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APP�.ICATi 1(..� FOR CONSTRUC7 .JN PERMIT <br />CITY OF EVERETT • BUILDING �IVISION � <br />3200 CEDAR STREET • EVERETT, WA 90201 • 259-E810 <br />❑ QEM.OLITION CI COMBINATION � BUILDING U MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: _��� - T-,;��'-r ��, ��;�. �r� �bS L–' �•'`^-�"`-"" � <br />�=. Jr///-x�,•i.. �/3? /7Sr��✓_.Lrh-ritL�',7 �Zo4) 5F�3 <br />�.�,.,��-��'� ' u.,�� •ooness —' cirv rir r���— <br />IENANT MnIU�ORf55 f.IIY 71v PIIONE <br />ARCHIiEGTORUE5IGNER MNIA�Of1E55 /� Cltt ���iiP PuONJE <br />�Jr��ON GG+NSf I�O�✓f���// L''�i'LL___W_J. y�'£7"3! l Zm�� �I�-i"�Cr7 <br />GENEMICONi(IAL10p AIqLADOf1E55 (:I�Y /ll' PiIONC SfAIEIICENSE� <br />MECNFNICnICONiRRCTOR A1AllA0DRE55 f.�N 7��' <br />PlUA1BINGCONTPAG70P MMIAUDRE55 ���Y r��' <br />CONTRAGTPqICEOFWORN �� �,�� <br />CJ <br />/ <br />DESCPoBE WORKANO SOUAnE � UGE INVOLVED <br />� / i/ .�. NiS P <br />r'l <br />���: � <br />� ROVOSED USE Oi dUILDING <br />iecn� oescaicnor+ or rnori <br />ioT eia c <br />aa ertecu rwo <br />r.�.��«,.w�,,.�„ O/O ' DOC�� <br />��,Sa � 0 5 a - <br />Cd/STRUCTION LO�N LENpEP. ADORESS. �EL[f'HONE NUMOEII <br />PLUMBING <br />NO. TYPE JF <br />� WHTER CLOSET� <br />�..AVATORY (Vr.15H BA: <br />SHOWER <br />KI(CIiEN SINK 8 DISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FI.00R DRAIN <br />BACKFLOW PREVENTERS <br />SINK fSERVICE — BAH, Ei <br />OR ITEM <br />SUB TOTAL $ <br />PERMIT $ <br />TO1'ALFEE S <br />FEE <br />iiATE LICENSE � <br />STAIE LIGENSE � <br />IiEATING SYSTEM: ❑ GAS ❑ ELECTRIC �l __ <br />CONIPCI �'f �ISOtI ANII PIIONf: NO <br />I H[(lE(3Y CERTIFY THAT I HAVE READ AND E%AMINEO THIS <br />APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE Gf1ANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERfOFlMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER Of THIS PROPERTV TO PERFORM THE WO:iK FOR WNICH <br />APPLICATIOIJ IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW ANO 296200 WAC. <br />��, <br />� <br />,�� �yv.��� _ <br />siaN��: i o�,e — <br />�. . <br />GI I V III ISINf:55 l ICE N5C NO <br />M[CIIANICAL <br />NO. TYPE OF EQUIPMENT _ FEE <br />NC — MiNDLG UNITS <br />FOfiCED AIR SYSTEMS <br />IIEAT PUMP <br />UIJIT I-IEATERS <br />CLOTHES DRYERS <br />RANGE FIOOD <br />� <br />� M[iAL <br />� — <br />FI(lE{'L <br />� G�5 �I <br />FOR OFFICE USE ONLY: <br />tqONT SETOACN AEAf15F1114CK S�OE SETOACN <br />- ' N f'. �, ZO � ,S <br />USE ZCNE I!n 7 l01 MG VAC��N/I SIIC <br />I� `� ` �{. 7 Ci� � ,ty,V[5 ❑ NO <br />MEIGNT UMITITION � NO 0� �WEILING $IZE OF OlIX'iRl <br />Z� U`lIIS � /c C <br />/ ✓� J��' <br />GCGUPANCY NO Of510wC$ OCCUPANfl0�0 BA EMF.NI <br />GROUp <br />IZ3/u.l Z nYes �n <br />„JL'"�t! <br />nnrnovFn <br />2�� ,, <br />��� <br />INSERTfW00D <br />G!15 fiANGE <br />GAS Plf'ING <br />EXI IAUST FAN <br />PI �N CI IlCM tl11411f ❑ <br />-- �y��� <br />�EES <br />OII�IOPlt: C�2 /� � � <br />P-1IMIIM('—_ _"_ _— nl 1O <br />MFf.11nrvif.M <br />AOU�IIONAI PI AN I:IIf CN <br />en�rn <br />smr nunun�r, yuncimnac <br />CITY OF EVERETT I i•unur wnnec <br />LOCALSALES -- ---------- <br />TA% CODE IS �105 i iOtnl <br />SUBTOTAL S <br />PERMIT b <br />TOTALFEE 5 <br />� 7� <br />��t�.t��•� �� <br />n� <br />5' � �—, <br />�;?�.� <br />!'� I/� �. <br />