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APPLICATI(. .� FOR CANSTRUC7 .�N PERMIT/ <br /> CITY OF EVERE'fT• BUILDING DIVISION Y`^�✓� <br /> 3200 CEDAR STREET• EVERETf, WA 98201 •259-0810 � <br /> p DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �LUMBING ❑ SIGN <br /> PROJECT ADDRESS: , �O cS � 6-M I'S ���_ �I� k�_��� L� ��T� <br /> 1 <br /> OWNER MMLAWqESS piY IIP PHON� <br /> KCnI S'rAr�N�� 8'�z8''S� c�tC� M3-rlY��J) LCC u1 � "7O <br /> �J. �J`�Z <br /> TENANT u�IL/DDRESS f.ITY 71P/ PIIONE <br /> AqGHITEGTOPOESIGNER 1A�IIADORE55 Cltt 71P PIIONF <br /> GENERALCONiRAGiqi M�ILApOf1E55 CIIY ]R PiIONF. Sf�tE110EN5E• <br /> MECN�NICALCONTRRCTOR MAIIA��RE55 CITY ]IP PIIONE STRELICENSE• <br /> PLUMBINGC�A�CTOR MAILADURESS CIiY Ilfq�-�'�p p�IONE STATEUCENSE� <br /> SL L.rF' 8'S�8"•S� t� � �--� J�-f�`/5111LLL U�J � . 3.6a .6..Sg"• o <br /> CONtMGi VRICE OF N� � Q-p <br /> � 30 6 HEATING SYSTEM: ❑ GAS ELECTRIC ❑ <br /> DESLRIBE WOpN AND�`AqE FOOiAGE INVgVED � � f.ONi�CT P[RSON PN�PIIONE NO <br /> ov 5'� i�- �-s �' <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> rnoro5Eo'u15E eui� � �_ APPLICATION AND KNOW THE SAME TO PE TRUE AND CORFECT qLL <br /> I'c�� � r N� C j� � PROVISIONS OF LAWS AP;D ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCPIPTIONOFPROPERTY�SIIOWN6ELOWOf1ATTACNTWOCOPIES� NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT e�ocn oF AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEL` BY THE <br /> OYlNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE,��OMPLY WITH THE STATE <br /> PAHCEITA%I.D.NUMBER C NTRACTORS L�W 182 W AND 296200 WAC. <br /> CONSTRUCTION LOAN IENDEfl.ADDRE55,TELEPHONE NUMpEA x,` � ��_ � �j, <br /> SIGN�iURE pATE <br /> S �C`� � �" � / � CITY OUSM[SS IICENSC ND <br /> PLUA�IBtNG MECHANICAL <br /> NO. TYPE OF FIxTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDLG UNITS � <br /> BATHTUB ; FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP --;— <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS ; <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY � WATER HFATER � <br /> CLOTHES WASHER � WOODSTOV[ 1 <br /> URINAL � MEfAL f-IREPLAC[(1NOOD BURNING) <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ' <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> EXHAUSTFAN <br /> i i <br /> i i <br /> i_ 1 <br /> � <br /> _ � <br /> SUBTOTAL E / ' SUBTOTAL $ ' <br /> � <br /> PERMIT E " UT— PERMIT S <br /> TOTAL FEE 3 � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRO4TSETfl�Ge RE�RSFTOACN SIOESETB�CN PUNCIIECNNUMpfIi fEF fiFCFIPiNO <br /> USE IONE LG.�REA VAC�NT SIiE FEES VALUAiION FEE <br /> — DYES ❑ NO p111lt�INf. <br /> NEIGIITLIMITATION NOOFOWELUNG $IZEOfBLDG/f.l <br /> UNIi$ P1111A01N6 <br /> _�__—_ �_�— _.�_ <br /> OCCUPANCY IqOtSfORIES OCCUPANTl0�0 BASEMENI MFCIInNiCM. <br /> GROUP <br /> ❑YES ❑NO — �—�--- — <br /> FIRESPPINKLEflpEO'0 �FA$ON �Uf)IIIORp�,PIRNCM((N <br /> �— <br /> ou�en I <br /> FIREAIMMREO'D REASON — � <br /> Si�IE DU�IOMF SIIqf.HMGC <br /> TYPEOFf,ONSi P�ANSAPPROVEOBY CITYOFEVERETT PIIf11if.Wpf1H5 <br /> LOCAL SALES — -- — �— --'— <br /> oqTE TAX CODE IS 3105 TOTAL <br />