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APPLICL�TI(�µ 0 FOR CONSTRUC7 _JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVEFlETT, WA 98201 • 259-8810 <br /> ❑ DEMOLITION ❑ COMBIN.tifION p BUILDING �MECHANICAL D PLUMBING O SIGN <br /> PROJECTADDRESS:� � .��/��A/�� y/ t"(/t � .f'// /����? <br /> pWNER MAILADORE$$ cm nr rMor+e <br /> �iu� ,�1�5� /�,�i�/ /lz� /������o A�/ �'dc�<< r/ ���a z4v a�<�,�' <br /> �ENANT �MlA00RC55 CITY � ]iP PHpNE � <br /> ��.nn � <br /> ARCNITEGT OR DESIGNEP M�II AD�RE55 CIiY ]IP PHONE <br /> �I�GENEM CONTf1AGTIXi M�ILAO�RESS Gliy l�� PIIO E SUTELICFNSE� <br /> �ll�-�=� FI��T�,� 2�m �„ei�o�ll�.� S'�,��/ ���i�� �!/OtTIli�/Ni�� �r�� <br /> MECHANICALCONTRACTOA AqAD0i1E55 GTY � ZI{' T � PIIONE S�LICF.NSE� <br /> S�I/1� , ��'7 .r I��CIO <br /> I c. �� �, <br /> PLUTABINGCONiR�CTON MAIL�D�RESS CI1V ZIP PMONE $TATEUCENSE• <br /> � 1%F <br /> LONTMCTPRICEOFWOPK � <br /> �� � HEATING SYSTEM: GAS ❑ ELECTflIC ❑ <br /> DESCRIBE WORR AND SOUARE FOOT�GE INVOLVE� CONiACT CEPSON AN[J PNONE NO <br /> �y ,�� �,_- <br /> z�� -����� <br /> I HEREOV CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSEDUSEOFBUIlOING PqOVIS10NS OF LAWS AND ORD�NANCES GOVERNING THIS TYPE OF <br /> WORK IVILL �E COMPLIED WITH WHETHER SP-.CIFIED HEREIN OR <br /> LEG�LOESGRIPTIONOFPROPERtt�51iOWNBElOWO{IATf�CHM'OCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> toT _eiocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTIOY OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROP TY TO PERFORM THE WORK FOR WH�CH <br /> APPLICATION IS AD AND I MPLY WITH THE STATE <br /> PiaCELT�zI.D.NUuBER 7 CONTRACTORS W 7 D29 20OWAC. <br /> �� � /-��6//T (�— <br /> CONSTRUC➢ON IOAN tENDER.AODRE55.TELEPHONE NUA�BER <br /> SIGNATUPE DA E <br /> Lltt OUSINESS LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATEfl CLOSET(TOILET) � A/C—A/HNOLG UNITS ' <br /> BATHTUB ; FORCED AIR SYSTEMS ; <br /> LAVATORY(WASH BASIN) HEAT PUMP � <br /> SHOWER � UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP � CLOTHES ORYERS � <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE � <br /> URiNAL � MEfAL FIREPLACE(WOOD BURNING) ' _ <br /> DRINKING FOUNTAIN ; FIFlEPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIAEPIACE ' <br /> BACKFLOW PREVENTERS � GAS RANGE � _ <br /> SINK (SFRVICE—BAR,ETC.) GAS PIPING � _ <br /> � EXHAUST FAN <br /> � <br /> � <br /> � ' <br /> � ' <br /> SUB TOTAL E ; SUB TOTAL 5 ' <br /> PERMIT $ , PERMIT E � <br /> TOTALFEE 3 � TOTALFEE S ' . <br /> FOR OFFICE USE ONLY: <br /> FRONT SETB�CN PEM SEIORCK SIDE SETB�CN �UN C11ECK NUM� /' FEF REf.E1PT NO <br /> �? ��d <br /> usEzonE �ornnen vnenHrsire FEES VALUATION FEE � � <br /> ❑YES ❑ �o nunn�r+r. <br /> MEIGMiIIMIiATION NO.OFDWELLING SIZEOFBLDCRI <br /> UNi75 P�IIMOING __� <br /> OCCUPANCY NO O�SfONES OCCUPANTLO�D BASEMENT � <br /> GROUP �ECN4NIGAL i _ <br /> ❑YE$ ❑ NO <br /> FIRESPflINKLEaREO'D RFn50N aO�IiI�NAI�LAN�NF.GN _ <br /> on�en <br /> FIREAlAPMREO'D AEA�ON <br /> SiA1E�UII�INf.SU'1LH��GE <br /> rrceoFr.or+sr PlnNSAPPROVEDOY CITYOFEVERETT �IIqIICwCPNS ' <br /> LOCAL SALES — --'— <br /> onie TAX CODE IS 3105 70TAL _ _ <br />