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CIl"Y OF EVERE'IT • BUILDING DIVIStON <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-beto <br />p DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PROJECT ADDRESS�1 911 Lombard �verett WA 98201 <br />_ .. ,. „___ o�, �.,,.,m...-o r„�,-�rr idA 98201 388-95� <br />im ruoe�e <br />u�n <br />-zn�� ■- ��-" " <br />❑ PLUMBING ❑ SIGN <br />InR�C�HITCGT OB OESIGNFR MAII AOOOE55 <br />.-- cln 1�P ruurm <br />vW��QL — —"' liP --_--�� PIIONIi SIAiEII� � <br />GGNCf1Al LONIMQdI Mwll ��PO@SS ���Y <br />MECII�NICAtCON7RAC70R M�IL�DDRE55 <br />Cltt 21P PIIOHF. STAiE IILtNSc � <br />. __ _._ '--" .,.,...��. SiAIEUCENSE� <br />MMl <br />oF wonK <br />DESGNIBE WORN ANO SOlUf1E FOOTAGE INVOLVE[1 <br />CIIY <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONIACi PLOSON AND 1'110NE NO <br />Plarlc Stewart 388-9513 <br />iiiv — <br />I NEREOY CERTIFY THAT I HAVE FiEAD AND E%AMINED THI <br />ApPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT ALL <br />Pf10PO5ED USE Oi BIIIlDIN6 PROVISIONS OF LAWS AND ORDINANCES GO`/ERNING 7HIS TYPE OF <br />S��l WORK WILL BE COMPLIED WITH WHETHEfl SPECIFIED HEREIN OR <br />�� <br />lEG0.DESCfUP710NOFPIIOPEPtt�5110W110L1OW0�7�T1AC117WOCOPIES� pUTtIORITYT OTVIOLATEAOR CANCELETHE PROVISION OF A1NV <br />ioi o�aK °� � OThIEfl STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFlFURMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICH <br />5938 180 006 0000 APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18. C'V�AN 296200 WAC. <br />PMCEL TA%� D. NIIMeER 5/ 16 / 97 <br />- �����1� ���. , < <�� <br />GONS1fR1CfIONIOANlENOEP,A�f1RE55.TE1EP110NENlIA10Efl � Sf.N�T11fiF. ���� <br />CIIV tlU51Nl°.SS l ICCNSC NO ._ <br />MECHANICAL FEE <br />pLUMBING FEE NO. TYPE OF E�UIPMENT <br />_ --+— <br />NO. TYPE OF FI%TURE OH ITEM eir. _ a�allo�G uNITS � <br />BATHTUB <br />SHOWER <br />KITCNEN SINK 8 DISP <br />DISHWAS_ HER� <br />IAUNDR�— <br />CLOTHES WASHER <br />URINA--------- <br />� <br />- unn. � ...� . <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE E <br />FOR OFFICE USE ONLY: <br />FPOHTSETPACK REAfISFTB�CN <br />IISE 20NE <br />11EIG111 l IMIT�TION <br />OCCUPAHCY NO( <br />IDl A41EA <br />NO OF DWRUNG <br />UNII$ <br />SIOE SEiB�CN <br />Y�CAIl1 S��E <br />❑YES ❑ ��cl <br />sire or �u�crt i <br />❑YES ❑ HO <br />F(1RCED AIR SYSTEMS <br />HEAT PUMP <br />UtJIT HEATEPS <br />r.i �7HES DRYERS <br />HEATER <br />riu+cucr.n �+uunrn <br />�� <br />nuu rnun <br />ri unauru _— -- —.-- <br />MFf.IUNICM <br />PUDIIIONM 1'I AN GII GM <br />U111E11 <br />tilAll 01111U1!!G SIIIICII�IIf.I <br />rinas�rrnovFnuv CITYOFEVEflETT �'�����":WO°`.`; _. .. <br />LOCAL SALe"S TO7n� <br />q�i TAX CODE IS 3105 _ . <br />� <br />t— <br />� <br />SU� i <br />PERMI7 S ' <br />TOTALfEE S ' <br />rrr . ner.eiri r+o <br />VALUATION FEE <br />-----r <br />i <br />_ 1 <br />i <br />— � <br />� <br />_ __ _'.__-- —_-� <br />