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�\ <br /> APPLICATIV.+1 FOR CONSTRUC7 .dN PERMfT <br /> CITY OF EVEREl7• BUILDING DIVISION �/ <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-BB10 <br /> ❑ DEMOLITION ❑ COMBINATION j� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS: ���� ✓/�c��SO�U Ad� <br /> OWNEN MeILA0011E55 C�n' Z�� PI�ONE <br /> ���5 .BP��,�- a�,�; ��JoN ,�,� ����--r 98�03 ay� -�3� � <br /> TENANT �NLA�ORE55 LIIY ZIP VFONE <br /> Q�s�UN /_�.�Es i 9�� �,�o%roti� r; ��c,��Tr 9��03 .3s.3 -os3� <br /> ARCNITECTORDESIGNER A1MlADORE55 CILY IIP ^HONE <br /> C/�iS �'c�//T �5%�/ T.q�.�'sv.v /�,S�c' ��rcTT 9B�Q3 <br /> GENERAICONiRACTO{i M/uLADDR 55 CIiY SIP P�IONE SfATEIICENSE• <br /> /J'//1'l71'� <br /> MECHANICALCONTR�CTOR MAIL�DOP"c55 Cltt ZIC PNONE STQELICENSE� <br /> PLUMBINGCONTRA�iOR MnIIADORESS C�n' ZIP PNONE SiAiELICENSE• <br /> LONTMCTVRIGEOFWORK J�— HEATINGSYST ECTRIC O <br /> /. � C <br /> UESCRIBE K AND 5 11�HE FOOTAGE INVOIVED LONT�CT V[RSONAND PHONE NO <br /> as�'asP /.�. <br /> � � � � <br /> ^ /�A��" �A iYk'�� STO�A�F � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSEDUSE Of BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS TYPE OF <br /> WORK WILL BE COMPiIED WITH WHETHER SPECIFIED HERI'IN OR <br /> LEG�LDESCNIPTIONOFPROPERtt�(SII�OWNBELOW Tf�LHT/WOCOVIES� NOT. THE GRANTING OF A PERMIT DOES NbT FRESUME TO GIVE <br /> �or -�`�D � e�ocK_...�oF //�E�PuP. Sr DI • AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCi�ION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH <br /> 5yS0 -G3I-G-3 -6oO� APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> ?ABCELTA%I.D.NUMBER CONTRACTORS LAW 1827 RCW A 296200 WAC. <br /> COHSTRUCTION LO�N LENDER,AODRE55.TELEPHONE NUMBER X <br /> / / / / <br /> SIG �fUR OATE <br /> CITV BUSINE55 LICENS[NO. <br /> �LUUBING MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FE NO. 7YPC•OF EQUIPMENT FEE <br /> ATER CLOSET(TOILET) � A/C—A/HNDLG UNRS � ! <br /> d HTUB ; FORC AIR SYSTEMS � / i <br /> LAV ORY(WASH BASIN) � HEAT PU P � <br /> SHOW UNIT HEAT S ' <br /> KITCHEN NK 8 DISP � CLOTHES DR RS � <br /> DISHWASHE � RANGEHOOD ' <br /> LAUNDRY TRA � WATER HEATER _�_ <br /> C40THESWASH � WOODSTOVE � <br /> UftINAL , ' MEfALFIREPIACE�W00 URNING) ; <br /> DRIYKING FOUNTAIN � FIREPLACE INSERT(WOOU � RNING) � <br /> FLOOR DRAIN �� � GAS FIREPLACE ' <br /> BACKFLOW PREVENTEflS ; GAS RANGE / � � <br /> SINK(:;ERVICE—B/�b.ETC.) GAS PIPIIJG <br /> � � EXHAUST FAN / / ' <br /> i � <br /> i ' <br /> i <br /> � <br /> � � i <br /> � � <br /> � � ' <br /> / SUB TOTAL S � � SUB TOTAL 3 ' <br /> / PERMIT S � /� PERMIT E � <br /> TOTAL FEE E ' TOTAL FEE E � ' <br /> — r <br /> FOR OFFICE USE QNLY: <br /> FPONTSETB�CK , RE�PSETBACK> SI'JESETBACN j �LANCIIECKNUTAO[R �EF � � RECEIPTNO <br /> usezw+[ � ioTenen v�cu+rsire FEES VA UA ON FEE <br /> � ❑VES ❑ NO OIIILDMC /O�� �� � � � <br /> HEIGHTLIMIT�TIO�l� UNIf9 OWELLING SIZEOFBI�/f� � <br /> G/ 7 awuou�c i <br /> OGCUPANCV HO Of 90uiE5 Of:CUPANI L0�0 BASEMENT MECNnNICAL � <br /> GROVP /� _ � <br /> II- I N'1 ❑YES ND i <br /> FlFESPRINKLERREOD BE�SON �DDitION�LPL�NCIICCN <br /> �— <br /> 'IC i <br /> /� 01 NEP <br /> FIREALARMPEO'0 �E��DN , f�� <br /> N y $1�tE OUROIN65110CIIAfiGE — <br /> TvvEOFr.or+sr PIAN eRPaoveoor CITYOFEVERETT rueur.wonKs ; <br /> / ��� LOCALSALES —"`— <br /> v— N o„T J �5 -� � TAX CODE IS 9105 TO7AL . �_ <br />