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APPLICAT10.�1 �OR CONSTRUCT JI�1 PERIMIT <br /> CITY OF EVERETT•BUILDING DIVISION �CA���� <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8010 <br /> ❑ OEMOLITlON ❑ COh4BI�2hTION O DUILDING ❑ MECfiANICAL �PLUMBING ❑ SIGN <br /> PHOJECT ADDRESS: fL�'� �C�_�.� � Iyig,y-.------- _---- -.-- <br /> 7 � - <br /> OWNEP M�RADpRESS CIfY ]iP PI�ONC <br /> ✓In�/�. � a. .,P /Ocb S%���t�,llu�,,_�i��r�7f--- <br /> rEN� �ui�noness � f.I1Y �m r�ior+E <br /> � <br /> ARGMITCCTOR�ESIGNER MA�l�00RE55 CIIY lli'� PIIONF <br /> GENF.MICONiRA�70R MAILADORE55 CIIY i�1' PuONE SIAIEIICENSE• <br /> MECHANICALCONTRAGTOR M�qAIXiRE55 CITY TII` PHONE STAIELICENSE• <br /> ��ra.., ec �K� � ���_ /8'oZ9 /i7T6s:sF 5not,�:H:.sk_ 4Ssz7� �(��-G�a7 �yZLi•,en7irtf� <br /> PIUMBINGCONTRA�TOR MAILAOORE55 d1Y IIP P110NE STA7EUCENSE• <br /> LONTMCT PRICE OF WUf1N <br /> IIEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑__ <br /> DESCRIBE WORN ANO SOUARE i00TAGE IHVOLVED Cpt1IM.f PlI150N ANU PHONE NO <br /> 5; �k i�r....�. ' ----- <br /> r — <br /> �/�� I I�IEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vaovoseo use or euuov+c pf+OVISIONS OF LAWS AN�ORDINANCES GOVERNING TH�S TYPE OF . <br /> VJOFlIC 1VILL BE COMPLIED WITH WHETHER SPECIftED HEREIN OR <br /> LEC��DESCRIPTIONOFPROPERNISHOWNBELOWOR�TTACHIWOCOPIES� NOT�. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> �or a�ocrc oF AUTHOfiITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTP.UCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEHTY TO PERFORM THE WORlC FOfl WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCESTN(I.D.NUMBER CONTRACTORu lAW 1827 RCW AND 296200 WAC. <br /> LONSTRIICTION LONI LENOEA.AWPESS.iELEP110NE NIIMPEfi x_���/J//l.w.�.� <br /> SIGN�I IIIE � U�TE <br /> CI�Y OUSINE55�.':lNSf.NO <br /> PLUMBING MECkIANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> —�— <br /> � WATEH CLOSET(TOILET) � A/C—MHNDLG UNRS ' <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> LAVATOR'f(WASH BASIN) �— IiEAT FUMP � <br /> SHOWER �_ U1JIlH[ATERS <br /> KITCHEN SINK 6 DISP i CLOTIIES Of1YERS i <br /> DISHWASHER � RANGEHOOD <br /> LAUNDRY TRAY ; WATER FiElQER ; <br /> CLOTHES WASHER � WOOD STOV[ <br /> URINAL ' MEfAL fIR[PLACE(WOOD BURNING) ; <br /> DRINKING FOUNTAIN i FIR[PLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN GAS FIREPLHCE � <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> --r— <br /> SINK(SERVICE—BAR,ETC.) � �AS PIPING <br /> � FXHAUST FAN <br /> — — i <br /> i <br /> � --_' � <br /> i <br /> —i-- <br /> .`_ <br /> SUB TOTAL $ ; SUB TOTAL S <br /> PERMIT $ � PF.RMIT E � <br /> TOTALF[E S � TOTAIFEE E <br /> FOR OFFICE USE ONLY: <br /> FPONTSETBAGN REARSFTBACK SIDESETA�CN PIANGIIBCRNUAIOf❑ n fEf �fCfIPTNO <br /> __�f.f�"'� <br /> USEZONE ioteae� VACANISIIE FEFS VALUAT�ON FEE <br /> ❑ves ❑ No nunrnr�r. ' <br /> HEIGIIf LIMITATION NO Of IfWCIUNG 512E Of OlU(:/II --'"" � <br /> UNIfS 1911MIIIHG <br /> _____.___. _.____ —T <br /> OCCUPANCY NO Of SIOPoES OCCUPANi LOAD B�SEAIENT MFi'nnNiCAI � <br /> GROUP __ <br /> (]Yf5 ❑Nn — <br /> FIRESPRINKLERREO'0 �FASON AbI1111NlAI.PIANC�R.CM � <br /> �___ ���__ <br /> qlllffl <br /> FIREAIFRMREQ'D RE/50N --- <br /> SiNE OIIIIUINIi SIIIII;�I4pGE <br /> rrneo�r,or+sr rinNsnrvnovenov CITYOFEVERETT runurwrnus <br /> LOCAL SALES �--" — -- --�—" <br /> oaTE TAX CODE IS�105 TU�f11L _ _ _ � <br /> _�_ <br />