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APPLICAT�'`�N F01; CONSTRUC�ION PERMIT <br /> CITY OF EVERETT• BUILDING C!VISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING [�MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRFSS: /p06 �!,-en-P�-f M!+ 11 �Av <br /> �c�LL 1 e 2S =''a1i.. !a0/ U N roy/ S�_ � s_�.�a�ffiFP l.(�A� 9 fr/�1- ZO(a -6 Ly-FS2� <br /> OWNER M�IIADDRE55 Cltt JE — (julc�,lr�'q � P iOr�E <br /> L�tt� f1�lnunSt�-Y /O�J-D f"i}P�r.e'f��- Mal( ��flYT �/(/�21'�C'fT �� <br /> IENNIT AINIADDRC55 ]IIY TIP PIIONc <br /> �RGIIRCGTOti�E51GNER MMlA0DRE55 Cltt PP PIIONF <br /> GENEMI LOt11MCTIIX1 MAILApppESS CIIY lm PUONE $IAIE IICENSE� <br /> M/�eb..��a(A-M i�I�e� ��o� ne+rzo rf sw S,Q-� w� SQio� do6- ��8 -.� 9G� A�A�avIS- <br /> MECIIANICnLGONtReL70R uAILADDRE55 f.lTv ZiP P110NE STATEUCENSE��y�MN <br /> P�UTABINGCON�NACTOR MAILA�ORESS CIfV ZIP PIIO��E SiATEUCENSE� <br /> p ���' .o-0 <br /> COM 1AC7 PRICE OF WOOX <br /> HEATING SYSTEM: 0 GAS ❑ ELECTRIC ❑ <br /> DcSCeIBEN'ORK�NOSOUeREF00TAGEWVOIVED CONT�CTP[RSONANDPN NEN <br /> F r�il . �a��.�a ��ir./po%s 76R'-,�'l�_ <br /> ada vs'�' �� os� P,PE .� '�/ex_ <br /> �� I HERE�Y CERTIFY 'fHAT I HAVE REAU AND E%AMINED THIS <br /> PROF'O:EU USE OF BUILDING APPUCATION AMD KNOW TNE SAME TO DE TRUE AND(:ORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> U WORK WILL BE COMPLIED WITH WHETIIER SPECIFIED HEHEIN OFi <br /> LEGA�DESCRIP(IONOf norentt�sii NBELOWOR/.TlAG11TWOGOPIES� NOT. 7HE GRANTING OF A P[RMI7 DOES �:OT PRESUME TO GIVE <br /> �or BIOCN oF AUTHOFITY TO VIOLATE OFl CANCEL THE PROVISION �OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E AND 1 COMPLY WITH THE STATE <br /> PMCEL TAIf ID.NUAIOER CONTFACTORS lAW 18.27 RGW AND 296.2001YAC. <br /> CONSTflUCT10N LONI tEN�ER,�DONE55.IElEP110NE NUMOER ��µ„y �/(�E� /��—��f <br /> � SIGN�iIIRE O�TE <br /> oasag� <br /> CITY OUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI7(TURE OR ITEM FEE NO, iYPE OF EOUIPMENT FEE <br /> �— <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS ' <br /> • BATNTUB ; FORCED AIR SYSTEMS ; <br /> � LAVATORY(WASH 2ASIN) � HEAT PUMP � <br /> � SHOWER � UNITHEATERS � <br /> � KITCHEN SINK 8 DISP � CLOTHES DRYERS i <br /> �— <br /> DISHWASHER � RANGEfi00D � <br /> IAUNDRY TRAY � WATER HEAT[R � <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ' MEfAL FIREPIACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREfLACE INSEqT(WOOD DURNING) i <br /> FI.00R ORAIN GAS FIH[PLACE � <br /> BACKFLOW PREVENTERS � GAS RANGE i <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> EXIIAUST FAN <br /> � <br /> i � <br /> � � <br /> � � � <br /> — � —�— <br /> SUB TOTAL S � SUB TDTAL S � <br /> PERMIT 5 i PERMIT E / <br /> — �_— <br /> TOTALFEE S � TOTALFEE E ' <br /> FOR OFFICE USE ONLY: <br /> FIIONT SETOACK P[M SETOACN SIOE SETB�CN PIAN LIIFCN NpNfIEO �EF 0[f.EIPt NO <br /> C 7� <br /> USEIONE iotenEn WCANISIIE FEE's VALUATION FEE <br /> ❑ves u r+o nunnw„ I <br /> � <br /> IIEIGIITLIMIiR10N NO.OfUWEIUNG SIZEOFOIDG/iI — <br /> UNII$ PlIlM01NG i <br /> T— <br /> OCC��pAHCY Iq Oi SIOBiFS OCCPPANf LO�D B�SEAIEN7 upp�q��iGl <br /> GIlOUP <br /> ❑YES O NO — � <br /> FIRESPOINKLEflREO'D �1EASON �DpIIIONeLPUNC��fGN � <br /> i <br /> nwen <br /> FIREAfARA1BE0'D RE�SpN <br /> STAIE OI1IID�NG SUfiCIIAfIGE <br /> rr��eorr.oNsr ainnserrnoveno•r CITYOFEVERETT ruenr.wnnks <br /> LOCAL SA.IES ---- —�-- <br /> ��,,�E TAX CODE IS 3105 70TAL <br />