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APPLICATA FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8870 E,..� <br />El DEMOLITION ❑ COMBINATION �ILDING MECHANICAL qp PLUMBING ❑ SIGN <br />PROJECT ADDRESS: IN02 S• fiYce£Tr�i'1 5 �YAJL�__\ <br />3WYK aS 010Lc& — <br />tENANI I N4. NOaf 55 CITY 'CA, plg t <br />AI CEOIn 10AF CIA <br />Mul AGRI <br />CnY <br />Ar <br />rixnF <br />SIAIE LICENSEE <br />�G/IE�N�Ey <br />YV•I " 2,IV <br />MECHANRAL CONtBACTOR <br />MAIL ADSS <br />OPT <br />d1Y <br />PHONE MIE <br />STATF tcENSEI <br />BID <br />— <br />M`UMRBMGCONTRACTOR <br />N.A. UAaf55,E, <br />UT�L ,1iE� (L <br />D <br />IIP <br />F"ONE <br />STATE l ICENSEE <br />IiAi4-.. •I:YYL.I/. AYI . <br />. I' LiX LINN <br />�IR <br />_I `� Cl <br />CONtnACF PINCE OF KOIM <br />HEATING SYSTEM; ❑GAS DIELECTRIC Cl <br />DESCRIBE INCIFf ANIISW 4iEf IAGE WVOIVEO <br />LON Li PF SONAN01' <br />f <br />3W • (0-6o ) <br />1 HEREBY CERTIFY THAT I HAVE READ AN' EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS - PIPE OF <br />WORK WILL BE CCMPLIED 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 TH'WORK FOR V'NICH <br />APPLICATION IS MADE AND I COMPLY WITH THE SPATE <br />ONTRACTORS L�W IB 27 RCW AND 29E 200 V1 C <br />�1ni 7bPI"ka".A- P a� <br />X N- <br />ITOFOSFDUSE OF IRAL <br />n <br />11-VI IAnI' I I W26 <br />LEGAL DESCRIPTION OF "RC)PEn"jsAoAN BELOWORATTACHRAOCONESI <br />LOT BLOCK a <br />PARCEL to I O wwBEn <br />coxsmLwnW LOANIENnE 1.n TE�� MICNE OWNER <br />u <br />SIGNAI�F <br />CITY BUSINESS LICENSE NO <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 />A/C — AFHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK d DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />I FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />I GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL $ <br />PEflMiI 5 <br />PERMIT 5 <br />TOTAL FEE f <br />TOTAL FEE 5 <br />.HI uev nut If. <br />fAMTSFIPACK <br />RFAII SFIBACK <br />YWSERIACK <br />PLAN CIIEC NIJI <br />FEE co <br />37 — <br />nFCFIPINO <br />USEZORF <br />LOT AREA <br />VACANT SITE <br />OYES ❑ hkPuldNf. <br />FEES <br />VALUATION <br />FEE <br />3 <br />HEIGHT IMUIION <br />NO Df DWELLING <br />UMIB <br />SIZE W Bl 1 <br />/ <br />MUAUNG <br />OCL'1LpANCY M]NSIInRs <br />CCCUMNI IDAO SASfMNI <br />OYES �15'D <br />UFCHANwAL <br />FIRE SPRINKLER BFO'0 <br />RFASON <br />AWIKPNALMAx CNFCK <br />i <br />O1N[R <br />FIRE ALARM RED'0 <br />7� <br />RFASOV <br />n7J�Sr/���� <br />sort Bwmwn suncnuc[ <br />_ <br />I Sa <br />TYPE OF 6p T <br />V—N <br />r[Arvs A6rplE�Dw[Der A <br />�[� <br />CITY OF EVERETT <br />LOCALSALES <br />nlBur. vTaRKs <br />_-�_ <br />p <br />DATE$ <br />TAX CODE IS 3105 <br />TOTAL <br />,Sd /DSO <br />