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APPLICATA FOR CONSTRUCTPN PEP MIT <br />CITY OF EVERETT • BUILDING ENVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL? PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 1 O2- $F l�r 1 � (E. re j �( 3(e <br />�E+Lnl L RSSOL. <br />OYM[R uul•WII PESS — dfY llr rv(WE _— <br />C�JtG�l�i`i - <br />iENAVI l wR 4Ip1F55 dtY Pr vNONE <br />-M.TECT ON DEVOID. Mtn ACIDNESS CITY ➢r pl"v <br />GFNEnAA G lAAad! NMI ADDRESS CITY II^ rlgyF 541E VC[NSF • <br />l�S..lAL CNTAACTMA MAIL ADDI SS OTY - - ll� PIbNF %tAlE LICENSE• <br />—I )IM115 AVAAIhnI�Ca 4o12 YMF, 7it7 s(,0.407. ObJo OfWESte Ozjo <br />PIFf4BMGCON1RAfld1 MMI ALOgE55 CITY ZIP PNDIIE "AIT1 1.11. <br />CGNIRACT PM10E t{'NDNx <br />_ $r Zqo,) l <br />- <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESCRIBE WJgR AND SGIIAPE FOOTAGE NIXITO <br />CONTACT PERSON AM PNONF NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK Wit L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR YMICH <br />APPLICATION 13 MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW I8.27 RCW AND 296.200 WAC. <br />T•TgvpsfOuSe a eun DIND <br />LEGAL aEscnlPnoNa PnonEnn lNNOwN BEIow GR AnALN I00tORE51 <br />LOT BtGcxGE <br />PARCEL TAX ID MMBEB <br />CONSTRUCTION LOANIENDFR, ADIDAWSS DAIDWNE NWBFR <br />AlunE -'-Tt <br />CIT Y BUSINESS LCENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />ANC—A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK & DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL $ <br />PERMIT t <br />PERMIT $ <br />TOTAL FEE t <br />TOTAL FEE t <br />FOR OFFICE USE ONLY: <br />fgONi SEipAF.R <br />REAR SM1BACR <br />SIOF SE1BRCx <br />M CIIqiD £LR MYMq <br />Ong <br />FEF <br />pFCFIPI NO <br />LET)OBF <br />tA, AFA <br />YACANl SHE <br />DYES 0 NO <br />FEES <br />VALUATION <br />FEE <br />BULOrIG <br />IIEEND" I DMITAMN <br />NO a 1TYELUM <br />SIZE OC ELEGIAC <br />pluuplND <br />OCCVPANLv <br />PNWP <br />NO M 511w15 <br />_ <br />O:CDPANI WIV <br />BASFufNI <br />OYES Cl NO <br />uFCNANY.AI <br />- <br />ABOIONAI. IYANOIECR <br />-- <br />nWSPAZiAUAREO'D <br />MASON <br />GIIIFP <br />FIREALAPMPEOD <br />ASp <br />BTAIE SII'IDNq SDAC0I <br />tmwcoN51 IA% <br />UyS ArNgYED er <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PIreIIr. IMAMS <br />TOTAL <br />- <br />