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AP�l.ICAY14.� FOR CONSTRUCTrJN PERMIT <br />C!iY OF EVERETT • BUILDING DIVISION � <br />320G CEDAR STREET • EVERETT, WA 9�201 • 259•B810 <br />❑ DEMOLITION CI COMBINATION p�UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTAUDRESS: �Q�G C.Pan�r� 7!: �oa�crP °J�,Z�r� <br />owr+enQ k (tMSI . •MS'C�oo ess�'e•�crlY �IUc �EJ�/ptf- _ 582D3 �1oNe /`F/Z <br />TENu�r uair,nonFss cnv l�r -- Pi�ONE <br />�RCNI?ECT OR DESIGNEF ` �Mnll ADORE55 �� " ^L��9r�� / ✓ ��q" G',^� ��� ��� � <br />l�Jp2��S (�Ov�S1�vC-r�d 2 �`�_y f�r-< <�n�� �,aaR�cx� <br />GENERAICONIfUCiO(1 MnIUD�RE55 (:IIY Ju` PnONf: 5tA1ElICENSE• --Zm <br />MECHANICN�CONTRAGIOR MRRna�RE55 <br />CONtPAG10� MnItA0C�E55 <br />NGu Ca�ShruCNui� I.1`/ <br />OESCRIBE YIORN �ND SOUARE lOOTAGE INVOWf n <br />C� <br />o� <br />clrncc <br />LEWLOESGRIPTION OF PROPEfiTY ISIIOWN BEIOW OH nTTFGH TWO <br />f.OT BLOCN __ OF <br />Lu} � U� S�crF I�I�:f � <br />SG 32 -`!/3 � u12 - uuc'y' G�,l �53i � 0l2 <br />PMGEL T/% I.D. NU/M@ER <br />�-. u'+ •cl Morf o <br />CONS UG➢ONIO�NLENOER.A[1DRESS.TELEPIIONENUMOFf1 <br />PLUMBING <br />NO. TYPE OF FI%TUHE OR ITEM <br />WATER CLOSET (TOILET) <br />a BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREJENTERS <br />SINK (SERVICE — BAR, ETCJ <br />SUB TOTAI 3 <br />PERMIT F <br />TOTAL FEE 3 <br />FOR OFFICE USE ONLY: <br />FRONTSETBAGN Rf:AliSFTl1nCK <br />/S ZO <br />USEION _� lOie�A <br />9�Z <br />HEIGHT �INIiATION NO 0� UWEllI4G <br />Z� UM1�Iti <br />OGCUP�NCY NO Ov510n�F5 OCCUPnNfLO�U <br />GROUP <br />r.��- 2 <br />FIRESPRINNLERREU'D IIFASOt� <br />FEE <br />0 <br />SI�E SETOACK JM <br />7o',r., v�. <br />. s' <br />V�CANf SItC <br />.0YE5 ❑ NO <br />AP PIIONE SiALE LICENSE � <br />!IN PIIONE STAtELI�ENSE� <br />IiEATING SYSTEM: C�GAS ❑ ELECTRIC ❑ <br />CON IAC t Pf1150l1 Mlp PHONE NC <br />fti1Ai-(-�ecr tiP�k J9n-/k/J <br />I HEfIEUY CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br />APPLICAIION Ak0 KNOW THE SAME TO BE TRUE AND CORREC7 AI.L <br />PROVISIONS Oi= LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK PJILL Oc COMPL�ED WITH WHETHER SPECIFI'eD HEREIN OR <br />NOT TfIE Gl1.1NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTI-IORITY TO VIOLAT� OR CANCEL THE PROVISION OF ANY <br />OTHER STA�E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFlFOf1MANCE C�F CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEfi OF 7HI� PROPEflTY TO PERFORM THE WORK FOR WHICH <br />APPLICATIOtJ IS MADE ANO I COMPLY N9TH THE STATE <br />CONTRACTORS LAW 1027 R W AND 296. 0� WAC. <br />SIONn � U�TE �— <br />CI1Y pUSWf:551ICENSE NO <br />MECIIANICAL <br />N�l. T!�PE OF EOUIPRiENT FEE <br />NC —MiNDLG UNITS � <br />� FOf10ED AIR SYS7EMS ; <br />IiE�T PUtdP � <br />UNI111EATERS � <br />I CLOTHES DRYERS � <br />WOOU STOVE <br />Mf_�Al. PIREPLACE <br />GAS RANGE <br />GAS PIPING <br />SUB TOTAL S <br />PERMIT S <br />TOTAI FEE 3 <br />rinNcri[CNN�nallrll fFF �/, nEf.EIrrNO <br />rl./in� J� <br />ouanwr, <br />SIZE OF OIDG/f I —"-�— <br />Z� �fi��J ,S 7 r�uunivn .._ -______— <br />�ASEMENI � � MFf.IUNtf.q <br />❑vE5 If/�+O —'--- <br />nnuninNni r� nr� cm �K <br />ourzn — — <br />simc nunon�r vuiuinncc <br />CITY OF EVERETT �unnc wnnKs <br />IOCAL SALES - -- ------ <br />--- <br />TAX CODE IS 3105 70in� <br />--. . I.---------- — <br />OJ <br />O;� <br />c_ <br />,�_C7 I �J � _. <br />- � / /- <br />�i � <br />