL <br /> NO. TYPE OF FlI(TURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNOLG UNITS � <br /> BATHTUB � FORCED AIR SYSTEMS ' <br /> i <br /> UVATORY(WASH BASIN) � NEAT PUMP � <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 8 DISP ; CLO7HES DRYERS � <br /> DISHWASHER � RANGE HOOD i <br /> UUNDRY TRAY ; WATER HEATEq � <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL � MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRINNING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � G�5 FIREPLACE � <br /> BACKFLOW PREVENTERS ; GASRANG� ' <br /> � <br /> SINK(SERVICE—BAR.ETC.) � GAS PIPING � <br /> EXHAUSTFAN � <br /> � ; <br /> � � <br /> i � <br /> SUB TOTAL S ; SUB TOTAL f ; <br /> PERMIT S � PEFMIT f i <br /> TOTALFEE S � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SET6ACK RE�R SETBACK SIDE SETB�CN PIAN CII[CN NUTAOff1 iEF AECEIPT NO <br /> use zw+E IOiAREA veC�r+t Sirc FEES VALUATION FEE <br /> Ores ❑ No ouiiniNr, � <br /> � <br /> NEIGHiIIMITATION NOOFOWEILING SIZEOFBLOGRI � <br /> UNIf$ PlI1M01N6 i <br /> — T— <br /> OCCVPANCY NO(%SIM,ES OCCUP�NI LO�D BASEMENT MECIInNlf.el � <br /> GRWP <br /> ❑YES ❑ ND — <br /> �DDIIIONq PI AN CHf.LN <br /> FIRESPPINKIERREO'D RE�SON i <br /> i <br /> 0111En � <br /> FIRf/�LARMPEO'D RE�CON . � <br /> SfAIE IIUIlIllN6511f1U1npf.E <br /> i <br /> T"PE OF f,ONST PLM1NSl�P�POVED OY ' <br /> CITY OF EVERETT runiir,wOnKs <br /> IOCAI SALES -- — --'— <br /> oerE TAX CODE IS 3105 rornL ; <br />