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SEP-23-99 THU 12:49 PM EVERETT PERMIT SERVICES <br />FAX NO. 425 257 8857 <br />P. 04 <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-881 O <br />Ig DEMOLITION X COMBINATION ) BUILDING ❑ MECHANICAL ' Q PLUMBING Q SIGN I <br />PROJECT ADDRESS: 3CS SEr�aTi MA(•L- WA4_ <br />O r.._. MGILAV 10nE 5 - ":I{Y im • ...I� rNpN( ) -1uJ� .- <br />Gr4.RLG IieNiAL 90O waewraE•.Tbwl90I.1,0_ 360-710--74?715- <br />TENANT MuI AD SS C.TY III. PHONE <br />�5`N�4+31IF1TS.�3bD MAlla 5[ f�LVAtic _-- b1 - i�%U-L.._ <br />ARCHITECT on DESIUNCn MAIL AnuNESS C.Tr 71r ,N Nc <br />vi. R_�-i9�+�D� IN��? 6�1�oTL+,IeSL�e NE K�wgyD.- 9(�034 �ZS- 82-1- 6 147 WRN <br />eCNMh CDNTMCT 1 MAIL ADonER3 C.TT ZIP - rllOvf e,wrl IL.v :e. <br />MCCIIANCAL COnwA<Tun MAIL nOonRSS Clio -' ZIP MIONr GGIE IICI NcE F <br />.IUM1MG CONInACTOIr MAIL AWn155 CITY ZIP rnONC 61niF (ICCNSI• <br />130. 500. r� r� <br />, owlce or A,owe -- <br />R- E-� 6e6TlNJ E.,AG rBu CgjL.1N i, t 4 n b <br />D(SCAI!!WORHAN), LI,INE E00TA0E MIVOLVe <br />CnN`JII2AIC.T I�Lt) A)oN SC-A21NyT r) ; <br />6141Stl11Nk PPS ATTA F <br />------------ <br />HEATING SYSTEM_ GAS ❑ELECTRIC ❑ <br />CONTA <br />K(J1iNt W R. (TwNop�—(f��_ <br />Z 6- BZI - <br />(gypacr <br />I,R�rD' - pEu USE olI-Oarolrwi1-L}"'u-1=f �- <br />PJ;n• sE P65f� Z f IN <br />- Q-WORK <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 />WII L BE COMPLIED WIT14 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 />PERFORMANCF Or CONSTRUCTION. THAT 1 AM AUTHORI2PO 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 19 27 RCW AND 296.203 WAC <br />)C- 1�tdaa..L'—Co:_ISE�T.�_ /o�Z <br />SI� �99 <br />- <br />LEGAL DESL'NIPTION DF I'IIOrERTY ISNOWNRf.0W0RATTACN fWCCOPLES1 <br />LOT ___ eLOCA or <br />18ZSo5-3-p�k3-0001. 805-1!, 000 <br />r_ <br />IIAC'EL TAX I0 NUAreen <br />CONSTRLICNON{OANIE;NCWR.µ)nn[69,TElErNONiNIaASCn <br />—" -- <br />OlrS'BCI CALL <br />CITY W11NF-F6 LKCNR[ NO <br />MECHANICAL-----� -- <br />PLUMBING - <br />_ NO. <br />_ <br />TYPE OF FIRTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE - <br />WATER CLOSET (TOILET) <br />A/C - A HNOLO UNITS <br />BATHTUB <br />LAVATORY IWASH BASIN) <br />FORCED AIR SYSTEMS - <br />NEAT PUMP <br />+- <br />SHOWER <br />UNIT HEATERS <br />- <br />KITCHEN SINK A DISP <br />CLOTI/ES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />- <br />- <br />LAUNDRY 1 RAY _ <br />- <br />WATER HEATER_ <br />CLOTHES WASHER <br />_ <br />WOOD STOVE <br />--- <br />URINAL <br />_ <br />MEIAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN -_ <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DHAIN _ <br />GAS FIREPLACE_ <br />— <br />_ <br />BACKFLOW PRGVENTERS <br />' <br />_ <br />6A5 RANGE <br />_--_ <br />SINK ISERVICE - BAR, ETC.) <br />--�— <br />GAS PIPING <br />—T- <br />EXHALIST FAN <br />---- <br />SUB TOTAL S <br />SUB TOTAL f <br />PERMIT S <br />PERMIT S <br />�— <br />___ TOTAL FEE f <br />_ TOTAL FEE f <br />J <br />FOR OFFICE USE ONLY: <br />1 nONT VR LR.CI[ <br />-- � <br />nr:AR SETaACR <br />SIDE BeI(ACN <br />1 • I (CA NVMRCR f(f / <br />0- % o 1-a- <br />pFC.r,PT NE, <br />Vn1 YDvf <br />101 AnEA <br />�CS <br />VACANT NTi <br />Ee 0 NO <br />FEES A <br />VALUATION <br />FEE <br />�•_ :_._� <br />SullpMn <br />_- <br />rLuugm- <br />IN <br />MrcnnN¢AI <br />I.FIC.NT IIMIrwNpN <br />ND pr pwfl LING <br />Nn S <br />Fri( S,vC 1 <br />R 3 <br />(Jn <br />occurA.'+ <br />altar <br />r iR2,•.I-NIAKIFR M(D'D <br />�iA NnCfJV <br />_ Yc� <br />GI:CIII•ANI LOAU <br />-an- lu �NI f <br />OYrf Np <br />ADDITIONAL, rI AN CIM. (.R <br />nrAYpN /�' ��y. '• <br />Rf ASDN <br />STA)r MI11 DNLt (IIf c,MPnE <br />-- <br />-- --- <br />I:rf Dr ION-;l <br />% - J�� <br />V <br />�(� <br />J. AI'rnovfn Dv <br />pAla / r�r/ t ( <br />J <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />"..I wOrlltP -- <br />TOTAL <br />--.--• <br />-- - <br />-- -•-- -�- <br />•--_ _.� <br />