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APPLICATI01 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 E 259-8810 04ff <br />-1 DEMOLITION fl COMBINATION fl BUILDING n MECHANICAL 11 PLUMBING SIGN <br />PROJECT ADDRESS <br />jr)6 SE E✓ARE,-T- r141.1_ W,4y <br />NI+IEn uuLADdxss CITY DP FNCAX <br />JOSC`l IC;l "ETra6 906 SC- �-M P✓ %✓EIQ E7T 9920 r <br />TENANT n uAp ApOCESS CITY ZIP PIDIE <br />sP <br />ANCItlicCTORMSIGNEA 4AR ADDRESS CITY Ar PNONE <br />GENEMCONTMCIDR MARAVOESS cozy ZIP FNONI: STATE LICENSEE <br />4/11 e AIr l,) 1/r_-AAl PO.6CX''13i 7"a�o ins 9ffALnl �ti�-L27=7'J Yb A.iIEKA.�Iszuze A�i <br />PLUMINGCONTNACTDI MAILADORESS CITY ZIP MANE STATE LICENSEE <br />GwlnAcl TRICE of NorW <br />HEATING SYSTEM: Il GAS fl ELECTRIC 11 <br />DESCNBE NONE ANp SODUiE FOOTAGE WV0. p <br />rosn+« cAnPPV 9/& REgD/NG <br />CONTACTPPLSDRANDPIgNENO <br />"jvc-c"Ine - /0 ./r <br />NON-lu4t1rs9. A5i56z_ <br />P1orosEpusE of l>wDEa <br />CAS STAT/O A� <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 WILL BE COMPLIED WITH WHETHER SPECIFIED HERCIN I <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 WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 ROW AND 296.200 WAC. <br />X <br />LE65L OESGNP1z0N OF R10PEPTY TSIONN BELOW DIARALN INOCOPE51 <br />LOT' BLOCK OF <br />PMRCELTAHLD.NATSER <br />/P-OYYo/T/L 9 <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE I un <br />SIGNATME DATE <br />GTYBUSINESSLIC TISEND. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AAINDLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE —BAR, ETC.) <br />OAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONT EF.1nALx <br />11EAp SEI <br />BIDE SETA= <br />PIANCIEL a <br />�J14 <br />rEF 7n <br />RECEIPT NO <br />use zot, _/ <br />( <br />AREA ��(( <br />(W too <br />VACANT SITE JA'� <br />['YES <br />FEES <br />VALUATION <br />FEE <br />WRONG <br />11 IRLIMITANON <br />1 nF <br />r"C._ <br />NO CFpWEWNG <br />UNITS A1 <br />SIZEG'nLDYII <br />MIINIWG <br />i <br />OCCIMANCY W GSIM(5 <br />GnWP <br />pCGIPANI LOAD <br />nASE <br />IIYE S IIAO <br />4[GIA MLAI <br />ADDITIONAL RAN C11ELx <br />FIEALM4nEOD <br />nFASGN <br />OINEn <br />FIRE SNUNNLER REDD <br />REASON <br />SG1F DUlW10511TIL11ARGE <br />f'Ar, <br />TYPE Or r.ON51 <br />PIANS"Iy EppY CRY OF EVERETT <br />�[, LOCAL SALES <br />GATE !f TAX CODE IS 3105 ITOTAL <br />runLx; wpnxs <br />