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APPLICATiCA FOR CONSTRUCTIN PERMIT <br />CITY OF EVERETT X BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 P (425) 257-8810 <br />G DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: !JE26—1 MAL_L �ficFt -7_ti6 1HOZ 5. EJceFn-to �Jkte ^ <br />DINNER YNACCAESS Otf IM PHONE <br />TENANT Uq ADDRESS CITY I. PNgNE <br />ARCMTCCT OR DESIGNER MAX ADDRESS CITY ZIP NgHf <br />GFNEYIAL CONTRACTOR MAIN ADDRESS 01Y pi, NgNE S41E VCFNSF F <br />YECHANICALCMDRACLW N.A. ADDRESS ON IY' pNONf STAfi LICENSE <br />rim,SZyff Z311 Iti3�A ESE 4-ioION s 1 'We`70 Egztjg 194s- RMfiRISLCIR'7nIC_ <br />PI UUI OMNRACTOR NAR ADDRESS OF, ZIP ANOINT STATE 110ENSf• <br />CONTRACT PEI CE Or YORX <br />'" <br />HEATING SYSTEM: D GAS DIELECTRIC p <br />DESCRIBE WJRX AND SWARE FOOIAGE NVOFYEO <br />r- Z IST. <br />CODICT PEASONAND PHONE ND I <br />^�1M rJ-}rI,.1RlL� <br />Aim 3 niF a <br />4z5 3 S ylo 15 <br />I HEREBY CERTIFY THAT 1 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 WILL 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCWA 96200 WAC. <br />- <br />PROPOSED LIVE OF BUMONG <br />�XACE <br />LEGAL DESCRIPTION of PROPERTY ISHDAN KLOW OR A"ALN Two CORES) <br />LOT BLOCK Or <br />PARCEL IAXI ru Fn �f <br />os 70 00 <br />cO15TIR11CrKIN[DUN IFrM1rIR. ADIH'FSB Tnfr HDNE NUNBrn <br />S,GN AP DAIE <br />CITY SU4KSS LICENSE ND <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AID —AMNDLG UNITS _ <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />CLOTIIES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />N TAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />'LACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOYI PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />T <br />SUBTOTAL S <br />SLID TOTAL <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />Fr10NT 4TRACK <br />MAP SFIBACX <br />LDESEIBACX <br />rlANC11 CX NUMRrR <br />rFF <br />RECEIPT NO <br />asp 5 <br />USE IMF <br />IOIAKA <br />Y4Aw VIE <br />FEES <br />VALUATION <br />FEE <br />E <br />RIXROM• <br />OYFS D NU <br />WONT HNAAUON <br />N060WElDW <br />SIIf OFBLDG'II <br />UNITS <br />PLUMA n <br />Rwr <br />XO OI L1.1A <br />7— <br />OCCUPANT)DAD <br />BABF4fN1 <br />NFCNANICAT <br />OYFB G NO <br />ApOIIONN IYANCM[CK <br />i <br />FINE SPPWXLER PE00 <br />nFASLN <br />OTNER <br />FNEAIAANKO'O <br />K.Sm <br />STAIE fiDUARn 9AYNAnnE <br />,WE Or rover <br />RANSAnrRwFn Br <br />ZITY OF EVERETT <br />EIRI:wonXS <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />DATE <br />