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APPd.IGAT10`. FOR CONISTRUC'TIvN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION n❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRE�6:/ �S2/ L 0/1 D�iPD AU6 _ <br /> �XMi�/i}/✓UEL LuT.H��An/ r//U;{�C,�/ <br /> OYMER u�i��ooness cm zm rHone <br /> 2521 LONl3/I/lU tl!/r l/£/�G rT �?0/ .,�5'z ' 7038 <br /> TENANT �uIA�DRE55 G11Y 1�V PHONE <br /> ARCHITECT OR DESIGNER M�II ADDBE55 CITY 71P PNONE <br /> aENERAICOHTRAGIOR MAILApORE55 CIiY IIP PHONE SITTLI.ICENSE� <br /> MEC NICAL NTRRCTOR MAIL ADDRES$ CITY 11{` PIIONE STATE UCENSE� <br /> � ��iC'� �KJ(�(J.�1.1C/\ <br /> PLUMBINGCONTFACiO � MnILADDFE55 CILV 21P PHONE $TATELIGENSE� <br /> GQVTR�CT PRILE OF WOFK <br /> ��vp HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> DESCRIBE WORN AND$OUARE FOO7AGE INVOIVED CONTdLT PCASON AND PNONE NO <br /> C <br /> iV / T N U ACE N <br /> I HEREBY CERT�IFY THAT I HAVE READ AND EXAMINED TIi1S <br /> S U ✓ � S U /- APPLICATION AND�KNOW THE SAME TO BE TRUE AND CORRECT P.LL <br /> PROPOSED VSE OF BUILOING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALOESCRIPTIONOFPPOPEHTYISHOWNBELOWGRATTACN7WOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> • OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 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 /> PMCELTNf I.D.NUMBER CONTRACTORS lAW 18.27 RCW AND 296.200 WAC. <br /> CONSTflUCTION LOAN LENDER.AO�RESS.TELEPIIONE NUMOER x �� �/�/7 � <br /> SIGN iURE � � D� . � <br /> C17Y OUSINE55 UCENSE NO. <br /> PLUMBING MECIIANICAI <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILE� � A/C—NFiNOLG UNRS ' <br /> BATHTUB ; FORCED AIR SYSTEMS ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRY TRAY ' WATER HFATER � <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ' M[TAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> FLOOfi DRAIN GAS FIREPIACE ' <br /> BACKFLOW PREVENTrFS ; GASRANGE � <br /> SINK(SERVIC[—BAR,ETC.) GAS PIPING <br /> � EXHAUSTfAN � <br /> i <br /> i ' <br /> i � <br /> SUB TOTAL E SUB TOTAL S O ; —" <br /> PERMIT S � PERMIT S /� � � <br /> TOTALFEE S ' TOTALFEE S ' � <br /> FOR OFFICE USE ONLY: _ <br /> FPONTSETOACN PEMSETBFCN SIDCSETB�CR PL0.\CNf:LNNUMpfll �EF AEf.GIPTNO <br /> — �J <br /> use zOne ior�aen VAC�NI SIIE EES VALUATION FEE <br /> ❑res ❑ No ounn�rur, ; <br /> NEIGIIT LIMITATION NO OF OWELUNG SIIE OF OIOGRI ' <br /> i <br /> UNIi$ P W 401NG � <br /> OCCUPANLY NO Of5I0NlE5 OCCUPANTLOAD BRSEMEN7 MECNONICAI i <br /> GROUP <br /> ❑YE$ ❑ Np <br /> PDCIIIONRI.PUN G��f.CN <br /> FIRESPflINKLERREO'0 RF.�SON — � <br /> O1HEf� <br /> FIREAWiMREO'D AEASON <br /> ST��E OURDMG SUriC11nf1GE <br /> TYPEOFCONST PL�NSAPPROVEDBY CITYOFEVERETT �I1011(:W(If1N5 <br /> LOCAL SALES -- —"— — <br /> oaTE TAX CODE IS 3105 TOTAL <br />